Contemporary Clinical Opioid Use: Opportunities and Challenges

Slides:



Advertisements
Similar presentations
Clinical Pharmacology, Uses, and Adverse Reactions of Iodinated Contrast Agents: A Primer for the Non-radiologist Jeffrey J. Pasternak, MD, Eric E. Williamson,
Advertisements

My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:
Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism  William L. Lanier,
Managing Cancer Pain: Basic Principles and Invasive Treatments
Expression of Gratitude to Scott C
Ductal Carcinoma in Situ of the Breast
Mitigating the Safety Risks of Drugs With a Focus on Opioids: Are Risk Evaluation and Mitigation Strategies the Answer?  Marta J. Brooks, PharmD  Mayo.
J. Eric Ahlskog, PhD, MD  Mayo Clinic Proceedings 
Evaluation of Proteinuria
Robert M. Jacobson, MD, George J. Isham, MD, MS, Lila J
Diagnostic Options for Assessment of Postmenopausal Bleeding
William L. Lanier, MD  Mayo Clinic Proceedings 
Reimagining Clinical Documentation With Artificial Intelligence
A Comparison of Long- and Short-Acting Opioids for the Treatment of Chronic Noncancer Pain: Tailoring Therapy to Meet Patient Needs  Charles E. Argoff,
Review of Childhood Obesity
Health Care Maintenance in Female Adolescents
Urine Drug Screening: Practical Guide for Clinicians
Survey of Physician Leadership and Management Education
Management of Adult Onset Seizures
68-Year-Old Woman With Dyspnea and Chest Pain
Diversion of Drugs Within Health Care Facilities, a Multiple-Victim Crime: Patterns of Diversion, Scope, Consequences, Detection, and Prevention  Keith.
Vulvovaginal Issues in Mature Women
A System-Based Approach to Depression Management in Primary Care Using the Patient Health Questionnaire-9  Ramona S. DeJesus, MD, Kristin S. Vickers,
Understanding Palliative Care and Hospice
Untitled by Martin Blank
Malignant Pleural Mesothelioma
Palliative Care and Hospice Programs
Topical Analgesics in the Management of Acute and Chronic Pain
Issues in Long-term Opioid Therapy: Unmet Needs, Risks, and Solutions
Acupuncture Mayo Clinic Proceedings
Photodynamic Therapy for Early Stage Central Type of Lung Cancer
Metastatic Breast Cancer
Mayo Clinic Proceedings 2013: Report From a New Vista
Pancreatic Ductal Adenocarcinoma
Barbara P. Yawn, MD, MSc, MSPH, MeiLan K. Han, MD, MS 
Medical management of osteoarthritis
Ayalew Tefferi, MD  Mayo Clinic Proceedings 
Highlights From the Third Annual Mayo Clinic Conference on Systems Engineering and Operations Research in Health Care  Janine R.A. Kamath, MBA, MA, John.
Current Practice in Pulmonary Function Testing
Chronic opioid therapy for non-cancer pain
Treating Tobacco Dependence in Light of the 2008 US Department of Health and Human Services Clinical Practice Guideline  J. Taylor Hays, MD, Jon O. Ebbert,
Refurbishing Mayo Clinic Proceedings:
Antidepressants and Brain Neurochemistry
Pharmacogenomics: Precision Medicine and Drug Response
Classic Hodgkin Lymphoma
Management of Adult Onset Seizures
Complex Regional Pain Syndrome
Evaluation and Management of Penicillin Allergy
Institutional Review Boards: What Clinician Researchers Need to Know
Diabetic Mastopathy Mayo Clinic Proceedings
Simon M. Glynn, MD, Sean J. Pittock, MD, Steven A. Vernino, MD, PhD 
Hepatocellular Carcinoma
Methylphenidate: Its Pharmacology and Uses
Pulmonary Tumor Embolism of Unknown Origin
Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism  William L. Lanier,
Medical Treatment of Overactive Bladder: In Response
Ross Arena, PhD, PT, FAHA, Carl J. Lavie, MD  Mayo Clinic Proceedings 
Mantle Cell Involvement of the Spleen
Squamous Cell Carcinoma of the Tongue
Preoperative Smoking Cessation: The Role of the Primary Care Provider
How Good Intentions Contributed to Bad Outcomes: The Opioid Crisis
Medical Student Distress: Causes, Consequences, and Proposed Solutions
The Potential of Medicare Accountable Care Organizations to Transform the American Health Care Marketplace: Rhetoric and Reality  David J. Ballard, MD,
From Out of the Desert Blooms a Jewel of the Southwest: A Commentary on the History of Mayo Clinic in Arizona  Michele Y. Halyard, MD  Mayo Clinic Proceedings 
Clomiphene-Induced Severe Hypertriglyceridemia and Pancreatitis
21st Century Women's Health
Managing Cancer Pain: Basic Principles and Invasive Treatments
Diagnosis and Management of Headache in Older Adults
Acute and Chronic Seizures in Patients Older Than 60 Years
Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”
Presentation transcript:

Contemporary Clinical Opioid Use: Opportunities and Challenges William L. Lanier, MD, Evan D. Kharasch, MD, PhD  Mayo Clinic Proceedings  Volume 84, Issue 7, Pages 572-575 (July 2009) DOI: 10.4065/84.7.572 Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Total US prescriptions dispensed annually for all opioid analgesics from 1998-2002. Adapted from the IMS Health, National Prescription Audit Plus.17 Mayo Clinic Proceedings 2009 84, 572-575DOI: (10.4065/84.7.572) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Annual numbers (in millions) of new nonmedical users of pain relievers who are 12 years or older, from 1970-2001. From the National Survey on Drug Use and Health, 2004.18 Mayo Clinic Proceedings 2009 84, 572-575DOI: (10.4065/84.7.572) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Prescription opioid analgesic deaths nationwide, from 2001-2005. Adapted from the National Drug Intelligence Center: National Prescription Drug Threat Assessment 2009.19 Mayo Clinic Proceedings 2009 84, 572-575DOI: (10.4065/84.7.572) Copyright © 2009 Mayo Foundation for Medical Education and Research Terms and Conditions