An Educational Strategy for Treating Chronic, Noncancer Pain With Opioids: A Pilot Test

The Accreditation Council of Graduate Medical Education: ACGME Program Requirements for Graduate Medical Education in Pain Medicine. Available at: http://www.acgme.org/acWebsite/downloads/RRC_progReq/sh_multiPainPR707.pdf. Accessed Jan 27, 2010 The American Academy of Pain Medicine: The use of opioids for the treatment of chronic pain: A consensus statement. Available at: http://www.painmed.org. Accessed March 9, 2006 Arnold, 2006, Opioid contracts in chronic nonmalignant pain management: Objectives and uncertainties, Am J Med, 119, 292, 10.1016/j.amjmed.2005.09.019 Bartel, 2003 Bennett, 2002, Opiophobia as a barrier to the treatment of pain, J Pain Palliat Care Pharmacother, 16, 105, 10.1080/J354v16n01_09 Braithwaite, 1995, Screening for drugs of abuse: Opiates, amphetamines and cocaine, Ann Clin Biochem, 32, 123, 10.1177/000456329503200203 Chen, 2007, The EVMS pain education initiative: A multifaceted approach to resident education, J Pain, 8, 152, 10.1016/j.jpain.2006.06.008 Chronic Pain in America: Roadblocks to Relief, a study conducted by Roper Starch Worldwide for American Academy of Pain Medicine, American Pain Society and Janssen Pharmaceutica, 1999. Available at: http://www.ampainsoc.org/links/roadblocks/. Accessed 13-May-2010. 2005, Model policy for the use of controlled substances for the treatment of pain, J Pain Palliat Care Pharmacother, 19, 73, 10.1080/J354v19n02_14 Fishman, 2002, The opioid contract, Clin J Pain, 18, S70, 10.1097/00002508-200207001-00008 Fishman, 1999, The opioid contract in the management of chronic pain, J Pain Symptom Manage, 18, 27, 10.1016/S0885-3924(99)00035-4 Fudin, 2003, Chronic pain management with opioids in patients with past or current substance abuse problems, J Pharm Pract, 16, 291, 10.1177/0897190003258507 Glajchen, 2001, Chronic pain: Treatment barriers and strategies for clinical practice, J Am Board Fam Pract, 14, 211 Gourlay, 2009, Universal precautions revisited: Managing the inherited pain patient, Pain Med, 10, S115, 10.1111/j.1526-4637.2009.00671.x Gourlay, 2005, Universal precautions in pain medicine: A rational approach to the treatment of chronic pain, Pain Med, 6, 107, 10.1111/j.1526-4637.2005.05031.x Gourlay D, Heit HA, Caplan Y: Urine drug testing in clinical practice, dispelling the myths & designing strategies. California Academy of Family Practice, 3rd Edition. November 2006 Guddin J: Opioid agreement or patient-centric action plan? Am J Med 120:e19, 2007 Gureje, 1998, Persistent pain and well being: A World Health Organization study in primary care, JAMA, 280, 147, 10.1001/jama.280.2.147 Heit, 2004, Urine drug testing in pain medicine, Pain Symptom Manage, 27, 260, 10.1016/j.jpainsymman.2003.07.008 IASP clinical updates: Ethics of opioid analgesia for chronic non-cancer pain. Volume XV, Issue 9, December, 2007 Jane, 2003, Opioid therapy for chronic pain, N Engl J Med, 349, 1943, 10.1056/NEJMra025411 The Joint Commission on Accreditation of Healthcare Organizations: Pain Management. Available at: http://www.jointcommission.org/NewsRoom/health_care_issues.htm#9. Accessed January 29, 2010 Joranson D, Gilson A, Dahl J, Haddox J: Pain management, controlled substances, and state medical board policy: A decade of change. J Pain Symptom Manage 23:138-147, 2002 Kroenke, 1999, The prevalence of symptoms in medical outpatients and the adequacy of therapy, Arch Intern Med, 150, 1650 Katz N, Butler S, Jamison R, Budman S, Fernandez K, Cunningham J, Houle B, Villapiano A: Screening for opioid abuse risk in chronic pain patients: The SOAPP dissemination study. J Pain 7:S93, 2006 Katz, 2003, Behavioral monitoring and urine toxicology testing in patients receiving long-term opioid therapy, Anesth Analg, 97, 1097, 10.1213/01.ANE.0000080159.83342.B5 Management of chronic nonmalignant pain: CPSA guidelines pain, in Beers MH, Porter RS, Jones TV, Kaplin JL, Berkwits M (eds): The Merck Manual, Section 16, Neurologic Disorders; Chapter 209 Pain. West Point, PA: Merck & Co., Inc., 2006, pp 1769-1781 Marcus, 2000, Treatment of nonmalignant chronic pain, Am Fam Physician, 61, 1331 McCarberg B, Passik S. Expert Guide to Pain Management, ACP Series Expert Guides, 1st ed. Philadelphia, PA, American College of Physicians, 2005 Moeller, 2008, Urine drug screening, practical guide for clinicians, Mayo Clin Proc, 83, 66, 10.4065/83.1.66 Morley-Foster, 2003, Attitudes toward opioid use for chronic pain: A Canadian physician survery, Pain Res Manag, 8, 180 Nicholson, 2007, Management of chronic noncancer pain in the primary care setting, South Med J, 100, 1028, 10.1097/SMJ.0b013e3180f626ff Parrott T: Pain management in primary-care medical practice, in Tollison CD, Satterthwaithe JR, Tollison JW, (eds): Practical Pain Management, 3rd ed. Philadelphia, PA, Lippincott Williams & Wilkins, 2002, pp 729-759 Passik, 2006, An opioid screening instrument: Long-term evaluation of the utility of the pain medication questionnaire by Holmes et al, Pain Pract, 6, 69, 10.1111/j.1533-2500.2006.00065.x Passik, 2003, The need to identify predictors of aberrant drug-related behavior and addiction in patients being treated with opioids for pain, Pain Med, 4, 186, 10.1046/j.1526-4637.2003.03018.x Potter, 2004, Chronic pain management: Practical tips and guidelines for primary care, Adv Stud Med, 4, 31 Sessle B: President's address. International Association for the Study of Pain Newsletter, Fall I, 1999 Silverman J, Kurtz S, Draper J: Skills for communicating with patients, 2nd ed. Oxford, UK, Radcliffe Publishing, 2005 Stewart, 2003, Lost productive time and cost due to common pain conditions in the US workforce, JAMA, 290, 2443, 10.1001/jama.290.18.2443 Training.net—A GP education and training resource. Calgary Cambridge guide to the medical interview-communication process. Available at: http://www.gp-training.net/training/communication_skills/calgary/calgary.pdf. Accessed January 29, 2010 Trescot, 2006, Opioid guidelines in the management of chronic non-cancer pain, Pain Physician, 9, 1 Verhaak PF, Kerssens J, Dekker J, Sorbi MJ, Bensing JM: Prevalence of chronic benign pain disorder among adults: A review of the literature. Pain 77:231-238, 1998. Available at: http://www.painjournalonline.com/article/PIIS0304395998001171/fulltext. Accessed May 13, 2010 Watt-Watson, 2004, An integrated undergraduate pain curriculum, based on ISAP curricula, for six health science faculties, Pain, 110, 140, 10.1016/j.pain.2004.03.019 Webster, 2005, Predicting aberrant behaviors in opioid-treated patients: Preliminary validation of the Opioid Risk Tool, Pain Med, 6, 432, 10.1111/j.1526-4637.2005.00072.x