Annals for Hospitalists Inpatient Notes - The Opioid Epidemic—What's a Hospitalist to Do?
Authors: Pooja Lagisetty, Amy Bohnert
Journal: Annals of Internal Medicine (2017)

Web Exclusives18 July 2017Annals for Hospitalists Inpatient Notes - The Opioid Epidemic—What's a Hospitalist to Do?Pooja Lagisetty, MD, MSc and Amy Bohnert, PhDPooja Lagisetty, MD, MScFrom the University of Michigan and VA Center for Clinical Management Research, Ann Arbor, Michigan.Search for more papers by this author and Amy Bohnert, PhDFrom the University of Michigan and VA Center for Clinical Management Research, Ann Arbor, Michigan.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M17-1564 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Treating patients with opioid use disorder is challenging, but hospitalists are uniquely positioned to help mitigate this crisis. Hospitalists must become educated on monitoring withdrawal, initiating opioid-agonist therapy (OAT), and identifying outpatient providers to continue treatment.The opioid epidemic has led to an increase in opioid-related hospitalizations (1). The number of individuals with opioid use disorder (OUD), defined as compulsive use of opioids despite adverse consequences, is also increasing. The new Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), definition of OUD combines prior DSM-5 categories of dependence and abuse into 1 diagnosis, with several levels of severity. ...References1. Ronan MV, Herzig SJ. Hospitalizations related to opioid abuse/dependence and associated serious infections increased sharply, 2002-12. Health Aff (Millwood). 2016;35:832-7. [PMID: 27140989] doi:10.1377/hlthaff.2015.1424 CrossrefMedlineGoogle Scholar2. Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain—United States, 2016. JAMA. 2016;315:1624-45. [PMID: 26977696] doi:10.1001/jama.2016.1464 CrossrefMedlineGoogle Scholar3. Meltzer EC, Rybin D, Saitz R, Samet JH, Schwartz SL, Butler SF, et al. Identifying prescription opioid use disorder in primary care: diagnostic characteristics of the Current Opioid Misuse Measure (COMM). Pain. 2011;152:397-402. [PMID: 21177035] doi:10.1016/j.pain.2010.11.006 CrossrefMedlineGoogle Scholar4. Naeger S, Ali MM, Mutter R, Mark TL, Hughey L. Prescriptions filled following an opioid-related hospitalization. Psychiatr Serv. 2016;67:1262-1264. [PMID: 27247179] CrossrefMedlineGoogle Scholar5. Liebschutz JM, Crooks D, Herman D, Anderson B, Tsui J, Meshesha LZ, et al. Buprenorphine treatment for hospitalized, opioid-dependent patients: a randomized clinical trial. JAMA Intern Med. 2014;174:1369-76. [PMID: 25090173] doi:10.1001/jamainternmed.2014.2556 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From the University of Michigan and VA Center for Clinical Management Research, Ann Arbor, Michigan.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M17-1564.Requests for Single Reprints: Pooja Lagisetty, MD, MSc, University of Michigan North Campus Research Center, 3800 Plymouth Road, Ann Arbor, MI 48109; e-mail, [email protected]umich.edu. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 18 July 2017 David H. Wesorick and Vineet Chopra Metrics Cited byQuality and Safety in the Literature: March 2022Comparing ivWatch biosensor to standard care to identify extravasation injuries in the paediatric intensive care: a protocol for a randomised controlled trialOpioid Prescribing After Opioid-related Inpatient Hospitalizations by DiagnosisMethicillin-Resistant Staphylococcus aureus Prosthetic Valve Endocarditis: Pathophysiology, Epidemiology, Clinical Presentation, Diagnosis, and Management 18 July 2017Volume 167, Issue 2Page: HO2-HO3KeywordsDiagnostic and Statistical Manual of Mental Disorders fifth editionDrugsHospitalistsHospitalizationsInpatientsOpioid use disorderOpioidsOutpatient clinicsOutpatientsSpecificity ePublished: 18 July 2017 Issue Published: 18 July 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...