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https://www.rpr.lib.ok.us/taxonomy/term/6714/all en https://www.rpr.lib.ok.us/resource/creation-algorithm-clinical-decision-support-treatment-opioid-use-disorder-buprenorphine <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2021-03-03T00:00:00-06:00">March 3, 2021</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">Addiction Science and Clinical Practice</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2021-02-19T00:00:00-06:00">February 19, 2021</span></div> </div> </div> <div class="field field-name-field-artifact-issue field-type-text field-label-inline clearfix"> <div class="field-label">Issue:&nbsp;</div> <div class="field-items"> <div class="field-item even">12</div> </div> </div> <div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix"> <div class="field-label">Volume:&nbsp;</div> <div class="field-items"> <div class="field-item even">16</div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://pubmed.ncbi.nlm.nih.gov/33608060/" target="_blank">Creation of an algorithm for clinical decision support for treatment of opioid use disorder with buprenorphine in primary care</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Practice Management Reviews and Guidelines, Practice Management Research Results</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">10.1186/s13722-021-00222-0</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/riseok" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">RISEOK</a></div> <div class="field-item odd"><a href="/tags/opioids" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opioids</a></div> <div class="field-item even"><a href="/tags/long-term-opioids" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">long-term opioids</a></div> <div class="field-item odd"><a href="/tags/opioid-use-disorder-0" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Opioid Use Disorder</a></div> <div class="field-item even"><a href="/tags/elderly" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">elderly</a></div> <div class="field-item odd"><a href="/tags/buprenorphine" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Buprenorphine</a></div> <div class="field-item even"><a href="/tags/clinical-decision-support" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Clinical decision support</a></div> <div class="field-item odd"><a href="/tags/measurement-based-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Measurement based care</a></div> </div> </div> <div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix"> <div class="field-label">PMID (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">33608060</div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/physicians-primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">physicians, primary care</a></div> <div class="field-item odd"><a href="/mesh/opioid-related-disorders" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opioid-related disorders</a></div> <div class="field-item even"><a href="/mesh/medication-adherence" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Medication Adherence</a></div> <div class="field-item odd"><a href="/mesh/opiate-substitution-treatment" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Opiate Substitution Treatment</a></div> <div class="field-item even"><a href="/mesh/aged" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">aged</a></div> <div class="field-item odd"><a href="/mesh/buprenorphine" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Buprenorphine</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p> A potentially useful algorithm for identifying and managing patients with opioid use disorders.  James W. Mold, MD,. MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Free full text</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-72757bc35f72b0d23bf68a7f64322941"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://pubmed.ncbi.nlm.nih.gov/33608060/" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p><strong>Background: </strong>The treatment capacity for opioid use disorder (OUD) lags far behind the number of patients in need of treatment. Capacity is limited, in part, by the limited number of physicians who offer office based OUD treatment with buprenorphine. Measurement based care (MBC) has been proposed as a means to support primary care physicians in treating OUD. Here, we propose a set of measures and a clinical decision support algorithm to provide MBC for the treatment of OUD.</p> <p><strong>Methods: </strong>We utilized literature search and expert consensus to identify measures for universal screening and symptom tracking. We used expert consensus to create the clinical decision support algorithm.</p> <p><strong>Results: </strong>The Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) tool was selected as the best published measure for universal screening in primary care. No published measure was identified as appropriate for symptom tracking or medication adherence; therefore, we created the OUD Symptom Checklist from the DSM-5 criteria for OUD and the Patient Adherence Questionnaire for Opioid Use Disorder Treatment (PAQ-OUD) to assess medication adherence. We developed and present a clinical decision support algorithm to provide direct guidance regarding treatment interventions during the first 12 weeks of buprenorphine treatment.</p> <p><strong>Conclusion: </strong>Creation of these tools is the necessary first step for implementation of MBC for the treatment of OUD with buprenorphine in primary care. Further work is needed to test the feasibility and acceptability of these tools. Trial Registration ClinicalTrials.gov; <a href="http://clinicaltrials.gov/show/NCT04059016" title="See in ClinicalTrials.gov">NCT04059016</a>; 16 August 2019; retrospectively registered; <a href="https://clinicaltrials.gov/ct2/show/NCT04059016">https://clinicaltrials.gov/ct2/show/NCT04059016</a>.</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Dela Cruz, Adriane M., Walker, Robrina, Pipes, Ronny, Wakhlu, Sidarth, Trivedi, Madhukar H.</div> </div> </div> Wed, 03 Mar 2021 06:00:00 +0000 Devin Evans 1506 at https://www.rpr.lib.ok.us