Evidence map›Paper›PMID 30225438›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2018

Consensus-Based Treatment Approaches for Managing Concerning Behaviors in Patients on Long-term Opioid Therapy for Chronic Pain: Case-Based Applications.

William C Becker, E Jennifer Edelman, Joanna L Starrels, Soraya Azari, Payel Roy, Sarah R Young, Jane Liebschutz, Jessica S Merlin

Open access · goldAbstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% of its field
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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

8 authors at 6 institutions in 1 country.

William C BeckerVA Connecticut Healthcare System, New Haven, CT.
E Jennifer EdelmanYale School of Medicine, New Haven, CT.
Joanna L StarrelsAlbert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY.
Soraya AzariUniversity of California, San Francisco, San Francisco.
Payel RoyBoston Medical Center, Boston, MA.
Sarah R YoungCollege of Community and Public Affairs, Binghamton University, Binghamton, NY.
Jane LiebschutzUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Jessica S MerlinUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
University of Pittsburgh · USAlbert Einstein College of Medicine · USBinghamton University · USUniversity of California, San Francisco · USVA Connecticut Healthcare System · USYale University · US

Funding

Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
Mentoring Junior Investigators to Tackle the Opioid EpidemicK24DA046309 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STARRELS, JOANNA L. · 2018 to 2023
$876k
Development of a Behavioral Intervention for Chronic Pain in Individuals with HIVK23MH104073 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MERLIN, JESSICA S · 2015 to 2018
$732k
NIDA NIH HHS K24 DA046309NIDA NIH HHS T32 DA041898NIMH NIH HHS K23 MH104073
6 · The paper itself

Abstract

Guidelines recommend careful monitoring of patients on long-term opioid therapy for chronic pain to assess for concerning medication-taking behaviors that may signal opioid misuse or the presence of a substance use disorder. However, specific management strategies to guide providers if concerning medication-taking behaviors emerge are lacking. Therefore, we recruited a Delphi panel-42 experts in chronic pain and opioid prescribing-to develop consensus-based treatment approaches to guide management of the 6 most common and concerning behaviors identified: missing prescriber appointments, taking opioids for symptoms other than pain, using more opioid medication than prescribed, asking for an increase in opioid dose, aggressive behavior, and alcohol and other substance use. The results of that process are published as a separate study. The purpose of the present study was to present clinical cases in which concerning medication-taking behaviors arise in the course of long-term opioid therapy and demonstrate for readers how the Delphi panel's consensus-based approaches could be applied.

Indexed as

CR, controlled releaseDSM-5, Diagnostic and Statistical Manual of Mental Diseases (Fifth Edition)IR, immediate releaseLTOT, long-term opioid therapyOUD, opioid use disorderPCP, primary care provider

Identifiers

PMID30225438
PMCPMC6124322
OpenAlexW2801571201

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.