PMID- 31743124
OWN - NLM
STAT- MEDLINE
DCOM- 20210428
LR  - 20210428
IS  - 1935-3227 (Electronic)
IS  - 1932-0620 (Linking)
VI  - 14
IP  - 1
DP  - 2020 Jan/Feb
TI  - Consensus and Controversies Between Pain and Addiction Experts on the Prevention, 
      Diagnosis, and Management of Prescription Opioid Use Disorder.
PG  - 1-11
LID - 10.1097/ADM.0000000000000577 [doi]
AB  - OBJECTIVES: Prescription opioid use disorder (POUD) is an established public 
      health crisis in many countries, and current evidence indicates it is a growing 
      problem in Europe. Many specialists play a role, including pain and addiction 
      medicine specialists, in the diagnosis and management of POUD, but neither group 
      can fully address these patients' needs alone. The purpose of this consensus 
      process was to bring together experts from pain and addiction medicine to examine 
      the positions of both specialties. METHODS: In all, 13 international pain 
      medicine, addiction medicine, and addiction psychiatry experts convened a meeting 
      to formulate a set of consensus statements on the diagnosis and management of 
      POUD. The statements were further refined by a wider group of 22 European expert 
      clinicians. At a second meeting of all 35 participants, a set of controversy 
      statements was also developed to recognize some of the key areas of divergent 
      opinion. RESULTS/CONCLUSIONS: There was a high level of agreement between pain 
      and addiction specialists. Key themes that emerged were the need to strengthen 
      interdisciplinary communication, a desire for greater education and training for 
      clinicians in both specialties, and mutual acknowledgment of the importance of 
      multidisciplinary management of POUD. The blurred line between poorly managed 
      pain and POUD was also a subject of much discussion, reflecting the difficulties 
      in defining and diagnosing this complex condition.
FAU - Kraus, Mark
AU  - Kraus M
AD  - Yale University School of Medicine, New Haven, CT (MK); University of Sydney, 
      Discipline Addiction Medicine; Drug and Alcohol Services South East Sydney Local 
      Health District, Australia (NL); Department of Pain Medicine, Imperial College 
      Healthcare NHS Trust, London, UK (AB); Department of Medicine, University of 
      Helsinki, Helsinki, Finland (HA); University of Zurich, Zurich, Switzerland (EA); 
      Centre d'Evaluation et Traitement de la Douleur, CHU Ambroise Pare, APHP, 
      Boulogne-Billancourt; Universite Versailles-Saint-Quentin, Versailles, France 
      (DB); Department of Medicine, Universidad Cardenal Herrera-CEU, CEU Universities, 
      Valencia, Spain (GH); The OAD Clinic, London, UK (OD); Grenoble Alpes University 
      Hospital, Department of Addiction Medicine; Grenoble Alpes University, Faculty of 
      Medicine, France (MD); Institute for Pain Medicine/Pain Practice Wiesbaden, 
      Germany (K-UK); Santa Chiara University Hospital, University of Pisa, Italy (IM); 
      Pain Center, Cochin University Hospital, Descartes University, INSERM U 987, 
      Paris, France (SP); University of Erlangen, Germany (RS); and Ross University 
      School of Medicine, Miramar, FL (KP).
FAU - Lintzeris, Nicholas
AU  - Lintzeris N
FAU - Bhaskar, Arun
AU  - Bhaskar A
FAU - Alho, Hannu
AU  - Alho H
FAU - Alon, Eli
AU  - Alon E
FAU - Bouhassira, Didier
AU  - Bouhassira D
FAU - Haro, Gonzalo
AU  - Haro G
FAU - D'Agnone, Oscar
AU  - D'Agnone O
FAU - Dematteis, Maurice
AU  - Dematteis M
FAU - Kern, Kai-Uwe
AU  - Kern KU
FAU - Maremmani, Icro
AU  - Maremmani I
FAU - Perrot, Serge
AU  - Perrot S
FAU - Sittl, Reinhard
AU  - Sittl R
FAU - Pellicano, Kaitlin
AU  - Pellicano K
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - Netherlands
TA  - J Addict Med
JT  - Journal of addiction medicine
JID - 101306759
RN  - 0 (Analgesics, Opioid)
SB  - IM
MH  - Addiction Medicine/education
MH  - Analgesics, Opioid/*adverse effects
MH  - Clinical Competence
MH  - Consensus
MH  - *Drug Prescriptions
MH  - Europe
MH  - Health Knowledge, Attitudes, Practice
MH  - Humans
MH  - Opioid-Related Disorders/*diagnosis/prevention & control/*therapy
MH  - *Pain Management
EDAT- 2019/11/20 06:00
MHDA- 2021/04/29 06:00
CRDT- 2019/11/20 06:00
PHST- 2019/11/20 06:00 [pubmed]
PHST- 2021/04/29 06:00 [medline]
PHST- 2019/11/20 06:00 [entrez]
AID - 01271255-202002000-00001 [pii]
AID - 10.1097/ADM.0000000000000577 [doi]
PST - ppublish
SO  - J Addict Med. 2020 Jan/Feb;14(1):1-11. doi: 10.1097/ADM.0000000000000577.