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 language | English (US) |
|---|---|
| Pages (from-to) | 995-1001 |
| Number of pages | 7 |
| Journal | American Journal of Physical Medicine and Rehabilitation |
| Volume | 88 |
| Issue number | 12 |
| DOIs | |
| State | Published - 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)
Cite this
Opiates for chronic nonmalignant pain syndromes : Can appropriate candidates be identified for outpatient clinic management? / White, Kevin T.; Dillingham, Timothy R.; Gonzalez Fernandez, Marlis; Rothfield, Linda.
In: American Journal of Physical Medicine and Rehabilitation, Vol. 88, No. 12, 12.2009, p. 995-1001.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Opiates for chronic nonmalignant pain syndromes
T2 - Can appropriate candidates be identified for outpatient clinic management?
AU - White, Kevin T.
AU - Dillingham, Timothy R.
AU - Gonzalez Fernandez, Marlis
AU - Rothfield, Linda
PY - 2009/12
Y1 - 2009/12
N2 - 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
AB - 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
KW - Chronic pain
KW - Opiates
KW - Outpatients
KW - Pain management
UR - http://www.scopus.com/inward/record.url?scp=73349132705&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=73349132705&partnerID=8YFLogxK
U2 - 10.1097/PHM.0b013e3181bc006e
DO - 10.1097/PHM.0b013e3181bc006e
M3 - Article
C2 - 19789432
AN - SCOPUS:73349132705
VL - 88
SP - 995
EP - 1001
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
SN - 0894-9115
IS - 12
ER -