ArticleJournal of pain and symptom management2021
Compassion Inequities and Opioid Use Disorder: A Matched Case-Control Analysis Examining Inpatient Management of Cancer-Related Pain for Patients With Opioid Use Disorder.
Article in Journal of pain and symptom management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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Who cites it
6 citing papers in PubMed.
- Management of acute cancer-related pain in a patient with opioid use disorder: a case report.Journal of medical case reports · 2026Article
- Article
- Creating a Palliative Care Clinic for Patients with Cancer Pain and Substance Use Disorder.Journal of pain and symptom management · 2024Article
- Consensus-Based Guidance on Opioid Management in Individuals With Advanced Cancer-Related Pain and Opioid Misuse or Use Disorder.JAMA oncology · 2022Article
- The US Cancer Pain Crisis and the Global Pain Divide: Can Two Wrongs Make It Right?Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022Article
- Artificial intelligence technologies and compassion in healthcare: A systematic scoping review.Frontiers in psychology · 2022Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
contextThe opioid epidemic spurred guidelines intended to reduce inappropriate prescribing. Although acute cancer-related pain was excluded from these recommendations, studies demonstrate reduced opioid prescribing for patients hospitalized with advanced cancer.
objectivesWe performed a matched case-control analysis to determine how a history of opioid use disorder (OUD) affects inpatient management of cancer pain.
methodsCharts of patients with OUD admitted for cancer pain from 2015-2020 were retrospectively reviewed. Hospitalizations were matched 1:1 by patient age and sex. Home milligram-morphine equivalent per day (MME/day) was calculated from the home medication list. Admission MME/day was the average MME/day administered during hospitalization.
resultsA total of 80 hospitalizations (40:40) were matched for 25 patients with a history of OUD and 31 patients with no history of OUD. Cancer was metastatic/relapsed for 70% of admissions. The median overall survival was 2.3 months (95% CI 0-5.21, P = 0.13). Patients with OUD had a significantly lower change from Home to Admission MME/day (-3 vs. 37, P < 0.01) and were less likely to have any increase in Admission MME/day (OR 0.1, 95% CI 0.02-0.43, P < 0.01). When considering opioids administered after pain specialty consultation, there was no difference between groups.
conclusionOur results suggest that patients with OUD receive lower quality inpatient management of cancer-related pain. Provider education and early involvement of pain specialists are crucial in delivering equitable and compassionate end-of-life care for patients with OUD.
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