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Literature DB >> 12003688

Substance abuse issues in cancer pain.

Laurie A Whitcomb¹, Kenneth L Kirsh, Steven D Passik.

Abstract

It is estimated that 40% to 50% of patients with metastatic disease and 90% of patients with terminal cancer experience unrelieved pain. Furthermore, inadequate treatment of cancer pain is a greater possibility if the patient is a substance abuser. In this paper, we will explore pertinent conceptual and clinical aspects of addiction that can assist in improving the identification and treatment of patients with substance use disorders.

Entities: Disease Species

Mesh：

Year: 2002 PMID： 12003688 DOI： 10.1007/s11916-002-0033-6

Source DB: PubMed Journal: Curr Pain Headache Rep ISSN： 1534-3081

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Authors: D A Regier; J K Myers; M Kramer; L N Robins; D G Blazer; R L Hough; W W Eaton; B Z Locke
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Substance abuse issues in cancer pain.

1. The incidence of illicit drug use in the United States, 1962-1989.

2. Opioid pseudoaddiction--an iatrogenic syndrome.

3. Physiological parameters of morphine dependence in man--tolerance, early abstinence, protracted abstinence.

Review 4. Management of common opioid side effects during long-term therapy of cancer pain.

5. Narcotic addiction, physical dependence and relapse.

6. Differential development of acute tolerance to analgesia, respiratory depression, gastrointestinal transit and hormone release in a morphine infusion model.

7. Trends in cocaine abuse reflected in emergency room episodes reported to DAWN. Drug Abuse Warning Network.

8. The NIMH Epidemiologic Catchment Area program. Historical context, major objectives, and study population characteristics.

9. Chronic opioid therapy for nonmalignant pain in patients with a history of substance abuse: report of 20 cases.

10. Pain and its treatment in outpatients with metastatic cancer.

1. Association between age, substance use, and outcomes in Medicare enrollees with prostate cancer.

2. Substance use disorder and its effects on outcomes in men with advanced-stage prostate cancer.

Review 3. The psychiatric management of end-of-life pain and associated psychiatric comorbidity.

Review 4. Five lessons learned about long-term pain management in adults with sickle cell disease.