Chronic Noncancer Pain Rehabilitation With Opioid Withdrawal: Comparison of Treatment Outcomes Based on Opioid Use Status at Admission

Rome, Jeffrey D.; Townsend, Cynthia O.; Bruce, Barbara K.; Sletten, Christopher D.; Luedtke, Connie A.; Hodgson, John

doi:10.1016/s0025-6196(11)62628-1

Cited by 61 publications

(46 citation statements)

References 42 publications

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“…People randomised to the taper support group had a 1.0 point reduction on a 0-10 pain scale compared with baseline, while those randomised to usual care had a 0.5 point reduction. This finding is consistent with other studies where opioid tapering was shown to result in reduced rather than increased pain 1920…”

Section: What Is the Evidence Of Uncertainty?supporting

confidence: 93%

What interventions are effective to taper opioids in patients with chronic pain?

Sandhu

Underwood

Furlan

et al. 2018

BMJ

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Section: What Is the Evidence Of Uncertainty?supporting

confidence: 93%

What interventions are effective to taper opioids in patients with chronic pain?

Sandhu

Underwood

Furlan

et al. 2018

BMJ

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“…Importantly, these benefits appear to be sustained over time. Similar treatment outcomes have been collaborated by other published results of pain rehabilitation programs [20,22,43].…”

Section: Discussionsupporting

confidence: 72%

Reduction in Medication Costs for Patients with Chronic Nonmalignant Pain Completing a Pain Rehabilitation Program: A Prospective Analysis of Admission, Discharge, and 6-Month Follow-Up Medication Costs

Cunningham¹,

Rome

Kerkvliet

et al. 2009

Pain Med

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“…The standardized subscale has a mean of 50 (range 0 to 100) and a standard deviation of 10, where higher scores indicate greater pain severity. This standardized measure of clinical pain has been used extensively to assess the outcomes of patients admitted to our pain treatment program [12, 31, 32, 33, 34, 54, 66]. …”

Section: Methodsmentioning

confidence: 99%

The effects of depression and smoking on pain severity and opioid use in patients with chronic pain

Hooten

Shi

Gazelka

et al. 2011

Pain

111

106

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Depression and smoking are common comorbid conditions among adults with chronic pain. The aim of this study was to determine the independent effects of depression on clinical pain and opioid use among patients with chronic pain according to smoking status. A retrospective design was used to assess baseline levels of depression, clinical pain, opioid dose (calculated as morphine equivalents), and smoking status in a consecutive series of patients admitted to a 3-week outpatient pain treatment program from September 2003 through February 2007. Depression was assessed using the Centers for Epidemiologic Studies-Depression scale, and clinical pain was assessed using the pain severity subscale of the Multidimensional Pain Inventory. The study cohort (N = 1241) included 313 current smokers, 294 former smokers, and 634 never smokers. Baseline depression (P = 0.001) and clinical pain (P = 0.001) were greater among current smokers compared to former and never smokers, and the daily morphine equivalent dose was greater among smokers compared to never smokers (P = 0.005). In multivariate linear regression analyses, baseline pain severity was independently associated with greater levels of depression, but not with smoking status. However, status as a current smoker was independently associated with greater opioid use (by 27 mg/day), independent of depression scores. The relationship between depression, smoking status, opioid use, and chronic pain is complex, and both depression and smoking status may be potentially important considerations in the treatment of patients with chronic pain who utilize opioids.

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Chronic Noncancer Pain Rehabilitation With Opioid Withdrawal: Comparison of Treatment Outcomes Based on Opioid Use Status at Admission

Cited by 61 publications

References 42 publications

What interventions are effective to taper opioids in patients with chronic pain?

What interventions are effective to taper opioids in patients with chronic pain?

Reduction in Medication Costs for Patients with Chronic Nonmalignant Pain Completing a Pain Rehabilitation Program: A Prospective Analysis of Admission, Discharge, and 6-Month Follow-Up Medication Costs

The effects of depression and smoking on pain severity and opioid use in patients with chronic pain

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