Exploring the Use of Chronic Opioid Therapy for Chronic Pain: When, How, and for Whom?

被引：7

作者：

Brooks, Abigail ^{[1
]}

Kominek, Courtney ^{[2
]}

Pham, Thien C. ^{[3
]}

Fudin, Jeffrey ^{[4
,5
,6
,7
]}

机构：

[1] Minneapolis VA Hlth Care Syst, Pain Management, Minneapolis, MN USA

[2] Harry S Truman Mem Vet Hosp, Pain Management, Columbia, MO 65201 USA

[3] Stratton VA Med Ctr, Pain & Palliat Care, Albany, NY USA

[4] Stratton VA Med Ctr, Pain Management, Pain & Palliat Care Pharm Residency PGY2, Albany, NY USA

[5] Western New England Univ, Coll Pharm, Springfield, MA USA

[6] Albany Coll Pharm & Hlth Sci, Albany, NY USA

[7] Univ Connecticut, Sch Pharm, Storrs, CT USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2016年 / 100卷 / 01期

关键词：

Chronic opioid therapy; Chronic noncancer pain; Pain management; Opioid risk management; Opioid induced respiratory depression; SUBLINGUAL BUPRENORPHINE; OVERDOSE; GUIDELINES; DEPENDENCE; PHYSICIANS; METHADONE; SOCIETY; RISKS;

D O I：

10.1016/j.mcna.2015.08.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This article provides a broad overview regarding intent to initiate and consider ongoing chronic opioid therapy (COT) for treatment of chronic noncancer pain (CNCP). COT should be an individualized decision based on a comprehensive evaluation, assessment, and monitoring. It is imperative that providers discuss various risks and benefits of COT initially and at follow-up visits, and continue appropriate monitoring and follow-up at regular intervals. The decision to initiate or continue opioid therapy is based on clinical judgment; however, it is understood that opioid and other medication therapy represent one piece of the complete treatment plan for patients with CNCP.

引用

页码：83 / +

页数：24

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