Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency

A clinical conundrum can occur when a patient with active opioid use disorder (OUD) or at elevated risk for the condition presents with cancer and related painful symptoms. Despite earlier beliefs that cancer patients were relatively unaffected by opioid misuse, it appears that cancer patients have...

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Autores principales:	Joseph V. Pergolizzi, Peter Magnusson, Paul J. Christo, Jo Ann LeQuang, Frank Breve, Kailyn Mitchell, Giustino Varrassi
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	cancer opioid opioid dependency opioid use disorder pain cancer pain Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/d8aa530fb1c442bfb61e322a5a85994a
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spelling	oai:doaj.org-article:d8aa530fb1c442bfb61e322a5a85994a2021-11-16T07:28:28ZOpioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency2673-561X10.3389/fpain.2021.691720https://doaj.org/article/d8aa530fb1c442bfb61e322a5a85994a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpain.2021.691720/fullhttps://doaj.org/toc/2673-561XA clinical conundrum can occur when a patient with active opioid use disorder (OUD) or at elevated risk for the condition presents with cancer and related painful symptoms. Despite earlier beliefs that cancer patients were relatively unaffected by opioid misuse, it appears that cancer patients have similar risks as the general population for OUD but are more likely to need and take opioids. Treating such patients requires an individualized approach, informed consent, and a shared decision-making model. Tools exist to help stratify patients for risk of OUD. While improved clinician education in pain control is needed, patients too need to be better informed about the risks and benefits of opioids. Patients may fear pain more than OUD, but opioids are not always the most effective pain reliever for a given patient and some patients do not tolerate or want to take opioids. The association of OUD with mental health disorders (dual diagnosis) can also complicate delivery of care as patients with mental health issues may be less adherent to treatment and may use opioids for “chemical coping” as much as for pain control.Joseph V. PergolizziPeter MagnussonPeter MagnussonPaul J. ChristoJo Ann LeQuangFrank BreveKailyn MitchellGiustino VarrassiFrontiers Media S.A.articlecanceropioidopioid dependencyopioid use disorderpaincancer painNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Pain Research, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cancer opioid opioid dependency opioid use disorder pain cancer pain Neurology. Diseases of the nervous system RC346-429
spellingShingle	cancer opioid opioid dependency opioid use disorder pain cancer pain Neurology. Diseases of the nervous system RC346-429 Joseph V. Pergolizzi Peter Magnusson Peter Magnusson Paul J. Christo Jo Ann LeQuang Frank Breve Kailyn Mitchell Giustino Varrassi Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency
description	A clinical conundrum can occur when a patient with active opioid use disorder (OUD) or at elevated risk for the condition presents with cancer and related painful symptoms. Despite earlier beliefs that cancer patients were relatively unaffected by opioid misuse, it appears that cancer patients have similar risks as the general population for OUD but are more likely to need and take opioids. Treating such patients requires an individualized approach, informed consent, and a shared decision-making model. Tools exist to help stratify patients for risk of OUD. While improved clinician education in pain control is needed, patients too need to be better informed about the risks and benefits of opioids. Patients may fear pain more than OUD, but opioids are not always the most effective pain reliever for a given patient and some patients do not tolerate or want to take opioids. The association of OUD with mental health disorders (dual diagnosis) can also complicate delivery of care as patients with mental health issues may be less adherent to treatment and may use opioids for “chemical coping” as much as for pain control.
format	article
author	Joseph V. Pergolizzi Peter Magnusson Peter Magnusson Paul J. Christo Jo Ann LeQuang Frank Breve Kailyn Mitchell Giustino Varrassi
author_facet	Joseph V. Pergolizzi Peter Magnusson Peter Magnusson Paul J. Christo Jo Ann LeQuang Frank Breve Kailyn Mitchell Giustino Varrassi
author_sort	Joseph V. Pergolizzi
title	Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency
title_short	Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency
title_full	Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency
title_fullStr	Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency
title_full_unstemmed	Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency
title_sort	opioid therapy in cancer patients and survivors at risk of addiction, misuse or complex dependency
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/d8aa530fb1c442bfb61e322a5a85994a
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Opioid Therapy in Cancer Patients and Survivors at Risk of Addiction, Misuse or Complex Dependency

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