Evidence map›Paper›PMID 35295520›Full record

ReviewFrontiers in pain research (Lausanne, Switzerland)2021

Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency.

Joseph V Pergolizzi, Peter Magnusson, Paul J Christo, Jo Ann LeQuang, Frank Breve, Kailyn Mitchell, Giustino Varrassi

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in pain research (Lausanne, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. An exploration of the relationship between perceived injustice and pain severity in breast cancer survivors: a structural equation model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Association ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Chronic pain in children and adolescents diagnosed with cancer: the challenge of mitigating the pain and the potential of integrating exercise into pain management.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. 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

7 authors at 5 institutions in 3 countries.

Joseph V PergolizziNEMA Research, Inc., Naples, FL, United States.
Peter MagnussonCentre for Research & Development, Uppsala University, Uppsala, Sweden.
Paul J ChristoDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD, United States.
Jo Ann LeQuangNEMA Research, Inc., Naples, FL, United States.
Frank BreveDepartment of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, United States.
Kailyn MitchellNEMA Research, Inc., Naples, FL, United States.
Giustino VarrassiPaolo Procacci Foundation, Rome, Italy.
Nema Research (United States) · USFondazione Roma · ITJohns Hopkins Medicine · USKarolinska Institutet · SETemple University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A clinical conundrum can occur when a patient with active opioid use disorder (OUD) or at elevated risk for the condition presents with cancer and related painful symptoms. Despite earlier beliefs that cancer patients were relatively unaffected by opioid misuse, it appears that cancer patients have similar risks as the general population for OUD but are more likely to need and take opioids. Treating such patients requires an individualized approach, informed consent, and a shared decision-making model. Tools exist to help stratify patients for risk of OUD. While improved clinician education in pain control is needed, patients too need to be better informed about the risks and benefits of opioids. Patients may fear pain more than OUD, but opioids are not always the most effective pain reliever for a given patient and some patients do not tolerate or want to take opioids. The association of OUD with mental health disorders (dual diagnosis) can also complicate delivery of care as patients with mental health issues may be less adherent to treatment and may use opioids for "chemical coping" as much as for pain control.

Indexed as

cancercancer painopioidopioid agonist therapyopioid dependencyopioid use disorderpain

Identifiers

PMID35295520
PMCPMC8915703
OpenAlexW3212733173

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.