Evidence map›Paper›PMID 29021378›Full record

ArticleThe oncologist2018

Outcomes of a Specialized Interdisciplinary Approach for Patients with Cancer with Aberrant Opioid-Related Behavior.

Joseph Arthur, Tonya Edwards, Suresh Reddy, Kristy Nguyen, David Hui, Sriram Yennu, Minjeong Park, Diane Liu, Eduardo Bruera

Abstract read
In one paragraph

Article in The oncologist, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Observational
  2. Frequency and predictors of risk of non-medical opioid use among patients with cancer in a specialized outpatient palliative care clinic.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
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  11. Review
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  16. Article
  17. How to Measure Pain.Current oncology reports · 2020
    Review
  18. Patient-level factors associated with chronic opioid use in cancer: a population-based cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joseph ArthurDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA jaarthur@mdanderson.org.ORCID 0000-0002-9185-6108
Tonya EdwardsDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA.
Suresh ReddyDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA.
Kristy NguyenDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA.
David HuiDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA.
Sriram YennuDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA.
Minjeong ParkDepartment of Biostatistics, University of Texas MD Anderson Cancer, Houston, Texas, USA.
Diane LiuDepartment of Biostatistics, University of Texas MD Anderson Cancer, Houston, Texas, USA.
Eduardo BrueraDepartment of Palliative Care and Rehabilitation Medicine, Houston, Texas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the development and outcomes of effective interventions to address aberrant opioid-related behavior (AB) in patients with cancer are lacking. Our outpatient supportive care clinic developed and implemented a specialized interdisciplinary team approach to manage patients with AB. The purpose of this study was to report clinical outcomes of this novel intervention. MATERIALS AND

methodsThe medical records of 30 consecutive patients with evidence of AB who received the intervention and a random control group of 70 patients without evidence of AB between January 1, 2015, and August 31, 2016, were reviewed.

resultsAt baseline, pain intensity (

conclusionThe intervention was associated with a reduction in the frequency of AB and opioid utilization among patients with cancer receiving chronic opioid therapy. More research is needed to further characterize the clinical effectiveness of this intervention. IMPLICATIONS FOR PRACTICE: There are currently no well-defined and evidence-based strategies to manage cancer patients on chronic opioid therapy who demonstrate aberrant opioid-related behavior. The findings of this study offer a promising starting point for the creation of a standardized strategy for clinicians and provides valuable information to guide their practice regarding these patients. The study results will also help clinicians to better understand the types and frequencies of the most common aberrant behaviors observed among patients with cancer who are receiving chronic opioid therapy. This will enhance the process of timely patient identification, management, or referral to the appropriate specialist teams.

Indexed as

Opioid-Related DisordersAdultAgedAged, 80 and overAnalgesics, OpioidCancer PainFemaleHumansMaleMiddle AgedNeoplasmsYoung AdultAnalgesics, OpioidAberrant behaviorCancerInterdisciplinary approachInterventionOpioidsTeam

Identifiers

PMID29021378
PMCPMC5813743

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.