Implementation of a collaborative care management program with buprenorphine in primary care: a comparison between opioid-dependent patients and patients with chronic pain using opioids nonmedically.
Identifieur interne : 002E81 ( PubMed/Curation ); précédent : 002E80; suivant : 002E82Implementation of a collaborative care management program with buprenorphine in primary care: a comparison between opioid-dependent patients and patients with chronic pain using opioids nonmedically.
Auteurs : Joji Suzuki [États-Unis] ; Michele L. Matthews [États-Unis] ; David Brick [États-Unis] ; Minh-Thuy Nguyen [États-Unis] ; Ajay D. Wasan [États-Unis] ; Robert N. Jamison [États-Unis] ; Andrew L. Ellner [États-Unis] ; Lori W. Tishler [États-Unis] ; Roger D. Weiss [États-Unis]Source :
- Journal of opioid management [ 1551-7489 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Analgésiques morphiniques (usage thérapeutique), Buprénorphine (usage thérapeutique), Comportement coopératif, Douleur chronique (traitement médicamenteux), Femelle, Gestion des soins aux patients, Humains, Mâle, Soins de santé primaires, Troubles liés aux opiacés (traitement médicamenteux).
- MESH :
- traitement médicamenteux : Douleur chronique, Troubles liés aux opiacés.
- usage thérapeutique : Analgésiques morphiniques, Buprénorphine.
- Adulte, Adulte d'âge moyen, Comportement coopératif, Femelle, Gestion des soins aux patients, Humains, Mâle, Soins de santé primaires.
English descriptors
- KwdEn :
- MESH :
- chemical , therapeutic use : Analgesics, Opioid, Buprenorphine.
- drug therapy : Chronic Pain, Opioid-Related Disorders.
- Adult, Cooperative Behavior, Female, Humans, Male, Middle Aged, Patient Care Management, Primary Health Care.
Abstract
To implement a collaborative care management program with buprenorphine in a primary care clinic.
DOI: 10.5055/jom.2014.0204
PubMed: 24944066
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Matthews</name><affiliation wicri:level="2"><nlm:affiliation>Associate Professor of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts; Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Associate Professor of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts; Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Brick, David" sort="Brick, David" uniqKey="Brick D" first="David" last="Brick">David Brick</name><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School Center for Primary Care, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School Center for Primary Care, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Nguyen, Minh Thuy" sort="Nguyen, Minh Thuy" uniqKey="Nguyen M" first="Minh-Thuy" last="Nguyen">Minh-Thuy Nguyen</name><affiliation wicri:level="2"><nlm:affiliation>Harvard Medical School Center for Primary Care, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard Medical School Center for Primary Care, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Wasan, Ajay D" sort="Wasan, Ajay D" uniqKey="Wasan A" first="Ajay D" last="Wasan">Ajay D. Wasan</name><affiliation wicri:level="2"><nlm:affiliation>Departments of Anesthesiology and Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Anesthesiology, Bringham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Departments of Anesthesiology and Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Anesthesiology, Bringham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Jamison, Robert N" sort="Jamison, Robert N" uniqKey="Jamison R" first="Robert N" last="Jamison">Robert N. Jamison</name><affiliation wicri:level="2"><nlm:affiliation>Professor of Anesthesia, Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Professor of Anesthesia, Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Ellner, Andrew L" sort="Ellner, Andrew L" uniqKey="Ellner A" first="Andrew L" last="Ellner">Andrew L. Ellner</name><affiliation wicri:level="2"><nlm:affiliation>Instructor in Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts; Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Instructor in Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts; Division of Global Health Equity, Brigham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Tishler, Lori W" sort="Tishler, Lori W" uniqKey="Tishler L" first="Lori W" last="Tishler">Lori W. Tishler</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Weiss, Roger D" sort="Weiss, Roger D" uniqKey="Weiss R" first="Roger D" last="Weiss">Roger D. Weiss</name><affiliation wicri:level="2"><nlm:affiliation>Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts; Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts; Division of Alcohol and Drug Abuse, McLean Hospital, Belmont</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of opioid management</title><idno type="ISSN">1551-7489</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Analgesics, Opioid (therapeutic use)</term><term>Buprenorphine (therapeutic use)</term><term>Chronic Pain (drug therapy)</term><term>Cooperative Behavior</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Opioid-Related Disorders (drug therapy)</term><term>Patient Care Management</term><term>Primary Health Care</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analgésiques morphiniques (usage thérapeutique)</term><term>Buprénorphine (usage thérapeutique)</term><term>Comportement coopératif</term><term>Douleur chronique (traitement médicamenteux)</term><term>Femelle</term><term>Gestion des soins aux patients</term><term>Humains</term><term>Mâle</term><term>Soins de santé primaires</term><term>Troubles liés aux opiacés (traitement médicamenteux)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Analgesics, Opioid</term><term>Buprenorphine</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Chronic Pain</term><term>Opioid-Related Disorders</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Douleur chronique</term><term>Troubles liés aux opiacés</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Analgésiques morphiniques</term><term>Buprénorphine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cooperative Behavior</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Care Management</term><term>Primary Health Care</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement coopératif</term><term>Femelle</term><term>Gestion des soins aux patients</term><term>Humains</term><term>Mâle</term><term>Soins de santé primaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To implement a collaborative care management program with buprenorphine in a primary care clinic.