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Factors Associated with Pain Treatment Satisfaction Among Patients with Chronic Non-Cancer Pain and Substance Use.
Suen, Leslie W; McMahan, Vanessa M; Rowe, Christopher; Bhardwaj, Sumeet; Knight, Kelly; Kushel, Margot B; Santos, Glenn-Milo; Coffin, Phillip.
Afiliação
  • Suen LW; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • McMahan VM; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • Rowe C; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • Bhardwaj S; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • Knight K; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • Kushel MB; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • Santos GM; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
  • Coffin P; From National Clinician Scholars Program, Philip R. Lee Institute of Health Policy Studies, University of California San Francisco, San Francisco, CA (LWS); San Francisco Veterans Affairs Medical Center, San Francisco, CA (LWS); San Francisco Department of Public Health, San Francisco, CA (VMM, CR,
J Am Board Fam Med ; 34(6): 1082-1095, 2021.
Article em En | MEDLINE | ID: mdl-34772764
INTRODUCTION: A better understanding of pain treatment satisfaction in patients with chronic noncancer pain (CNCP) and substance use is needed, especially as opioid prescribing policies are changing. We sought to identify factors associated with pain treatment satisfaction in individuals with CNCP on recent opioid therapy and prior or active substance use. METHODS: An exploratory cross-sectional analysis using baseline data from a cohort study of 300 adults with CNCP receiving >20 morphine milligram equivalents of opioids for ≥3 of the preceding 12 months and prior or active substance use. Participants completed interviews, clinical assessments, urine drug screening, and medical chart review. RESULTS: Participants were predominantly middle-aged (mean age 57.5 years), Black (44%), and cisgender men (60%). One-third (33%) had high, 28% moderate, and 39% low pain treatment satisfaction. Post-traumatic stress disorder (PTSD), tobacco use, past-year opioid discontinuation, and higher average pain scores were associated with lower satisfaction. HIV and prescription cannabis use were associated with higher satisfaction. CONCLUSIONS: The relationship between PTSD and tobacco use with lower satisfaction should be explored to augment pain outcomes. Higher satisfaction among individuals with HIV and prescription cannabis use presents potential research areas to guide CNCP management and reduce reliance on opioid therapies.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Relacionados ao Uso de Substâncias / Dor Crônica Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Humans / Male / Middle aged Idioma: En Revista: J Am Board Fam Med Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos Relacionados ao Uso de Substâncias / Dor Crônica Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Humans / Male / Middle aged Idioma: En Revista: J Am Board Fam Med Ano de publicação: 2021 Tipo de documento: Article País de publicação: Estados Unidos