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Predictors of opioid misuse in patients with chronic pain: a prospective cohort study

BMC Health Services Research · 2006 · Vol. 6(1) · pp. 46–46

Timothy J. Ives✉(University of North Carolina at Chapel Hill)Paul R. Chelminski(University of North Carolina System)Catherine A. Hammett‐Stabler(University of North Carolina at Chapel Hill)R. C. Malone(University of North Carolina System)J. Stephen Perhac(University of North Carolina System)Nicholas M. Potisek(University of North Carolina System)Betsy Bryant Shilliday(University of North Carolina at Chapel Hill)Darren A. DeWalt(University of North Carolina at Chapel Hill)Michael Pignone(University of North Carolina System)

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Abstract

Opioid misuse occurred frequently in chronic pain patients in a pain management program within an academic primary care practice. Patients with a history of alcohol or cocaine abuse and alcohol or drug related convictions should be carefully evaluated and followed for signs of misuse if opioids are prescribed. Structured monitoring for opioid misuse can potentially ensure the appropriate use of opioids in chronic pain management and mitigate adverse public health effects of diversion.

Opioid Use Disorder Treatment Pain Management and Opioid Use Pain Mechanisms and TreatmentsMedicineChronic painOpioidProspective cohort studyMedical prescriptionIncidence (geometry)Prescription Drug MisuseInternal medicinePublic healthPsychiatry

MeSH terms

Academic Medical CentersAdultAgedAged, 80 and overAnalgesics, OpioidChronic DiseaseCrimeDrug and Narcotic ControlFemaleHealth Services MisuseHumansInternal MedicineMaleMiddle AgedNorth Carolina

Funding

University of North Carolina at Chapel Hill
School of Medicine, University of North Carolina at Chapel Hill

Citations

514

FWCI

32.51

field-weighted impact

References

Percentile

100%

vs. same field & year

Citations per year

Cited by

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References

Psychosocial Predictors of Outcome in Acute and Subchronic Low Back Trouble

Spine · 1995 · 704 citations

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