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Research Topics


Opioids

Opioids are a broad group of pain-relieving drugs that can be both naturally derived (morphine, heroin, and others) or synthesized in a laboratory (fentanyl and others). While generally safe when taken for a short time and as prescribed by a doctor, opioids can be misused and may lead to addiction, overdose incidents, and death. HSR&D investigators study several aspects of opioid use, such as how best to manage opioid prescribing (including policy impacts and safety), and how to help Veterans' manage their chronic pain, both with and without medication.

Search results were generated based on the search term "Opioid". Results are updated weekly, as new data are available.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Topic Spotlight | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 723 OPIOID focused publications)


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Publication Briefs

(5 of more than 58 OPIOID focused publication briefs)

  • Among Veterans Who Experience Homelessness, Non-fatal Overdose is a Relatively Common Problem
    Overdose is one of the most common causes of death for younger homeless individuals, but the prevalence of non-fatal overdose among the homeless is unknown. Investigators in this study administered a survey to Veterans who had experienced homelessness (current or past) and received primary care at one of 26 VA medical centers across the nation asking if they had experienced an overdose within the ...
    Date: March 17, 2020
  • Veterans at Higher Risk of Overdose/Suicide Death After Stopping Opioid Treatment; Increasing Risk with Duration on Opioids
    This study examined the associations between stopping outpatient opioid treatment, length of opioid treatment, and overdose/suicide death among VA patients. Findings showed that Veterans were at a higher risk of overdose/suicide death after stopping opioid treatment, with increasing risk the longer they had been treated before stopping. Even patients treated for up to 30 days had a rise in risk of...
    Date: March 4, 2020
  • Integrated Pain Team Programs Improve Outcomes for Chronic Pain and May Reduce Reliance on High-Risk Opioid Therapy
    This study examined changes in self-reported chronic pain-, opioid-, and treatment-related outcomes among Veterans with chronic pain following the implementation of a primary care-based biopsychosocial Integrated Pain Team (IPT) model within the San Francisco VA Health Care System. Findings showed that Veterans with chronic pain who engaged in the IPT program reported improvement in several outcom...
    Date: February 25, 2020
  • Few Disparities in Medical Treatment for Opioid Use Disorder after Non-Fatal Overdose
    This study assessed the association between race and ethnicity and patterns of opioid prescribing before and after a non-fatal opioid overdose – and also assessed the receipt of medications for opioid use disorder (MOUD: buprenorphine, methadone, and naltrexone) following such events among VA patients. Findings showed that receipt of an opioid prescription decreased by 16-21 percentage points in t...
    Date: January 21, 2020
  • Increases in Opioid Dosing of 20% or Greater were Not Associated with Improvements in Pain among Veterans
    This study examined the influence of opioid dose escalation on pain scores recorded in the VA electronic medical record among patients on chronic opioid therapy for chronic non-cancer pain. Findings showed that increases in opioid dose of 20% or greater were not associated with improvements in pain scores. In the follow-up period, dose escalators had higher average morphine milligram equivalents (...
    Date: January 7, 2020

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Studies

( 5 of more than 45 OPIOID focused projects )

Project No.  Title  PI  Funding Start   
C19 20-211 A Mixed-Methods Pilot Study of the Impacts of Telemental Healthcare for High-Risk Veterans with Opioid Use Disorder during COVID-19 Myers, Ursula 2020-05-01
IIR 18-231 Risks of Cannabis Use Among Veterans on Long-term Opioid Therapy Keyhani, Salomeh 2019-12-01
PPO 18-213 Adaptation of the Motivational Interviewing Skills Code to Identify Clinician and Client Language Predicting Reduced Opioid Use Risk and Increased Use of Alternative Pain Care Strategies in Veterans Borsari, Brian 2019-03-01
IIR 16-078 Effectiveness of a Rescue Medication in Preventing Opioid Overdose in Veterans Oliva, Elizabeth 2018-12-01
IIR 17-268 Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy Lovejoy, Travis 2018-11-01

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HSR&D Briefs, Reports, Newsletters

5 sample "Opioid" publications displayed.

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Topic Spotlight

Read more on this topic and related topics

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Cyberseminars

The most recent "Opioid" seminars are displayed.

Date Title Presenter(s)
9/15/2020 Opioid Prescribing Patterns and Informatics Tools Gordon, Adam  
6/2/2020 Moving into the Post-Opioid Chronic Pain Treatment Era: Opportunities and Challenges Becker, William  
5/20/2020 Can a Single Opioid Prescription Make a Difference? Evidence from Physician Prescribing Variation in Emergency Departments Zhang, Jonathan Xia  
3/18/2020 Causes and Consequences of Inappropriate MRI of the Lumbar Spine Nevedal, Andrea  
Jacobs, Josephine  
Barnett, Paul  
3/3/2020 Integrated Treatment for Veterans with Chronic Pain and Hazardous Opioid Use Vowles, Kevin  

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Videos


There are currently no videos for this topic.

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Podcasts


There are currently no podcasts for this topic.

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Other Resources

  • Visit the VA’s Office of Mental Health and learn more about substance use disorders, screening tools, programs, and services.
  • Learn more about the Quality Enhancement Research Initiative’s IMPROVE project, which focuses on integrating pain support in primary care in order to decrease the number of Veterans using opioid therapy for pain management.
  • Visit the VA Office of Research & Development’s Substance Use Disorders (SUD) topic page for information about milestones in SUD research across all VA research services.

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