Category: Addiction

Posts by Jano Klimas about addiction and substance use disorders, including epidemiology, prevention, education, assessment and treatment.

Improving opioid agonist care continuation, meta-analysis

handles

Improving opioid agonist care continuation remains to be a challenge for many community based addiction treatment organizations. Research into effective strategies has used both randomized and non-randomized designs. Is there any difference in treatment dropout between these different study types? (more…)

Individualized prescribing portraits to reduce inappropriate initiation of opioid analgesics to opioid naïve patients in primary care, REDONNA trial

REDONNA is a mixed-methods randomized study testing the effectiveness of individualized prescribing Portraits to reduce inappropriate initiation of opioid analgesics. The Contemporary Clinical trials recently published REDONNA’s study protocol.

(more…)

This changed my practice

Can We Identify Patients at Risk for Opioid Use Disorder when Beginning Opioid Analgesics for Pain from New or Ongoing Non-cancer Causes?

There is growing recognition that opioid prescribing can lead to prescription opioid use disorder (OUD). It is estimated that nearly 115,000 British Columbians have become addicted to opioids. There is a need to safely reduce the volume of new opioid prescriptions for opioid naïve patients. read more…

(more…)

Male Pain and Alcohol

Pain is a universal experience across people of all genders. How do we know when something hurts inside? It keeps coming back; first, it disrupts, then colors all aspects of everyday life. There are many shades of emotional hurt that can be emotionally crippling. Anger, grief and jealousy – are all hurtful emotional states. They are experienced and can be a part of our life for years.  How we manage these painful experiences as men can be a challenge. While recent studies suggest sexes don’t feel pain the same way, the evidence on sex differences in pain is mixed and potential biopsychosocial factors may play a role. To read the full text please visit Dr Matt Modrcin’s blog

(more…)

Maybe there were four training hours in total, study

There has been a noticeable deficiency in the implementation of addiction science in healthcare practice. Many physicians and healthcare providers feel unprepared to treat addictions following their training. While the inadequate education has been well documented, the perceptions of learners in early-career health professions have not been fully investigated.

(more…)