Abstract:In the oncology community, opioids recently have become the cornerstone of cancer pain management. This has led to a rapid increase in opioid prescribing in an effort to address the growing public health problem of chronic pain. A new paradigm in noncancer pain management has emerged, that of risk assessment and stratification in opioid therapy. Techniques foreign to cancer pain management have now become commonplace in the noncancer pain setting, such as the use of monitoring compliance via urine drug screens… Show more
“…Although thesafety of opioids in long-term use has been well documented, still the risk of addiction to opioids remains a concern (Portenoy, 1995;Manchikanti et al, 2010;Starr et al, 2010). Patients may delay taking their medication, take less than the effective dose, or not take it at all because they fear "addiction" (WHO cancer pain; Ward et al, 1993).…”
“…Although thesafety of opioids in long-term use has been well documented, still the risk of addiction to opioids remains a concern (Portenoy, 1995;Manchikanti et al, 2010;Starr et al, 2010). Patients may delay taking their medication, take less than the effective dose, or not take it at all because they fear "addiction" (WHO cancer pain; Ward et al, 1993).…”
“…However, the increased interest in these drugs shall not reduce the attention in identifying patients at risk of rapid‐onset abuse or addiction [9,10].…”
The reported cases are explicative as they occurred in patients suffering from different types of cancer and with different causes of BTcP. Further investigations are needed to identify factors predicting addiction to this new class of molecules.
“…Concepts and factors reflected in the questions and response choices were drawn from previous studies. [9][10][11] The second round consisted of questions confirming the definition of chemical coping elicited from the results of the first survey (responses that had garnered agreement among at least 70% of the participants) and also re-asked questions that had an agreement level between 50% and 70% in the first round.…”
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