journal
https://read.qxmd.com/read/38534007/high-hepatitis-c-cure-rates-among-patients-with-alcohol-use-at-a-safety-net-hepatitis-c-clinic
#1
JOURNAL ARTICLE
Erica Heiman, Meghan Alexander, Rebecca Zhang, Ziduo Zheng, Lesley S Miller
OBJECTIVES: We set out to examine several aspects of the relationship between alcohol use and hepatitis C virus (HCV) among a cohort of patients treated at an HCV clinic within a safety net hospital. We examined (1) the prevalence of alcohol use among patients treated for HCV, (2) the likelihood of being started on treatment among patients who reported drinking alcohol compared with those who did not, and (3) the associations between alcohol use and HCV cure. METHODS: We performed a retrospective chart abstraction study using data from the Grady Liver Clinic, a specialty HCV clinic colocated in Grady Memorial Hospital's primary care clinic and run by general internists...
March 27, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38533996/alcohol-related-care-among-veterans-with-unhealthy-alcohol-use-the-role-of-long-term-opioid-therapy-receipt
#2
JOURNAL ARTICLE
Paul J Joudrey, Melinda Wang, Eric DeRycke, Emily C Williams, Eva Jennifer Edelman
OBJECTIVES: Long-term opioid therapy (LTOT) is potentially dangerous among patients with unhealthy alcohol use because of possible adverse interactions. We examined receipt of alcohol-related care among patients with unhealthy alcohol use receiving LTOT and without opioid receipt. METHODS: We use data collected from 2009 to 2017 in the Women Veterans Cohort Study, a national cohort of Veterans engaged in Veterans Health Administration care. We included patients who screened positive for unhealthy alcohol use (score ≥5) using the Alcohol Use Disorder Identification Consumption questionnaire...
March 27, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38498626/hospitalists-attitudes-and-experiences-with-posthospitalization-care-transitions-for-patients-with-substance-use-disorders-a-cross-sectional-analysis
#3
JOURNAL ARTICLE
Michael A Incze, Sophia Huebler, David Chen, Andrea Stofko, Chaorong Wu, Jacob D Baylis, Chesley Wells, Danielle Babbel
BACKGROUND: Medical hospitalizations are relatively common among individuals who have substance use disorders (SUDs) and represent opportunities for patient engagement and treatment. Posthospitalization transitions of care are an important element of providing full-spectrum inpatient SUD care; however, little is known about clinicians' experiences with postdischarge care transitions. METHODS: We conducted a cross-sectional study surveying hospital-based medical clinicians (ie, "hospitalists") across 2 large health systems in the state of Utah to assess current practices, barriers, facilitators, and perceptions toward posthospitalization care transitions for patients with SUDs...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38498625/problem-opioid-use-among-us-military-veterans-prevalence-correlates-and-psychiatric-characteristics
#4
JOURNAL ARTICLE
Peter J Na, Ismene L Petrakis, John H Krystal, Robert H Pietrzak
OBJECTIVE: Problem opioid use (POU) is a serious public health crisis in the United States. However, little research has examined the prevalence, correlates, and psychiatric characteristics of POU in vulnerable segments of the population, such as US military veterans. METHODS: Data were analyzed from the National Health and Resilience in Veterans Study, which surveyed a nationally representative sample of 2441 US veterans. Multivariable logistic regression models were conducted to identify correlates and psychiatric correlates of POU (defined as a positive screen on the Tobacco, Alcohol, Prescription Medication, and Other Substance Use Tool)...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38498621/e-cigarettes-and-youth-the-known-the-unknown-and-implications-for-stakeholders
#5
JOURNAL ARTICLE
Luba Yammine, Maria Tovar, Nastassia Anna Yammine, Cabrina Becker, Michael F Weaver
Despite the decline in the prevalence of e-cigarette use among youth during the coronavirus disease 2019 pandemic, more than 2.5 million of US high and middle schoolers are still using e-cigarettes. Furthermore, those who use e-cigarettes are starting at a younger age and are using them more intensely, reflecting, at least in part, a high addiction liability of modern e-cigarettes. Beyond addiction, accumulating evidence suggests that, in the short-term, e-cigarettes are associated with cardiovascular and pulmonary effects, whereas the long-term effects of e-cigarette use are yet to be established...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38498620/patients-perspectives-on-discontinuing-buprenorphine-for-the-treatment-of-opioid-use-disorder
#6
JOURNAL ARTICLE
Jessica J Wyse, Alison Eckhardt, Dylan Waller, Adam J Gordon, Sarah Shull, Travis I Lovejoy, Katherine Mackey, Benjamin J Morasco
