Monitoring opioid adherence in chronic pain patients: Assessment of risk of substance misuse

Daneshvari R. Solanki, Dhanalakshmi Koyyalagunta, Rinoo V. Shah, Sanford Silverman, Laxmaiah Manchikanti

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Background: Use of opioids for chronic non-cancer pain (CNCP) has increased in recent years because this pain had been undertreated. There was also a simultaneous increase in misuse and abuse of opioids. Deaths due to such abuse and misuse also have risen as seen in the many reports published every day in local papers as well as in the medical literature. So, it is imperative that patients who are prescribed these medications be monitored for adherence so misuse and abuse can be curtailed and opioids are available to those who genuinely need them for chronic pain control. There are various screening tools available to monitor such adherence, and there is an abundance of literature about it in addiction and psychiatric medicine. There is, though, a paucity of such literature as applied to pain medicine. Objectives: Our objectives for this review were twofold. We wanted to identify which screening tools are available to monitor opioid adherence and we wanted to see if there were prospective comparative studies of these tools to identify a single best tool that can be applied to all chronic non-cancer pain patients managed with opioids. Study Design: We did a review of the current literature about monitoring of opioid adherence. We also looked at their use, validity, and comparative studies. Methods: We performed a literature search using PubMed, EMBASE, and the Cochrane library. The search was conducted using the terms opioids, non-cancer pain, monitoring, and adherence. The databases from 1996 to November 2010 were reviewed. The search included prospective and retrospective studies, review articles, and FDA records. Bibliographies and cross references were reviewed when deemed appropriate. Conclusion: We found 52 publications, of which 22 met the criteria to be included in this manuscript. We found only one study that was prospective, and compared the various screening tools that are available to monitor opioid adherence. In the majority of the studies the number treated was small. There was not a single screening tool that can be applied universally to all patients who are on opioid therapy for chronic non-cancer pain.

Original languageEnglish (US)
JournalPain Physician
Volume14
Issue number2
StatePublished - Mar 2011

Fingerprint

Pain Measurement
Chronic Pain
Opioid Analgesics
Pain
Prospective Studies
Medicine
Bibliography
PubMed
Libraries
Psychiatry
Publications
Retrospective Studies
Databases

Keywords

  • Chronic non-cancer pain
  • Chronic pain
  • Controlled substances
  • Monitoring of opioid adherence
  • Opioid adherence
  • Opioids
  • Prescription monitoring programs
  • Screening tools

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Solanki, D. R., Koyyalagunta, D., Shah, R. V., Silverman, S., & Manchikanti, L. (2011). Monitoring opioid adherence in chronic pain patients: Assessment of risk of substance misuse. Pain Physician, 14(2).

Monitoring opioid adherence in chronic pain patients : Assessment of risk of substance misuse. / Solanki, Daneshvari R.; Koyyalagunta, Dhanalakshmi; Shah, Rinoo V.; Silverman, Sanford; Manchikanti, Laxmaiah.

In: Pain Physician, Vol. 14, No. 2, 03.2011.

Research output: Contribution to journalArticle

Solanki, DR, Koyyalagunta, D, Shah, RV, Silverman, S & Manchikanti, L 2011, 'Monitoring opioid adherence in chronic pain patients: Assessment of risk of substance misuse', Pain Physician, vol. 14, no. 2.
Solanki DR, Koyyalagunta D, Shah RV, Silverman S, Manchikanti L. Monitoring opioid adherence in chronic pain patients: Assessment of risk of substance misuse. Pain Physician. 2011 Mar;14(2).
Solanki, Daneshvari R. ; Koyyalagunta, Dhanalakshmi ; Shah, Rinoo V. ; Silverman, Sanford ; Manchikanti, Laxmaiah. / Monitoring opioid adherence in chronic pain patients : Assessment of risk of substance misuse. In: Pain Physician. 2011 ; Vol. 14, No. 2.
@article{64c2a218cea144b9afdb8944710ce77b,
title = "Monitoring opioid adherence in chronic pain patients: Assessment of risk of substance misuse",
abstract = "Background: Use of opioids for chronic non-cancer pain (CNCP) has increased in recent years because this pain had been undertreated. There was also a simultaneous increase in misuse and abuse of opioids. Deaths due to such abuse and misuse also have risen as seen in the many reports published every day in local papers as well as in the medical literature. So, it is imperative that patients who are prescribed these medications be monitored for adherence so misuse and abuse can be curtailed and opioids are available to those who genuinely need them for chronic pain control. There are various screening tools available to monitor such adherence, and there is an abundance of literature about it in addiction and psychiatric medicine. There is, though, a paucity of such literature as applied to pain medicine. Objectives: Our objectives for this review were twofold. We wanted to identify which screening tools are available to monitor opioid adherence and we wanted to see if there were prospective comparative studies of these tools to identify a single best tool that can be applied to all chronic non-cancer pain patients managed with opioids. Study Design: We did a review of the current literature about monitoring of opioid adherence. We also looked at their use, validity, and comparative studies. Methods: We performed a literature search using PubMed, EMBASE, and the Cochrane library. The search was conducted using the terms opioids, non-cancer pain, monitoring, and adherence. The databases from 1996 to November 2010 were reviewed. The search included prospective and retrospective studies, review articles, and FDA records. Bibliographies and cross references were reviewed when deemed appropriate. Conclusion: We found 52 publications, of which 22 met the criteria to be included in this manuscript. We found only one study that was prospective, and compared the various screening tools that are available to monitor opioid adherence. In the majority of the studies the number treated was small. There was not a single screening tool that can be applied universally to all patients who are on opioid therapy for chronic non-cancer pain.",
keywords = "Chronic non-cancer pain, Chronic pain, Controlled substances, Monitoring of opioid adherence, Opioid adherence, Opioids, Prescription monitoring programs, Screening tools",
author = "Solanki, {Daneshvari R.} and Dhanalakshmi Koyyalagunta and Shah, {Rinoo V.} and Sanford Silverman and Laxmaiah Manchikanti",
year = "2011",
month = "3",
language = "English (US)",
volume = "14",
journal = "Pain Physician",
issn = "1533-3159",
publisher = "Association of Pain Management Anesthesiologists",
number = "2",

