Managing Cancer Pain in Hospitalized Patients with Comorbid Opioid Use Disorder with Buprenorphine: A Case Series.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of palliative medicine Pub Date : 2024-10-09 DOI:10.1089/jpm.2024.0092
Jacqueline Michelle Tschanz, Eduardo Bruera, Joseph A Arthur
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Abstract

Data indicate that one in five patients with cancer might be at risk for nonmedical opioid use and its extreme form, opioid use disorder (OUD). Buprenorphine is one of the few medications available for the management of patients with co-occurring OUD and chronic pain. Care for these patients can be challenging and require the expertise of specialist clinicians with a deep understanding of addiction and cancer pain. Regrettably, these specialist clinicians may not always be available and accessible when patients are admitted to the hospital. Reports on how primary non-specialist clinicians without access to specialist addiction services navigate the care of such patients in the inpatient setting are limited. We hereby describe the care of three patients with OUD receiving buprenorphine who were hospitalized for cancer pain.

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用丁丙诺啡治疗合并阿片类药物使用障碍的住院患者的癌症疼痛:病例系列。
数据显示,每五名癌症患者中就有一人可能面临非医疗使用阿片类药物及其极端形式--阿片类药物使用障碍(OUD)的风险。丁丙诺啡是为数不多的可用于治疗并发 OUD 和慢性疼痛患者的药物之一。对这些患者的治疗具有挑战性,需要对成瘾和癌痛有深刻理解的专科临床医生的专业知识。遗憾的是,在患者入院时,这些专科临床医生可能并不总是在岗和可以接触到。关于无法获得成瘾专科服务的基层非专科临床医生如何在住院环境中为此类患者提供护理服务的报道十分有限。在此,我们介绍了因癌症疼痛而住院的三名接受丁丙诺啡治疗的 OUD 患者的护理情况。
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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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