OBJECTIVES: Buprenorphine and other medications for opioid use disorder (OUD) are recommended as standard of care in the treatment of OUD and are associated with positive health and addiction-related outcomes. Despite benefits, discontinuation is common, with half of patients discontinuing in the first year of treatment. Addressing OUD is a major clinical priority, yet little is known about the causes of medication discontinuation from the patient perspective. METHODS: From March 2021 to April 2022, we conducted qualitative interviews with patients who had discontinued buprenorphine for the treatment of OUD within the past 12 months...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38498619/a-clinical-guide-to-support-the-implementation-of-addiction-consult-services-and-the-value-of-teaching-and-technical-assistance
#7
JOURNAL ARTICLE
Sarah Fielman, Jennifer McNeely, Amy Fitzpatrick, Todd Kerensky, Mary Tomanovich, Alexander Y Walley, Sarah Kosakowski, Carla King, Noa Appleton, Zoe M Weinstein
People with substance use disorders (SUDs) are increasingly admitted to general hospitals; however, many hospital systems lack both formal structures and skilled staff to provide high-quality care for inpatients with SUDs. Inpatient addiction consult services (ACSs), which are increasingly being implemented around the country, are an evidence-based strategy to add focused care for people with SUDs into the general medical setting. In 2018, New York City Health + Hospitals (H + H) launched an ACS program called Consult for Addiction Care and Treatment in Hospitals in six hospitals, supported by a team of addiction consult experts to deliver teaching and technical assistance (TTA) for the Consult for Addiction Care and Treatment in Hospitals ACSs...
March 18, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38452185/contemporary-management-and-outcomes-of-veterans-hospitalized-with-alcohol-withdrawal-a-multicenter-retrospective-cohort-study
#8
JOURNAL ARTICLE
Matthew V Ronan, Kirsha S Gordon, Melissa Skanderson, Michael Krug, Patrick Godwin, Daniel Heppe, Matthew Hoegh, Joel C Boggan, Jeydith Gutierrez, Peter Kaboli, Micah Pescetto, Michelle Guidry, Peter Caldwell, Christine Mitchell, Erik Ehlers, Nazima Allaudeen, Jessica Cyr, Andrea Smeraglio, Peter Yarbrough, Richard Rose, Anand Jagannath, Jaclyn Vargas, Paul B Cornia, Meghna Shah, Matthew Tuck, Cherinne Arundel, James Laudate, Joel Elzweig, Benjamin Rodwin, Joyce Akwe, Meredith Trubitt, Craig G Gunderson
OBJECTIVES: Few studies describe contemporary alcohol withdrawal management in hospitalized settings or review current practices considering the guidelines by the American Society of Addiction Medicine (ASAM). METHODS: We conducted a retrospective cohort study of patients hospitalized with alcohol withdrawal on medical or surgical wards in 19 Veteran Health Administration (VHA) hospitals between October 1, 2018, and September 30, 2019. Demographic and comorbidity data were obtained from the Veteran Health Administration Corporate Data Warehouse...
March 7, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38446860/impact-of-nicotine-replacement-therapy-sampling-on-cessation-related-processes
#9
JOURNAL ARTICLE
Michelle L Sisson, Jamie M Gajos, Caitlin Wolford-Clevenger, Keith R Chichester, Elizabeth S Hawes, Samantha V Hill, Richard C Shelton, Peter S Hendricks, Michael S Businelle, Matthew J Carpenter, Karen L Cropsey
OBJECTIVES: Smoking prevalence remains high among low-income smokers. Understanding processes (eg, withdrawal, craving, motivation) in early smoking cessation is crucially important for designing effective interventions for this population. METHODS: This is a secondary analysis of a novel, in-session sampling intervention (ie, In Vivo) as compared with standard care behavioral smoking cessation counseling (SC) among community-dwelling low-income smokers (n = 83)...
March 6, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38446859/a-quantitative-examination-of-illness-models-among-people-with-opioid-use-disorder-receiving-methadone-treatment
#10
JOURNAL ARTICLE
Marina Gaeta Gazzola, Iain D Carmichael, Emma Thompson, Mark Beitel, Lynn M Madden, Gul Saeed, Kim Hoffman, Muhammad Hammouri, Connie Hsaio, Declan T Barry
BACKGROUND: Few studies have examined illness models among people with addiction. We investigated illness models and their associations with demographics and treatment beliefs among patients receiving methadone treatment for opioid use disorder. METHODS: From January 2019 to February 2020, patients receiving methadone treatment at outpatient opioid treatment programs provided demographics and rated using 1 to 7 Likert-type scales agreement with addiction illness models (brain disease model, chronic medical condition model [CMCM], and no explanation [NEM]) and treatment beliefs...
