Opioid-prescribing practices and provider confidence recognizing opioid analgesic abuse in HIV primary care settings
| Autor: | Joshua Boverman, David A. Fiellin, Paula J. Lum, Sherri L Little, Jennifer A. Mitty, R Thawley, David Hersh, Michael Botsko, James E. Egan |
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| Rok vydání: | 2011 |
| Předmět: |
Drug
Male medicine.medical_specialty Anti-HIV Agents media_common.quotation_subject MEDLINE Pain HIV Infections Physicians Primary Care Surveys and Questionnaires medicine Humans Pharmacology (medical) Medical prescription Practice Patterns Physicians' Psychiatry media_common business.industry Addiction Data Collection Opioid-Related Disorders Chronic pain Middle Aged medicine.disease Analgesics Opioid Infectious Diseases Opioid Emergency medicine Chronic Disease Female business Buprenorphine medicine.drug |
| Zdroj: | Journal of acquired immune deficiency syndromes (1999). 56 |
| ISSN: | 1944-7884 |
| Popis: | Background: Pain syndromes are common in HIV-infected patients, who also are commonly affected by opioid-use disorders. Although opioids can treat pain, prescribers must consider the consequences of iatrogenic or missed addiction diagnoses. Methods: In an anonymous online survey, we asked a national sample of HIV providers about their demographics, experience, and patients, and their practices and attitudes about chronic opioid therapy, addiction, and confidence recognizing opioid analgesic abuse. Results: One hundred six providers reported 28% of their patients had chronic pain; 21% received opioid analgesics; 37% were HIV infected by injecting drug use; and 12% were addicted to prescription opioids. Few providers followed recommended guidelines for chronic opioid therapy in nonmalignant pain. Mean provider confidence was 6.3 on a scale of 10. Higher confidence was associated with provider sex (P < 0.05), patient volume (P < 0.03), discussing substance use, (P < 0.05), urine toxicology (P < 0.01), prescribing longer acting opioids (P = 0.005), and prescribing buprenorphine (P = 0.009). Conclusions: HIV providers seldom follow recommended guidelines for opioid prescribing and have limited confidence in their ability to recognize opioid analgesic abuse. Clinical practices developed to reduce misuse and increase early detection and treatment of opioid dependence are associated with higher confidence. The implementation of guidelines to improve the quality of opioid prescribing in HIV clinics may aid in the diagnosis of addictive disorders and prevent their adverse outcomes. |
| Databáze: | OpenAIRE |
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