Original research
by
Appa, Ayesha et al
Release Date
2023
Geography
USA
Language of Resource
English
Full Text Available
No
Open Access / OK to Reproduce
No
Peer Reviewed
Yes
Objective
To determine if a positive urine drug test (UDT) for stimulants was associated with subsequent opioid-related harm or discontinuation of long-term opioid therapy (LTOT).
Findings/Key points
Despite no association between a stimulant-positive UDT and subsequent opioid-related harm, there was an association with subsequent LTOT discontinuation, with heterogeneity across clinical groups. Detection of stimulant use should result in a discussion of substance use and risk, rather than reflex LTOT discontinuation.
Design/methods
Retrospective cohort study (n=600).
Keywords
Stimulants
Chronic pain
Outcomes
