A protocol-contract for opioid use in patients with chronic pain not due to malignancy

被引:12
作者
Kirkpatrick, AF [1 ]
Derasari, M [1 ]
Kovacs, PL [1 ]
Lamb, BD [1 ]
Miller, R [1 ]
Reading, A [1 ]
机构
[1] Univ S Florida, Coll Med, Dept Anesthesiol, Tampa, FL 33612 USA
关键词
analgesia; opioids; pain; chronic;
D O I
10.1016/S0952-8180(98)00062-2
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The legal, pschosocial, and medical factors that we believe have contributed to the success of our protocol-contract in prescribing opioids to patients with chronic pain not due to malignancy are outlined. These factors may be applicable to the treatment of a variety of chronic nonmalignant pain syndromes such as postherpetic neuralgia or human immunodeficiency virus/acquired immunodeficiency syndrome. The intended target audience of this paper is the physician (primary care, chronic pain specialist) who is involved in prescribing opioids for the treatment of chronic, nonmalignant pain. (C) 1998 by Elsevier Science Inc.
引用
收藏
页码:435 / 443
页数:9
相关论文
共 35 条
[1]  
[Anonymous], NARCOTIC ANALGESICS
[2]  
[Anonymous], BR J CLIN RES
[3]   EFFICACY OF CONTROLLED-RELEASE CODEINE IN CHRONIC NONMALIGNANT PAIN - A RANDOMIZED, PLACEBO-CONTROLLED CLINICAL-TRIAL [J].
ARKINSTALL, W ;
SANDLER, A ;
GOUGHNOUR, B ;
BABUL, N ;
HARSANYI, Z ;
DARKE, AC .
PAIN, 1995, 62 (02) :169-178
[4]   LACK OF ANALGESIC EFFECT OF OPIOIDS ON NEUROPATHIC AND IDIOPATHIC FORMS OF PAIN [J].
ARNER, S ;
MEYERSON, BA .
PAIN, 1988, 33 (01) :11-23
[5]   URINE SCREENING PRACTICES IN METHADONE-MAINTENANCE CLINICS - A SURVEY OF HOW THE RESULTS ARE USED [J].
CALSYN, DA ;
SAXON, AJ ;
BARNDT, DC .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1991, 179 (04) :222-227
[6]  
CARR DB, 1992, US DHHS AGENCY HLTH
[7]   PREDICTING THE OUTCOME OF CONTINGENCY CONTRACTING FOR DRUG-ABUSE [J].
DOLAN, MP ;
BLACK, JL ;
PENK, WE ;
ROBINOWITZ, R ;
DEFORD, HA .
BEHAVIOR THERAPY, 1986, 17 (04) :470-474
[8]   LONG-TERM USE OF NARCOTIC ANALGESICS IN CHRONIC PAIN [J].
FRANCE, RD ;
URBAN, BJ ;
KEEFE, FJ .
SOCIAL SCIENCE & MEDICINE, 1984, 19 (12) :1379-1382
[9]  
Haddox JD, 1997, CLIN J PAIN, V13, P6
[10]  
JANIG W, 1996, INT ASS STUDY PAIN