TY - JOUR
T1 - When Management of Cancer-Related Pain Is Complicated by Coexisting Opioid Use Disorder
T2 - A Case Review
AU - Lowry, Sarah
N1 - Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2022/4/1
Y1 - 2022/4/1
N2 - Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients with cancer do not experience barriers to adequate pain management, most of these guidelines are not intended for patients with cancer-related pain or for those receiving palliative or hospice care. Oncology, palliative, and hospice care providers are increasingly tasked with the management of severe disease-related pain in the setting of coexisting opioid use disorder without research on the most effective risk and harm reduction strategies to guide care. Clinicians should be familiar with addiction medicine and chronic pain literature and be able to incorporate some of these best practices. This case study reviews the management of severe cancer-related pain in a patient with co-occurring opioid use disorder, utilizing many of the best practices in available clinical practice guidelines for the management of chronic non-cancer-related pain.
AB - Patients with cancer are living longer, and many experience pain secondary to tumor invasion or as a consequence of cancer-directed therapies. Opioid use disorders and associated morbidity and mortality have increased with dramatic rise during the SARS-CoV-2 pandemic. National and international stakeholders have developed clinical practice guidelines in an effort to curb opioid misuse and overdose-related death. However, to ensure that patients with cancer do not experience barriers to adequate pain management, most of these guidelines are not intended for patients with cancer-related pain or for those receiving palliative or hospice care. Oncology, palliative, and hospice care providers are increasingly tasked with the management of severe disease-related pain in the setting of coexisting opioid use disorder without research on the most effective risk and harm reduction strategies to guide care. Clinicians should be familiar with addiction medicine and chronic pain literature and be able to incorporate some of these best practices. This case study reviews the management of severe cancer-related pain in a patient with co-occurring opioid use disorder, utilizing many of the best practices in available clinical practice guidelines for the management of chronic non-cancer-related pain.
KW - cancer
KW - opioid use disorder
KW - pain
KW - palliative
KW - substance use disorder
UR - http://www.scopus.com/inward/record.url?scp=85125551368&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85125551368&partnerID=8YFLogxK
U2 - 10.1097/NJH.0000000000000828
DO - 10.1097/NJH.0000000000000828
M3 - Review article
C2 - 35045051
AN - SCOPUS:85125551368
SN - 1522-2179
VL - 24
SP - 112
EP - 118
JO - Journal of Hospice and Palliative Nursing
JF - Journal of Hospice and Palliative Nursing
IS - 2
ER -