Opiates for chronic nonmalignant pain syndromes: Can appropriate candidates be identified for outpatient clinic management?

Kevin T. White, Timothy R. Dillingham, Marlis Gonzalez Fernandez, Linda Rothfield

Research output: Contribution to journalArticle

Abstract

Objective: To better define patients appropriate for opiate management for chronic pain syndromes. Design: Retrospective study of 65 patients with noncancerous pain syndromes who were on or being considered for opiates and who were transitioned into a structured outpatient clinic with close monitoring and management. Noncompliance with this outpatient pain management program was the primary outcome. Noncompliance was defined as (1) receipt of prescriptions from providers outside of this clinic, (2) increase in medication dosage without proper approval, (3) refusing toxicology screening on entrance into the program, (4) negative toxicology tests for prescribed medications, (5) positive toxicology tests for psychoactive medications not prescribed, or (6) discovery on toxicology tests of the presence of illicit substances. Results: There were 24 cases of noncompliance (37%), with age

Original languageEnglish (US)
Pages (from-to)995-1001
Number of pages7
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume88
Issue number12
DOIs
StatePublished - Dec 2009

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Keywords

  • Chronic pain
  • Opiates
  • Outpatients
  • Pain management

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

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