Impact of Mandated Case Review Policy on Opioid Discontinuation and Mortality Among High-Risk Long-Term Opioid Therapy Patients: The STORM Stepped-Wedge Cluster Randomized Controlled Trial.
Yufei LiKyle D BarrJodie A TraftonElizabeth M OlivaMelissa M GarridoAustin B FraktKiersten L StrombotnePublished in: Substance abuse (2023)
The VHA mandated case review policy was associated with lower probability of discontinuation and all-cause mortality for high-risk patients receiving LTOT. Interventions that maintain care engagement while optimizing pain management for high-risk patients may be beneficial for minimizing mortality and other risks associated with discontinuation.
Keyphrases
- pain management
- end stage renal disease
- healthcare
- chronic kidney disease
- chronic pain
- ejection fraction
- newly diagnosed
- public health
- prognostic factors
- mental health
- peritoneal dialysis
- randomized controlled trial
- palliative care
- stem cells
- risk factors
- cardiovascular disease
- risk assessment
- social media
- mesenchymal stem cells
- cell therapy