Recommendations for Substance Abuse and Pain Control in Patients with Chronic Pain.

Autor: Vadivelu N; Yale University, TMP3 333, Cedar Street, New Haven, CT, 06520, USA. nalini.vadivelu@yale.edu., Kai AM; Department of Internal Medicine, NYU-Winthrop Hospital, 259 First St., Mineola, NY, 11501, USA., Kodumudi G; California Northstate School of Medicine, 9700 West Taron Dr., Elk Grove, CA, 95757, USA., Haddad D; Yale University, TMP3 333, Cedar Street, New Haven, CT, 06520, USA., Kodumudi V; University of Connecticut School of Medicine, 263 Farmington Ave., Farmington, CT, 06030, USA., Kuruvilla N; Department of Anesthesiology, Austin Health, Level 2 Austin Tower, 145 Studley Road, Heidelberg, VIC, 3084, USA., Kaye AD; Department of Anesthesiology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Suite 656, New Orleans, LA, 70112, USA., Urman RD; Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Jazyk: angličtina
Zdroj: Current pain and headache reports [Curr Pain Headache Rep] 2018 Mar 19; Vol. 22 (4), pp. 25. Date of Electronic Publication: 2018 Mar 19.
DOI: 10.1007/s11916-018-0679-3
Abstrakt: Purpose of Review: In the present investigation, current literature on the relationship between substance abuse and pain is evaluated in order to improve clinical management and its implications on the increasingly challenging chronic pain and substance abuse epidemic. The relationship between substance abuse and chronic pain are evaluated, and this review provides recommendations on the management of this special patient population.
Recent Findings: Currently, there are limited guidelines for prescribing opioids and other analgesics in the chronic pain population. As this field of practice continues to evolve, it is essential for clinicians to serve as the gatekeepers to monitor for misuse and safety. Multiple studies have indicated that illicit drug use and opioid abuse affect over 9% of patients. Although there are numerous reasons for seeking illicit drugs and abusing them, it is essential that clinicians identify factors which place certain patients at high risk and accordingly, to screen these patients in order to optimize their management. The high prevalence of patients with chronic pain who also screen positive for drug use emphasizes the importance and increasingly pressing need to evaluate and to manage chronic pain in this population.
Databáze: MEDLINE
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