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Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs

BACKGROUND: Undertreated pain is common among people who use illicit drugs (PWUD), and can often reflect the reluctance of health care providers to provide pain medication to individuals with substance use disorders. OBJECTIVE: To investigate the relationship between having ever been denied pain med...

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Autores principales: Ti, Lianping, Voon, Pauline, Dobrer, Sabina, Montaner, Julio, Wood, Evan, Kerr, Thomas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pulsus Group Inc 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391443/
https://www.ncbi.nlm.nih.gov/pubmed/25562839
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author Ti, Lianping
Voon, Pauline
Dobrer, Sabina
Montaner, Julio
Wood, Evan
Kerr, Thomas
author_facet Ti, Lianping
Voon, Pauline
Dobrer, Sabina
Montaner, Julio
Wood, Evan
Kerr, Thomas
author_sort Ti, Lianping
collection PubMed
description BACKGROUND: Undertreated pain is common among people who use illicit drugs (PWUD), and can often reflect the reluctance of health care providers to provide pain medication to individuals with substance use disorders. OBJECTIVE: To investigate the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital. METHODS: Data were derived from participants enrolled in two Canadian prospective cohort studies between December 2012 and May 2013. Using bivariable and multivariable logistic regression analyses, the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital was examined. RESULTS: Among 1053 PWUD who had experienced ≥1 hospitalization, 452 (44%) reported having ever used illicit drugs while in hospital and 491 (48%) reported having ever been denied pain medication. In a multivariable model adjusted for confounders, having been denied pain medication was positively associated with having used illicit drugs in hospital (adjusted OR 1.46 [95% CI 1.14 to 1.88]). CONCLUSIONS: The results of the present study suggest that the denial of pain medication is associated with the use of illicit drugs while hospitalized. These findings raise questions about how to appropriately manage addiction and pain among PWUD and indicate the potential role that harm reduction programs may play in hospital settings.
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spelling pubmed-43914432015-04-17 Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs Ti, Lianping Voon, Pauline Dobrer, Sabina Montaner, Julio Wood, Evan Kerr, Thomas Pain Res Manag Original Article BACKGROUND: Undertreated pain is common among people who use illicit drugs (PWUD), and can often reflect the reluctance of health care providers to provide pain medication to individuals with substance use disorders. OBJECTIVE: To investigate the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital. METHODS: Data were derived from participants enrolled in two Canadian prospective cohort studies between December 2012 and May 2013. Using bivariable and multivariable logistic regression analyses, the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital was examined. RESULTS: Among 1053 PWUD who had experienced ≥1 hospitalization, 452 (44%) reported having ever used illicit drugs while in hospital and 491 (48%) reported having ever been denied pain medication. In a multivariable model adjusted for confounders, having been denied pain medication was positively associated with having used illicit drugs in hospital (adjusted OR 1.46 [95% CI 1.14 to 1.88]). CONCLUSIONS: The results of the present study suggest that the denial of pain medication is associated with the use of illicit drugs while hospitalized. These findings raise questions about how to appropriately manage addiction and pain among PWUD and indicate the potential role that harm reduction programs may play in hospital settings. Pulsus Group Inc 2015 /pmc/articles/PMC4391443/ /pubmed/25562839 Text en © 2015, Pulsus Group Inc. All rights reserved This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (http://creativecommons.org/licenses/by-nc/4.0/), which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes. For commercial reuse, contact support@pulsus.com
spellingShingle Original Article
Ti, Lianping
Voon, Pauline
Dobrer, Sabina
Montaner, Julio
Wood, Evan
Kerr, Thomas
Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
title Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
title_full Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
title_fullStr Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
title_full_unstemmed Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
title_short Denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
title_sort denial of pain medication by health care providers predicts in-hospital illicit drug use among individuals who use illicit drugs
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391443/
https://www.ncbi.nlm.nih.gov/pubmed/25562839
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