A conceptual framework for understanding unintended prolonged opioid use

WM Hooten, CM Brummett, MD Sullivan… - Mayo Clinic …, 2017 - Elsevier
An urgent need exists to better understand the transition from short-term opioid use to
unintended prolonged opioid use (UPOU). The purpose of this work is to propose a …

Issues in long-term opioid therapy: unmet needs, risks, and solutions

SD Passik - Mayo Clinic Proceedings, 2009 - Elsevier
Both chronic pain and prescription opioid abuse are prevalent and exact a high toll on
patients, physicians, and society. Health care professionals must balance aggressive …

[HTML][HTML] Setting expectations, following orders, safety, and standardization: clinicians' strategies to guide difficult conversations about opioid prescribing

JJ Wyse, L Ganzini, SK Dobscha, EE Krebs… - Journal of general …, 2019 - Springer
Background Evidence has continued to accumulate regarding the potential risks of treating
chronic pain with long-term opioid therapy (LTOT). Clinical practice guidelines now …

Incidence and risk factors for progression from short-term to episodic or long-term opioid prescribing: a population-based study

WM Hooten, JL St Sauver, ME McGree… - Mayo Clinic …, 2015 - Elsevier
Objectives To determine what proportion of a geographically defined population who
receive new opioid prescriptions progresses to episodic or long-term patterns of opioid …

[HTML][HTML] Trends in prevalent and incident opioid receipt: an observational study in Veterans Health Administration 2004–2012

HJ Mosher, EE Krebs, M Carrel, PJ Kaboli… - Journal of general …, 2015 - Springer
Background Improved understanding of temporal and regional trends may support safe and
effective prescribing of opioids. Objective We describe national, regional, and facility-level …

[HTML][HTML] Association between initial opioid prescribing patterns and subsequent long-term use among opioid-naïve patients: a statewide retrospective cohort study

RA Deyo, SE Hallvik, C Hildebran, M Marino… - Journal of general …, 2017 - Springer
Background Long-term efficacy of opioids for non-cancer pain is unproven, but risks argue
for cautious prescribing. Few data suggest how long or how much opioid can be prescribed …

[HTML][HTML] Factors influencing long-term opioid use among opioid naive patients: an examination of initial prescription characteristics and pain etiologies

A Shah, CJ Hayes, BC Martin - The Journal of Pain, 2017 - Elsevier
The relationships between the initial opioid prescription characteristics and pain etiology
with the probability of opioid discontinuation were explored in this retrospective cohort study …

Common and challenging behaviors among individuals on long-term opioid therapy

SR Young, S Azari, WC Becker… - Journal of addiction …, 2020 - journals.lww.com
Objective: Long-term opioid therapy (LTOT) is commonly prescribed for chronic pain, despite
risks such as opioid use disorder (OUD) and overdose. Caring for patients on LTOT can be …

Chronic opioid prescribing in primary care: factors and perspectives

ST Tong, CJ Hochheimer, EM Brooks… - The Annals of Family …, 2019 - Annals Family Med
BACKGROUND Primary care clinicians write 45% of all opioid prescriptions in the United
States, but little is known about the characteristics of patients who receive them and the …

Reasons for discontinuation of long-term opioid therapy in patients with and without substance use disorders

TI Lovejoy, BJ Morasco, MI Demidenko, THA Meath… - Pain, 2017 - journals.lww.com
Several factors may accelerate opioid discontinuation rates, including lack of information
about the long-term effectiveness of opioids for chronic pain, heightened awareness about …