March 6, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38441236/prevalence-of-kratom-use-disorder-among-kratom-consumers
#11
JOURNAL ARTICLE
Katherine Hill, Oliver Grundmann, Kirsten E Smith, Corneliu N Stanciu
OBJECTIVES: Kratom leaf products are increasingly consumed in the United States, with many consumers reporting they experience beneficial effects from kratom use. However, there is a growing concern for kratom's potential to result in dependence when used regularly. As such, we sought to assess, using Diagnostic and Statistical Manual of Mental Disorders, (DSM-5), diagnostic criteria for substance use disorder, the prevalence of "kratom use disorder" (KUD) among kratom consumers. METHODS: Our cross-sectional study used an online, anonymous survey between February and May 2023...
March 5, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38426533/a-nationwide-survey-study-of-recovery-community-centers-supporting-people-in-recovery-from-substance-use-disorder
#12
JOURNAL ARTICLE
Bettina B Hoeppner, Hazel V Simpson, Catherine Weerts, Marion J Riggs, Alivia C Williamson, Diadora Finley-Abboud, Lauren A Hoffman, Philip X Rutherford, Patty McCarthy, Julia Ojeda, Amy A Mericle, Vinod Rao, Brandon G Bergman, Akosua B Dankwah, John F Kelly
OBJECTIVE: The medical community has become aware of its role in contributing to the opioid epidemic and must be part of its resolution. Recovery community centers (RCCs) represent a new underused component of recovery support. METHODS: This study performed an online national survey of all RCCs identified in the United States, and used US Census ZIP code tabulation area data to describe the communities they serve. RESULTS: Residents of areas with RCCs were more likely to be Black (16...
March 1, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38421021/temporal-trends-in-methamphetamine-use-in-patients-admitted-to-the-hospital-a-retrospective-cohort-study
#13
JOURNAL ARTICLE
Daniel J Suto, Jessica Xiao, Amy L Bellinghausen, Mazen Odish, Daniel A Sweeney, Gabriel Wardi, Robert L Owens
OBJECTIVES: Although methamphetamine use is common, the scope of methamphetamine use and outcomes for patients admitted to the hospital is unclear. This study aims to identify the prevalence of methamphetamine use from January 2012 to January 2022, coingestions, hospital course, and readmission rate of admitted patients. METHODS: This was a retrospective cohort study conducted on patients admitted to our center with the following inclusions: age older than 18 years, positive/"pending confirm" value for methamphetamine on urine drug screen, and/or an International Classification of Diseases, Tenth Revision, code related to stimulant use disorder as an active issue...
February 29, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38408186/global-and-regional-burden-and-trend-of-neoplasms-attributable-to-alcohol-consumption-in-the-past-3-decades
#14
JOURNAL ARTICLE
Hui-Wen Song, Jin-Hua Ge, Bi-Xia Xie, Mei-Ting Jiang, Jin-Shui Pan
OBJECTIVES: To provide valuable insights for targeted cancer screening among high-risk patients, we analyzed the global and regional burden of neoplasms resulting from alcohol consumption between 1990 and 2019. METHODS: The information used in this study was collected from the Global Burden of Disease 2019 dataset. Initially, the database was used to extract details of mortality rates, disability-adjusted life years (DALYs), and the number of individuals affected by alcohol-related neoplasms (ARNs)...
February 26, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38385548/-the-only-reason-i-am-willing-to-do-it-at-all-evaluation-of-va-s-supporting-primary-care-providers-in-opioid-risk-reduction-and-treatment-support-center
#15
JOURNAL ARTICLE
Emily C Williams, Madeline C Frost, Anissa N Danner, Aline M K Lott, Carol E Achtmeyer, Carly L Hood, Carol A Malte, Andrew J Saxon, Eric J Hawkins
OBJECTIVES: Medication treatment for opioid use disorder (MOUD) is effective and recommended for outpatient settings. We implemented and evaluated the SUpporting Primary care Providers in Opioid Risk reduction and Treatment (SUPPORT) Center-a quality improvement partnership to implement stepped care for MOUD in 2 Veterans Health Administration (VA) primary care (PC) clinics. METHODS: SUPPORT provided a dedicated clinical team (nurse practitioner prescriber and social worker) and stepped care ([1] identification, assessment, referral; [2] MOUD induction; [3] stabilization; and [4] maintenance supporting PC providers [PCPs] to initiate and/or sustain treatment) coupled with ongoing internal facilitation (consultation, trainings, informatics support)...
