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Gynecol Oncol. 2018 May;149(2):394-400. doi: 10.1016/j.ygyno.2018.01.027. Epub 2018 Feb 20.

Opioid use in gynecologic oncology in the age of the opioid epidemic: Part I - Effective opioid use across clinical settings, a society of gynecologic oncology evidence-based review.

Author information

1
Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, Department of Internal Medicine, Palliative Care, University of Colorado Denver, Aurora, CO, United States. Electronic address: carolyn.lefkowits@ucdenver.edu.
2
Section of Palliative Care, Division of General Medicine and Primary Care, Division of Hematology-Oncology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
3
Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of Colorado Denver, Aurora, CO, United States.
4
Division of General Internal Medicine, University of Colorado Denver, Aurora, CO, United States.
5
Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of Washington, Seattle, WA, United States.
6
Department of Radiation Oncology, University of Colorado Denver, Aurora, CO, United States.
7
Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, University of Virginia, Charlottesville, VA, United States.

Abstract

As the only oncologists that provide both medical and surgical oncologic care, gynecologic oncologists encounter an exceptionally broad range of indications for prescribing opioids, from management of acute post-operative pain to chronic cancer-related pain to end-of-life care. If we are to balance opioid efficacy, safety and accessibility for our patients, we must be intimately familiar with appropriate clinical use of opioids in a range of settings, and engage in the national conversation around opioid misuse and how associated regulations and legislation may impact us and our patients. This article examines the appropriate use of opioids across the range of clinical settings encountered in gynecologic oncology.

KEYWORDS:

Opioid epidemic; Opioid misuse; Opioids; Pain management; Palliative care

PMID:
29472016
DOI:
10.1016/j.ygyno.2018.01.027
[Indexed for MEDLINE]

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