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)?

See also

Evidence Brief: Managing Acute Pain in Patients Taking Medications for Opioid Use Disorder (Management eBrief)

Veazie S, Mackey K, Peterson K, et al. Veazie S, Mackey K, Peterson K, et al. Managing Acute Pain in Patients Taking Medication for Opioid Use Disorder: A Rapid Review. Journal of General Internal Medicine. 2020;35:945-953. DOI: https://doi.org/10.1007/s11606-020-06256-5

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