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The Authors’ Own Words: Predictors of HEDIS Treatment Initiation and Engagement among Patients with Opioid Use Disorder across Seven Health Systems

Nov 29, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

Predictors of HEDIS Treatment Initiation and Engagement among Patients with Opioid Use Disorder across Seven Health Systems

Cynthia I. Campbell, PhD, MPH; Constance Weisner, DrPH, MSW; Ingrid A. Binswanger, MD, MPH, MS; Gwen T. Lapham, PhD, MPH, MSW; Brian K. Ahmedani, PhD, LMSW; Bobbi Jo H. Yarborough, PsyD; Irina V. Haller, PhD, MS; Andrea Altschuler, PhD; Rulin C. Hechter, MD, PhD; Amy M. Loree, PhD; & Andrea H. Kline-Simon, MS

Substance Abuse Vol. 40, Iss. 3, 2019

“The rates of AOD initiation and engagement for OUD patients vary widely and leave considerable room for improvement. Health systems appear to have more success at engaging younger patients in treatment, which may have positive implications for these patients long-term if they can stay engaged. The primary care and inpatient settings can present important opportunities for health systems to initiate and engage patients in treatment.”

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: Healthcare System, HEDIS, OUD

The Authors’ Own Words: The Problem of Pain: Additive Analgesic Effect of Tramadol and Buprenorphine in a Patient with Opioid Use Disorder

Nov 14, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

The Problem of Pain: Additive Analgesic Effect of Tramadol and Buprenorphine in a Patient with Opioid Use Disorder

Cristina Montalvo, MD, MBS; Nicolas Genovese, BA; & John Renner, MD

Substance Abuse Vol. 40, Iss. 2, 2019

“The treatment of severe pain in patients on long term buprenorphine therapy for opioid dependence remains an ongoing challenge for clinicians across the country. When non-pharmacological and non-opioid treatments prove ineffective, additional opioid medication is often the last remaining option for these patients. However, due to the traditional understanding of buprenorphine’s pharmacokinetics and its strong affinity for analgesic opioid receptors, the efficacy of any additional opioid medication chosen by clinicians would expectedly be reduced. Coupled with the dearth of academic literature examining appropriate adjuvant medication for those on buprenorphine treatment, this decision facing many clinicians begins to seem insurmountable. In this manuscript, we show that our patient had a significant decrease in his pain and an improvement in his daily functioning with the addition of tramadol to his medication regiment while maintained on his opioid agonist therapy, and it highlights a novel and effective treatment option available to clinicians in the management of pain for those on buprenorphine therapy.  Further, our manuscript creates a paradigm for future studies to compare tramadol’s efficacy in pain management compared to other opioid and non-opioid analgesics for those on long-term buprenorphine therapy.“

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: BUP, buprenorphine, opioid use disorder, OUD, pain

The Authors’ Own Words: A Qualitative Analysis of Interprofessional Students’ Perceptions towards Patients with Opioid Use Disorder after a Patient Panel Experience

Nov 14, 2019 by AMERSA

The Authors’ Own Words:  

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work. 

A Qualitative Analysis of Interprofessional Students’ Perceptions towards Patients with Opioid Use Disorder after a Patient Panel Experience

Luba Dumenco, MD MEHP; Kristina Monteiro, PhD, Sally Collins, BA; Cynthia Stewart, RN BSN; Laureen Berkowitz, PA-C; Timothy Flanigan, MD; Josiah Rich, MD; & Paul George, MD MHPE

Substance Abuse Vol. 40, Iss. 2, 2019

“We believe that this manuscript is appropriate for publication by Substance Abuse due to the innovation and interdisciplinary aspects of this educational experience. We believe that our patient panel experience can be generalized to other health professional institutions to promote increased humanistic attitudes and decrease stigma in working with patients with substance use disorders.“

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Filed Under: SAj Blog, The Authors' Own Words, Uncategorized Tagged With: interprofessional, opioid use disorder, OUD, qualitative analysis, students

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