}

TY - JOUR

T1 - Monitoring opioid adherence in chronic pain patients

T2 - Assessment of risk of substance misuse

AU - Solanki, Daneshvari R.

AU - Koyyalagunta, Dhanalakshmi

AU - Shah, Rinoo V.

AU - Silverman, Sanford

AU - Manchikanti, Laxmaiah

PY - 2011/3

Y1 - 2011/3

N2 - Background: Use of opioids for chronic non-cancer pain (CNCP) has increased in recent years because this pain had been undertreated. There was also a simultaneous increase in misuse and abuse of opioids. Deaths due to such abuse and misuse also have risen as seen in the many reports published every day in local papers as well as in the medical literature. So, it is imperative that patients who are prescribed these medications be monitored for adherence so misuse and abuse can be curtailed and opioids are available to those who genuinely need them for chronic pain control. There are various screening tools available to monitor such adherence, and there is an abundance of literature about it in addiction and psychiatric medicine. There is, though, a paucity of such literature as applied to pain medicine. Objectives: Our objectives for this review were twofold. We wanted to identify which screening tools are available to monitor opioid adherence and we wanted to see if there were prospective comparative studies of these tools to identify a single best tool that can be applied to all chronic non-cancer pain patients managed with opioids. Study Design: We did a review of the current literature about monitoring of opioid adherence. We also looked at their use, validity, and comparative studies. Methods: We performed a literature search using PubMed, EMBASE, and the Cochrane library. The search was conducted using the terms opioids, non-cancer pain, monitoring, and adherence. The databases from 1996 to November 2010 were reviewed. The search included prospective and retrospective studies, review articles, and FDA records. Bibliographies and cross references were reviewed when deemed appropriate. Conclusion: We found 52 publications, of which 22 met the criteria to be included in this manuscript. We found only one study that was prospective, and compared the various screening tools that are available to monitor opioid adherence. In the majority of the studies the number treated was small. There was not a single screening tool that can be applied universally to all patients who are on opioid therapy for chronic non-cancer pain.

AB - Background: Use of opioids for chronic non-cancer pain (CNCP) has increased in recent years because this pain had been undertreated. There was also a simultaneous increase in misuse and abuse of opioids. Deaths due to such abuse and misuse also have risen as seen in the many reports published every day in local papers as well as in the medical literature. So, it is imperative that patients who are prescribed these medications be monitored for adherence so misuse and abuse can be curtailed and opioids are available to those who genuinely need them for chronic pain control. There are various screening tools available to monitor such adherence, and there is an abundance of literature about it in addiction and psychiatric medicine. There is, though, a paucity of such literature as applied to pain medicine. Objectives: Our objectives for this review were twofold. We wanted to identify which screening tools are available to monitor opioid adherence and we wanted to see if there were prospective comparative studies of these tools to identify a single best tool that can be applied to all chronic non-cancer pain patients managed with opioids. Study Design: We did a review of the current literature about monitoring of opioid adherence. We also looked at their use, validity, and comparative studies. Methods: We performed a literature search using PubMed, EMBASE, and the Cochrane library. The search was conducted using the terms opioids, non-cancer pain, monitoring, and adherence. The databases from 1996 to November 2010 were reviewed. The search included prospective and retrospective studies, review articles, and FDA records. Bibliographies and cross references were reviewed when deemed appropriate. Conclusion: We found 52 publications, of which 22 met the criteria to be included in this manuscript. We found only one study that was prospective, and compared the various screening tools that are available to monitor opioid adherence. In the majority of the studies the number treated was small. There was not a single screening tool that can be applied universally to all patients who are on opioid therapy for chronic non-cancer pain.

KW - Chronic non-cancer pain

KW - Chronic pain

KW - Controlled substances

KW - Monitoring of opioid adherence

KW - Opioid adherence

KW - Opioids

KW - Prescription monitoring programs

KW - Screening tools

UR - http://www.scopus.com/inward/record.url?scp=79952833341&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952833341&partnerID=8YFLogxK

M3 - Article

C2 - 21412377

AN - SCOPUS:79952833341

VL - 14

JO - Pain Physician

JF - Pain Physician

SN - 1533-3159

IS - 2

ER -