A fellow blogger, Painkills2, found and commented on this information:
Prevalence of Addiction in Chronic Pain Patients
- 24 studies with 2,057 patients with rate of 3.27% for abuse/addiction.
- Rate of abuse/addiction in patients with no history or current use of substances was 0.19%
- Fishbain DA. Pain Med. 2008;9:444-58
Aberrant Behavior Prevalence:
- 17 studies of 2,466 chronic pain patients found rate of 11.5% for aberrant behavior.
- For patients without SUD, rate was 0.59%.
Risk Factors for aberrant behavior:
- Lifetime history of substance use disorder (alcohol, tobacco, illicit substances)
- Psychiatric co-morbidity
- History of pre-adolescent sexual abuse
- Family history of substance abuse
- History of legal problems
- Younger age (16 – 45)
- Increased functional impairment
[comment by painkills2] Tobacco, really? So, if you’re a smoker, no pain meds for you. And which chronic pain patients don’t also have psychiatric issues? And if you’ve been sexually abused, no pain meds for you either. Who’s family doesn’t have substance abuse problems? And watch out, if you’ve got “legal” problems, no pain meds for you either. Same goes for those between the ages of 16 and 45, a rather large group. As for functional impairment, doesn’t the constant and unmanaged pain cause that too?
How to use risk assessment tools
Should not be used to deprive patients of pain management or opioid therapy but to identify those who are at risk for addiction…
[comment by painkills2] once you’re “identified” as at risk for addiction, you now have a label you’ll carry for the rest of your life.
Patients with addiction less likely to use illicit drugs if painful conditions controlled…
When to Taper Opioids
DO NOT abandon the patient even if you refer…
[comment by painkills2] Gosh, I wish there was a law that said this, because doctors do it all the time, with no consequences whatsoever.
[comment by painkills2] Considering the low incidence of addiction in the chronic pain patient population, this seems like a lot of effort to catch the small percentage of us that may become addicted to our legally prescribed medications.