Evidence map›Paper›PMID 38670295›Full record

ArticleJournal of pain and symptom management2024

Creating a Palliative Care Clinic for Patients with Cancer Pain and Substance Use Disorder.

Sachin S Kale, Gennaro Di Tosto, Laura J Rush, Justin Kullgren, Deborah Russell, Martin Fried, Blessing Igboeli, Julie Teater, Katie Fitzgerald Jones, Devon K Check and 2 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Treating cancer-related symptoms in patients exhibiting nonmedical opioid use behaviours: a retrospective chart review study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  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
  3. Article
  4. Article
  5. Article
  6. Article
  7. How Racialized Approaches to Opioid Use Disorder and Opioid Misuse Management Hamper Pharmacoequity for Cancer Pain.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Article
  8. 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

12 authors at 5 institutions in 1 country.

Sachin S KaleDivision of Palliative Medicine(S.S.K., J.K., D.R.), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. Electronic address: Sachin.kale@osumc.edu.
Gennaro Di TostoCenter for the Advancement of Team Science(G.D.T., L.J.R., A.S.M.), Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Laura J RushCenter for the Advancement of Team Science(G.D.T., L.J.R., A.S.M.), Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Justin KullgrenDivision of Palliative Medicine(S.S.K., J.K., D.R.), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Deborah RussellDivision of Palliative Medicine(S.S.K., J.K., D.R.), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Martin FriedDivision of General Internal Medicine(M.F.), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Blessing IgboeliDepartment of Psychiatry and Behavioral Health(B.I., J.T.), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Julie TeaterDepartment of Psychiatry and Behavioral Health(B.I., J.T.), The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Katie Fitzgerald JonesNew England Geriatrics Research(K.F.J.), Education, and Clinical Center (GRECC), VA Boston Healthcare System, Jamaica Plain, Massachussetts, USA.
Devon K CheckDepartment of Population Health Sciences(D.K.C.), Duke University School of Medicine, Durham, North Carolina, USA.
Jessica MerlinCHAllenges in Managing and Preventing Pain (CHAMPP) clinical research center(J.M.), Division of General Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Ann Scheck McAlearneyCenter for the Advancement of Team Science(G.D.T., L.J.R., A.S.M.), Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, Ohio, USA; Department of Family and Community Medicine(A.S.M.), College of Medicine, The Ohio State University, Columbus, Ohio, USA.
The Ohio State University Wexner Medical Center · USThe Ohio State University · USDuke University · USUniversity of Pittsburgh · USVA Boston Healthcare System · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
Mentoring the next generation of researchers at the intersection of opioid use disorder and chronic painK24DA056837 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Megan Hamm, Jessica S Merlin · 2023 to 2026
$771k
NCI NIH HHS P30 CA016058NIDA NIH HHS K24 DA056837
6 · The paper itself

Abstract

backgroundOpioids are a first-line treatment for severe cancer pain. However, clinicians may be reluctant to prescribe opioids for patients with concurrent substance use disorders (SUD) or clinical concerns about non-prescribed substance use. MEASURES: Patient volume, 60-day retention rate, and use of sublingual buprenorphine to treat opioid use disorder.

interventionWe created the Palliative Harm Reduction and Resiliency Clinic, a palliative care clinic founded on harm reduction principles and including formal collaboration with addiction psychiatry. OUTCOMES: During the first 18 months, patient volume increased steadily; 70% of patients had at least one subsequent visit within 60 days of the initial appointment; and buprenorphine was prescribed for 55% of patients with opioid use disorder. CONCLUSIONS/LESSONS LEARNED: The formal collaboration with addiction psychiatry and the integration of harm reduction principles and practices into ambulatory palliative care improved our ability to provide treatment to a previously underserved patient population with high symptom burden.

Indexed as

Analgesics, OpioidCancer PainPalliative CareAgedBuprenorphineFemaleHarm ReductionHumansMaleMiddle AgedOpioid-Related DisordersAnalgesics, OpioidBuprenorphineCancer painHarm reductionOpioid use disorderPalliative careQuality improvementSubstance use disorder

Identifiers

PMID38670295
PMCPMC11815907
OpenAlexW4395468424

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.