Opioid Risk Stratification in an Outpatient Palliative Care Clinic (TH310B)

Abstract

spirituality that make them more alike than different. These shared Latino characteristics can influence Latinos' understanding and acceptance of palliative care. In addition, it can affect the delivery of culturallysensitive services by healthcare providers who may not be familiar with Latino cultural constructs. Presenters will introduce Latino cultural values and describe how they can impact seeking behaviors, delivery of palliative care, and patient-clinician relationships. The audience will be engaged to share their own experiences and challenges while taking care of these patients. Participants will be able to integrate attained knowledge into clinical practice; increasing cross-cultural knowledge on the complex beauty of Latino cultural values and attaining culturally sensitive communication skills could lead to a reduction in healthcare disparities.

Assessment tools for problematic opioid use in palliative care: A scoping review

“…We contacted authors of 13 studies [53][54][55][56][57][58][59][68][69][70][71][72][73] and received responses from six authors, 54,55,[69][70][71][72] who provided additional data for four studies. 54,55,69,72 We identified two types of tools used to assess for problematic opioid use in palliative care: questionnaires (n = 32, 76%) [53][54][55]57,58,[61][62][63]65,66, and urine drug tests (n = 21, 50%), 17,53,55,56,57,59,60,63,64,67,68,70,71,81,82,85,[89]…”

“…We identified two types of tools used to assess for problematic opioid use in palliative care: questionnaires ( n = 32, 76%) 53–55,57,58,61–63,65,66,68–89 and urine drug tests ( n = 21, 50%), 17,53,55,56,57,59,60,63,64,67,68,70,71,81,82,85,89–93 with an overlap of both types in 11 studies (26%). 53,55,57,63,68,70,71,81,82,85,89 Two studies did not specify which questionnaire they used.…”

“…Most studies ( n = 30, 94%) were conducted in outpatient clinics 53–55,57,58,61–63,65,66,68–79,81–83,85–89 and in the US ( n = 28, 88%), 53–55,57,58,61,62,63,65,66,69–79,81–83,85–87,89 and published between 2009 and 2020. The same tertiary cancer center conducted many of the studies ( n = 16, 50%): CAGE ( n = 7, 44%), 74–80 CAGE-AID ( n = 6, 37.5%), 62,81…”

“…68 , 88 The primary study objective of 22 studies (52%) was to evaluate the use of one or more assessment tools in palliative care. 53 – 63 , 66 , 68 – 73 , 82 , 85 , 91 , 93 In the remaining studies, the primary objectives were to describe patients with problematic opioid use who were receiving palliative care ( n = 17, 40%); 60 , 64 , 67 , 74 – 81 , 84 , 86 – 88 , 90 , 92 and to evaluate the impact of interventions related to problematic opioid use in palliative care ( n = 3, 7%) 17 , 83 , 89 ( Table 2 ). Though evaluation of the tools was not the primary objective in these studies, they reported on use of these tools to assess for problematic opioid use.…”

“…The reported frequency of high-risk individuals in seven studies ranged from 6% to 50%. 54,58,61,71,72,73,85 The ORT scores in two studies were not interpretable as they were reported as interquartile ranges. 53,57 Additionally, the ORT scores were correlated with urine drug test results, 85 participant demographics (e.g.…”