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24944066</PMID><DateCreated><Year>2014</Year><Month>06</Month><Day>19</Day></DateCreated><DateCompleted><Year>2014</Year><Month>09</Month><Day>22</Day></DateCompleted><DateRevised><Year>2016</Year><Month>10</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1551-7489</ISSN><JournalIssue CitedMedium="Print"><Volume>10</Volume><Issue>3</Issue><PubDate><MedlineDate>2014 May-Jun</MedlineDate></PubDate></JournalIssue><Title>Journal of opioid management</Title><ISOAbbreviation>J Opioid Manag</ISOAbbreviation></Journal><ArticleTitle>Implementation of a collaborative care management program with buprenorphine in primary care: a comparison between opioid-dependent patients and patients with chronic pain using opioids nonmedically.</ArticleTitle><Pagination><MedlinePgn>159-68</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5055/jom.2014.0204</ELocationID><ELocationID EIdType="pii" ValidYN="Y">jom.2014.0204</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To implement a collaborative care management program with buprenorphine in a primary care clinic.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective observational study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">A busy urban academic primary care clinic affiliated with a tertiary care hospital.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Opioid-dependent patients or patients with chronic pain using opioids nonmedically were recruited for the study. A total of 45 participants enrolled.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Patients were treated with buprenorphine and managed by a supervising psychiatrist, pharmacist care manager, and health coaches. The care manager conducted buprenorphine inductions and all follow-up visits. Health coaches offered telephonic support. The psychiatrist supervised both the care manager and health coaches.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Primary outcomes were treatment retention at 6 months, and change in the proportion of aberrant toxicology results and opioid craving scores from baseline to 6 months. After data collection, clinical outcomes were compared between opioid-dependent patients and patients with chronic pain using opioids nonmedically. Overall, 55.0 percent of participants (25/45) remained in treatment at 6 months. Primary care physicians (PCPs)' attitudes about opioid dependence treatment were surveyed at baseline and at 18 months.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-three patients (95.6 percent) accepted treatment and 25 (55.0 percent) remained in treatment at 6 months. The proportion of aberrant urine toxicology results decreased significantly from baseline to 6 months (p < 0.01). Craving scores significantly decreased from baseline to 6 months (p < 0.01). Opioid-dependent patients, as opposed to patients with chronic pain using opioids nonmedically, were significantly more likely to complete 6 months of treatment (p < 0.05). PCPs' confidence in treating opioid dependence in primary care increased significantly from baseline to 18 months postimplementation (p < 0.01).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Collaborative care management for opioid dependence with buprenorphine may be feasible in a primary care clinic. More research is needed to understand the role of buprenorphine in managing patients with chronic pain using opioids nonmedically.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Suzuki</LastName><ForeName>Joji</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Instructor in Psychiatry, Harvard Medical School, Boston, Massachusetts; Division of Addiction Psychiatry, Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matthews</LastName><ForeName>Michele L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Associate Professor of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences University, Boston, Massachusetts; Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brick</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Harvard Medical School Center for Primary Care, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nguyen</LastName><ForeName>Minh-Thuy</ForeName><Initials>MT</Initials><AffiliationInfo><Affiliation>Harvard Medical School Center for Primary Care, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wasan</LastName><ForeName>Ajay D</ForeName><Initials>AD</Initials><AffiliationInfo><Affiliation>Departments of Anesthesiology and Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Anesthesiology, Bringham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jamison</LastName><ForeName>Robert N</ForeName><Initials>RN</Initials><AffiliationInfo><Affiliation>Professor of Anesthesia, Harvard Medical School, Boston, Massachusetts; Department of Psychiatry, Brigham and Women's Hospital, Boston, Massachusetts; Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ellner</LastName><ForeName>Andrew L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Instructor in Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts; Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tishler</LastName><ForeName>Lori W</ForeName><Initials>LW</Initials><AffiliationInfo><Affiliation>Assistant Professor of Medicine, Harvard Medical School, Boston, Massachusetts; Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weiss</LastName><ForeName>Roger D</ForeName><Initials>RD</Initials><AffiliationInfo><Affiliation>Professor of Psychiatry, Harvard Medical School, Boston, Massachusetts; Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>K24 DA022288</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U10 DA015831</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>K24DA022288</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U10DA15831</GrantID><Acronym>DA</Acronym><Agency>NIDA NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Opioid Manag</MedlineTA><NlmUniqueID>101234523</NlmUniqueID><ISSNLinking>1551-7489</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000701">Analgesics, Opioid</NameOfSubstance></Chemical><Chemical><RegistryNumber>40D3SCR4GZ</RegistryNumber><NameOfSubstance UI="D002047">Buprenorphine</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Arch Gen Psychiatry. 2001 Sep;58(9):869-76</RefSource><PMID 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