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J Subst Abuse Treat. 2010 Dec;39(4):378-83. doi: 10.1016/j.jsat.2010.06.012. Epub 2010 Aug 19.

Physician introduction to opioids for pain among patients with opioid dependence and depressive symptoms.

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  • 1Boston University School of Medicine/Boston Medical Center, Boston, MA 02118, USA. judith.tsui@bmc.org

Abstract

This study determined the frequency of reporting being introduced to opioids by a physician among opioid-dependent patients. Cross-sectional analyses were performed using baseline data from a cohort of opioid addicts seeking treatment with buprenorphine. The primary outcome was a response to the question: "Who introduced you to opiates?" Covariates included sociodemographics, depression, pain, and current and prior substance use. Of 140 participants, 29% reported that they had been introduced to opioids by a physician. Of those who were introduced to opioids by a physician, all indicated that they had initially used opioids for pain, versus only 11% of those who did not report being introduced to opioids by a physician (p < .01). There was no difference in current pain (78% vs. 85%, p = .29); however, participants who were introduced to opioids by a physician were more likely to have chronic pain (63% vs. 43%, p = .04). A substantial proportion of individuals with opioid dependence seeking treatment may have been introduced to opioids by a physician.

Copyright © 2010 Elsevier Inc. All rights reserved.

PMID:
20727704
[PubMed - indexed for MEDLINE]
PMCID:
PMC3129653
Free PMC Article
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