A5057237493- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Substance Abuse Treatment and Outcomes
- HIV, Drug Use, Sexual Risk
- Prenatal Substance Exposure Effects
- Musculoskeletal pain and rehabilitation
- Child Abuse and Trauma
- Intimate Partner and Family Violence
- Homelessness and Social Issues
- Pharmacological Effects and Toxicity Studies
- Pharmaceutical Practices and Patient Outcomes
- HIV/AIDS Research and Interventions
- Migration, Health and Trauma
- Cannabis and Cannabinoid Research
- Palliative Care and End-of-Life Issues
- Posttraumatic Stress Disorder Research
- Pain Mechanisms and Treatments
- Primary Care and Health Outcomes
- Sex work and related issues
- Mental Health Treatment and Access
- Health Policy Implementation Science
- Pediatric Pain Management Techniques
- Sexual Assault and Victimization Studies
- Poisoning and overdose treatments
- Innovations in Medical Education
University of Pittsburgh
2018-2025
University of Pittsburgh Medical Center
2018-2024
UPMC Health System
2024
John Marshall Law School
2017-2023
Boston University
2011-2021
Butler Hospital
2021
Kaiser Permanente
2021
Boston Medical Center
2008-2019
National Council for Scientific and Technological Development
2019
University of Massachusetts Chan Medical School
2019
Opioid overdose survivors have an increased risk for death. Whether use of medications opioid disorder (MOUD) after is associated with mortality not known.
Buprenorphine opioid agonist treatment (OAT) has established efficacy for treating dependency among persons seeking addiction treatment. However, effectiveness out-of-treatment, hospitalized patients is not known. To determine whether buprenorphine administration during medical hospitalization and linkage to office-based OAT after discharge increase entry into OAT, sustained engagement in decrease illicit use at 6 months hospitalization. From August 1, 2009, through October 31, 2012, a total...
Background: Nonfatal opioid overdose is an opportunity to identify and treat substance use disorders, but treatment patterns after the are unknown. Objective: To determine prescribed dosage its association with repeated overdose. Design: Retrospective cohort study. Setting: A large U.S. health insurer. Participants: 2848 commercially insured patients aged 18 64 years who had a nonfatal during long-term therapy for noncancer pain between May 2000 December 2012. Measurements: was identified...
The Current Opioid Misuse Measure (COMM), a self-report assessment of past-month aberrant medication-related behaviors, has been validated in specialty pain management patients. performance characteristics the COMM were evaluated primary care (PC) patients with chronic pain. It was hypothesized that could identify prescription drug use disorder (PDD). English-speaking adults awaiting PC visits at an urban, safety-net hospital, who had and received any opioid analgesic past year, administered...
Prescription opioid misuse is a national crisis. Few interventions have improved adherence to opioid-prescribing guidelines.To determine whether multicomponent intervention, Transforming Opioid Prescribing in Primary Care (TOPCARE; http://mytopcare.org/), improves guideline while decreasing risk.Cluster-randomized clinical trial among 53 primary care clinicians (PCCs) and their 985 patients receiving long-term therapy for pain. The study was conducted from January 2014 March 2016 4...
Background: Trauma exposure and post-traumatic stress disorder (PTSD) increase healthcare utilization in veterans, but their impact on other populations is uncertain. Objectives: To examine the association of trauma PTSD with utilization, civilian primary care patients. Research Design: Cross-sectional study. Subjects: English speaking patients at an academic, urban clinic. Measures: current diagnoses were obtained from Composite International Diagnostic Interview. Outcomes nonmental health...
Retrospective recall-based measures administered to adults, like the Childhood Trauma Questionnaire (CTQ), are commonly used determine experiences of childhood trauma in home. However, CTQ has not been compared with prospective violence exposure, whether at home or community. We evaluated relationships between young adults' responses and their self-reports exposure adolescence. Participants were 127 (93% African American, 47% male) urban adults a longitudinal birth cohort study examining...
Importance Opioid misuse and opioid use disorder (OUD) are important comorbidities in people with advanced cancer cancer-related pain, but there is a lack of consensus on treatment. Objective To develop among palliative care addiction specialists the appropriateness various management strategies individuals pain or OUD. Design, Setting, Participants For this qualitative study, using ExpertLens, an online platform methodology for conducting modified Delphi panels, between August October 2020,...
Chronic pain is a common condition for which efficacious interventions tailored to highly affected populations are urgently needed. People with HIV have high prevalence of chronic and share phenotypic similarities other populations.