Examining the Effect of a Whole Health Primary Care Pain Education and Opioid Monitoring Program on Implementation of VA/DoD-Recommended Guidelines for Long-term Opioid Therapy in a Primary Care Chronic Pain Population

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Deanna MarszalekJamie Clinton-Lont

Abstract

To describe the core elements of a Whole Health Primary Care Pain Education and Opioid Monitoring Program (PC-POP) and examine its effectiveness at increasing adherence to six of the Veteran Affairs/Department of Defense (VA/DoD) recommended guidelines for long-term opioid therapy (LOT) among chronic noncancer patients seen in primary care (i.e., urine drug screens [UDS], prescription drug monitoring program [PDMP] queries, informed consent, naloxone education/prescriptions, morphine equivalent daily dose [MEDD], and referrals to nonpharmacological pain interventions). A within-subjects comparison of outcomes was conducted between pre- and post-PC-POP enrollees (N = 25), as was a a between-subjects comparison to a comparison group (N = 25) utilizing a six-month range post-index date of 10/1/2018 (i.e., between-subjects comparison at Time 2). A convenience sample of adult veterans with chronic noncancer pain receiving opioid therapy consecutively for the past three months in primary care. Results showed increased concordance with VA/DoD guidelines among those enrolled in the PC-POP, characterized by increased documentation of urine drug screens, prescription drug monitoring program queries, informed consent, naloxone education/p...Continue Reading

References

Feb 5, 2004·Family Practice·Blair H SmithUNKNOWN Royal College of General Practitioners' Oral Contraception Study
Apr 15, 2004·Journal of Rehabilitation Research and Development·Robert D KernsM Carrington Reid
Mar 16, 2007·Journal of General Internal Medicine·Suneet KaurLori A Bastian
May 21, 2010·Journal of Opioid Management·Phipson C WuDavid J Clark
Jun 12, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Ripple SekhonCamille Robinette
May 22, 2016·Anesthesiology Clinics·Rollin M Gallagher
Jul 7, 2017·MMWR. Morbidity and Mortality Weekly Report·Gery P GuyDeborah Dowell
Mar 29, 2018·Military Medicine·Karleen GiannitrapaniKarl Lorenz
Sep 5, 2018·Journal of Addictions Nursing·Tiffany L LockettAlicia Gill Rossiter
Mar 15, 2019·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Stephanie L TaylorBenjamin Kligler
Apr 25, 2019·The New England Journal of Medicine·Deborah DowellRoger Chou

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