Shared Decision Making for Long-Term Opioid Therapy for Cancer Pain (SA528A)

Long-Term Opioid Therapy for Chronic Pain.

Effectiveness of long-term opioid therapy for chronic non-cancer pain.

BACKGROUND Opioids have been utilized for thousands of years to treat pain and their use continues to escalate. It is estimated that 90% of the patients who present to pain centers and receive treatment in such facilities are on opioids. However, in contrast to increasing opioid use and the lack of evidence supporting long-term effectiveness in chronic non-cancer pain, is the escalating misuse ...

Long-term opioid therapy for chronic pain and the risk of opioid addiction.

INTRODUCTION There has been a constant struggle to define the role of opioids in medical therapy, due to their potential for misuse, overuse, and addiction since pain is a completely subjective sensation, not amenable to objective measurement, and is intimately tied to emotion and the patient’s psychological well-being. Thus the medical decision to administer an opioid analgesic is an attempt t...

Discounting models for long-term decision making

This paper investigates alternative approaches to constant rate discounting for calculation of Net Present Value (NPV) in life cycle cost models that are used for engineering trade studies. Alternative approaches are necessary to meet the challenge of equitable intergenerational resource allocation for projects like radioactive waste disposal that have a life cycle that impacts future generatio...

Long-term opioid therapy reconsidered.

In the past 20 years, primary care physicians have greatly increased prescribing of long-term opioid therapy. However, the rise in opioid prescribing has outpaced the evidence regarding this practice. Increased opioid availability has been accompanied by an epidemic of opioid abuse and overdose. The rate of opioid addiction among patients receiving long-term opioid therapy remains unclear, but ...