title: Management of pain with comorbid substance abuse.
abstract: Substance use disorders are a large public health problem in the United States. Over the past decade, there has been a trend of increased prescription drug misuse, morbidity, and mortality related to prescription opioids. For providers who treat pain, this has led to clinical dilemmas as the newly appreciated risks must be balanced with the benefits of treatment, particularly in patients with known substance use disorders. Acute, chronic, and palliative each present distinct issues in pain treatment. A best practices model of pain treatment, including risk stratification and integrative treatment, may provide the best prospect for safe and effective treatment.
authors: Anesthesiology and Pain Medicine, University of Washington Medical Center, Box 354692, 1959 NE Pacific, Seattle, WA 98195, USA. krashind@uw.edu
authors: Daniel
authors: D
authors: Krashin
authors: Natalia
authors: N
authors: Murinova
authors: Jane
authors: J
authors: Ballantyne
mesh_terms: D000208:Acute Disease; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D002908:Chronic Disease; D015897:Comorbidity; D006801:Humans; D010146:Pain / Q000188:drug therapy*; D059408:Pain Management / Q000379:methods*; D010166:Palliative Care / Q000379:methods; D017410:Practice Guidelines as Topic; D063487:Prescription Drug Misuse; D019966:Substance-Related Disorders
chemical_list: D000701:Analgesics, Opioid