Expert Decision Making on Opioid Treatment

Edited by Jane Ballantyne and David J. Tauben

A balanced discussion of when to use and when not to use opioids in treatment of chronic pain
Expert authors answer questions often not addressed in publications and lectures
Each chapter includes illustrative clinical cases and key points summary

Expert Decision Making on Opioid Treatment

Edited by Jane Ballantyne and David J. Tauben

Description

Over the last several decades opioid treatment for chronic pain has become increasingly popular. From the sense that chronic pain had previously been undertreated, to drug companies anxious to sell new "designer" opioids, usage has increased several-fold. In its unfortunate history non-specialists were persuaded to prescribe opioids before they could possibly understand the complexity of the treatment. So great were the pressures to prescribe, opioids were prescribed indiscriminately. It became almost impossible to deny opioids without seeming inhumane.

While carefully selected and managed opioid therapy can benefit certain patients, casual use fails in several respects. A vast educational effort is needed to help clinicians understand the complexities of opioid therapy. Expert Decision Making on Opioid Treatment explains to readers how to select patients, and subsequently manage and monitor, so as to achieve continued efficacy without losing control of pain and drug use. This book aims to provide clinicians with expert opinion on how to manage common scenarios involving opioid management of chronic pain. It will provide the reader not only with an easy reference to the management of common clinical scenarios where opioids are involved, but also with in depth analysis of the difficult issues surrounding a treatment that is both uniquely effective and potentially harmful.

Expert Decision Making on Opioid Treatment

Edited by Jane Ballantyne and David J. Tauben

1. Pain without a Pathoanatomic Diagnosis
Catherine F. Stannard

2. Opioid Therapy of Chronic Pain in Persons with known Substance Use Disorder
Seddon R. Savage and Julie Franklin Sorensen

3. Screening before Embarking: How to Screen for Addiction Risk in Opioid Prescribing
Robert N. Jamison, Edward Michna, and Juliana Serraillier

4. Functional Pain Syndromes
Claudia Sommer and Nurcan Üçeyler

5. Chronic Opioid Therapy in Childhood and Adolescence
Stephen C. Brown, Lisa Isaac, Patricia A. McGrath, and Jennifer Tyrrell

6. Debilitating Pain
Eija Kalso

7. Chronic Cancer Pain
Shane Brogan and Perry G. Fine

8. Pain After Trauma (including PTSD)
William C. Becker and Robert D. Kerns

9. Opioid Therapy in Chronic Painful Disease
Daniel Krashin and Andrea M. Trescot

10. United States Workers Compensation and Disability
James P. Robinson

11. Using Measurement-based Tools to Improve Pain Care
David Tauben

12. Not a Suitable Candidate: Saying No
Jane Ballantyne

Expert Decision Making on Opioid Treatment

Edited by Jane Ballantyne and David J. Tauben

Author Information

Jane Ballantyne,Professor of Education and Research, Department of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, Washington, United States

David J. Tauben, Clinical Associate Professor, Department of Anesthesia and Pain Medicine, University of Washington School of Medicine, Seattle, Washington, United States

Contributors:

Jane Ballantyne, MD
Professor of Education and Research
Department of Anesthesiology and Pain Medicine
University of Washington School of Medicine
Seattle, Washington
United States

William C. Becker, MD
Yale University School of Medicine
West Haven, CT, USA

Shane Brogan, M.B., B.Ch
Department of Anesthesiology
Huntsman Cancer Institute
Pain Management Center
University of Utah
Salt Lake City, UT, USA

Stephen C. Brown MD, FRCPC
Associate Professor, Department of Anesthesia, University of Toronto,
Staff Anesthesiologist, Medical Director Chronic Pain Clinic,
Department of Anesthesia and Pain Medicine,
The Hospital for Sick Children
Toronto, Canada

Perry G. Fine, MD
Department of Anesthesiology
Huntsman Cancer Institute
Pain Management Center
University of Utah
Salt Lake City, Utah
United States

Lisa Isaac, M.D. FRCP(C)
Staff in Anesthesiology and Pain Medicine
Department of Anesthesia and Pain Medicine,
Hospital for Sick Children
Assistant Professor, University of Toronto,
Toronto, Canada

Robert N. Jamison, Ph.D
Pain Management Center
Brigham and Women's Hospital
Harvard Medical School
Chestnut Hill, Massachusetts
United States

Eija Kalso, MD, DMedSci
Pain Clinic
Helsinki University Central Hospital
Helsinki, Finland

Robert D. Kerns, PhD
VA Connecticut Healthcare System
Yale University
West Haven, Connecticut
United States

Daniel Krashin, MD
Pain Fellow
Dept. of Anesthesiology and Pain Medicine
University of Washington Medical Center
Seattle, Washington
United States

Patricia A. McGrath, PhD
Scientific Director
Pain Innovations Inc.

Edward Michna, MD, JD

James P. Robinson, M.D., Ph.D
Seddon R. Savage, MD, MS
Medical Director, Pain and Addiction Treatment Program
Silver Hill Hospital
and
Director, Dartmouth Center on Addiction Recovery and Education
Dartmouth Medical School
Hanover, New Hampshire
United States

Juliana Serraillier, BS

Prof. Dr. Claudia Sommer
Neurologische Klinik
Universitätsklinikum Würzburg
Würzburg, Germany

Julie Franklin Sorensen, MD, MPH
Head of Pain Services, White River Junction VAMC
White River Junction, VT
and
Assistant Professor
Dartmouth Medical School
Hanover, New Hampshire
United States

Catherine F. Stannard, MB, ChB, FRCA, FFPMRCA
Consultant in Pain Medicine
Frenchay Hospital
Bristol, United Kingdom

David Tauben, MD
Clinical Associate Professor
Department of Anesthesia and Pain Medicine
University of Washington School of Medicine
Seattle, Washington
United States

Andrea M. Trescot, MD
Medical Director, Algone Pain Center
Fellowship Director, Trescot Fellowship Program
Wasilla, Alaska
United States

Jennifer Tyrrell RN, MN
Clinical Nurse Specialist
Department of Anesthesia and Pain Medicine
The Hospital for Sick Children
Toronto, Canada

Priv.-Doz Nurcan Üçeyler
Neurologische Klinik
Universitätsklinikum Würzburg
Würzburg, Germany