February 22, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38357999/a-brief-screening-tool-for-risk-of-self-medication-of-pain-with-substance-use
#16
JOURNAL ARTICLE
Nicholas J Bush, Erin Ferguson, Emily Zale, Jeff Boissoneault
OBJECTIVES: Substance use and pain are both growing public health concerns globally. Evidence suggests that individuals may use substances in order to self-medicate their pain. The Catastrophizing, Anxiety, Negative Urgency, and Expectancy model was developed to provide a theoretical foundation for the modifiable risk factors implicated in self-medication of pain with substance use. This study aimed to use the outcomes in the Catastrophizing, Anxiety, Negative Urgency, and Expectancy model to develop a brief clinical screening tool to identify individuals at risk for self-medication...
February 14, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38354121/case-series-of-individuals-treated-with-naltrexone-during-pregnancy-for-opioid-and-or-alcohol-use-disorder
#17
JOURNAL ARTICLE
Elisha M Wachman, Kelley Saia, Jonathan Bressler, Martha Werler, Ginny Carter, Hendree E Jones
OBJECTIVE: There is a lack of knowledge about the relative safety and efficacy of naltrexone for the treatment of pregnant individuals with opioid and/or alcohol use disorder, including the range of outcomes, in both the pregnant individual and the infant, over the course of peripartum period. Our objective was to describe these outcomes in a cohort of pregnant individuals on naltrexone. METHODS: In this prospective case series, 7 pregnant individuals with opioid use disorder (OUD) or alcohol use disorder (AUD) treated with naltrexone were followed from pregnancy through 12 months after delivery...
February 14, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38345239/north-carolina-medicaid-system-perspectives-on-substance-use-disorder-treatment-policy-changes-during-the-covid-19-pandemic
#18
JOURNAL ARTICLE
Phillip M Hughes, Caleb W Easterly, Kathleen C Thomas, Christopher M Shea, Marisa Elena Domino
OBJECTIVE: This study aimed to describe perspectives from stakeholders involved in the Medicaid system in North Carolina regarding substance use disorder (SUD) treatment policy changes during the coronavirus disease 2019 pandemic. METHODS: We conducted semistructured interviews in early 2022 with state agency representatives, Medicaid managed care organizations, and Medicaid providers (n = 22) as well as 3 focus groups of Medicaid beneficiaries with SUD (n = 14)...
February 12, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38345233/treatment-of-gamma-hydroxybutyrate-withdrawal-in-a-pregnant-female-a-case-report
#19
JOURNAL ARTICLE
Shannon Joyce, Sarah Lea, Megan Woolner, Amanda Leddy
BACKGROUND: Gamma hydroxybutyrate (GHB) is used illicitly for its sedative hypnotic effects, and those who take it regularly are at risk of developing a substance use disorder. Withdrawal from GHB can include severe symptoms that may require medical management. For GHB use and withdrawal during pregnancy, there are no evidence- or practice-based guidelines to follow, and there is only minimal research literature. CASE SUMMARY: We present the case of a 32-year-old woman, G1P0 at 29 weeks and 6 days of gestation, admitted to the perinatal unit at a tertiary hospital for GHB withdrawal management and stabilization...
February 12, 2024: Journal of Addiction Medicine
https://read.qxmd.com/read/38345228/the-devil-s-in-the-depot-details-case-of-iatrogenic-opioid-intoxication-after-buprenorphine-injection-requiring-surgical-excision
#20
JOURNAL ARTICLE
Simone Vais, Nichole Starr, Maria Castro, Nathan Brand, Alexander Murphy, Ronald Tesoriero, Irina Kryzhanovskaya
Monthly long-acting injectable buprenorphine (LAI-BUP) is a treatment option for moderate to severe opioid use disorder. Safe administration of LAI-BUP requires preexisting opioid tolerance to prevent sedation and respiratory depression. In the event of adverse medication effects including oversedation, LAI-BUP can be surgically excised up to 14 days after administration (https://www.sublocadehcp.com/dosing-administration). However, the manufacturer does not provide guidance on the proper procedure for excision, and no case reports have been published documenting this procedure...
February 12, 2024: Journal of Addiction Medicine
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