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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment

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Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment

Prepared by:
Evidence Synthesis Program (ESP) Coordinating Center
Portland VA Health Care System
Portland, OR
Mark Helfand, MD, MPH, MS, Director

Recommended Citation:
Veazie S, Mackey K, Bourne D, Peterson K. Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-Assisted Treatment. Washington, DC: Evidence Synthesis Program, Health Services Research and Development Service, Office of Research and Development, Department of Veterans Affairs. VA ESP Project #09-199; 2019.


Download PDF: Brief, Supplemental Materials

Background

The ESP Coordinating Center (ESP CC) developed this evidence brief on acute pain management in patients with opioid use disorder (OUD) who are on medication-assisted treatment (MAT) in response to a request from VA's Health Services Research and Development Service (HSR&D). Findings from this evidence brief will be used to inform prioritization of questions for a September 2019 State-of-the-Art (SOTA) conference.

Key Questions

Key Question 1: What are the benefits and harms of strategies to manage acute pain in adults with OUD on MAT?

Key Question 2: Do these benefits and harms vary by patient characteristics, such as MAT medication or type of acute pain (emergency condition vs planned surgery)?