Cited by 221Opioid Use Disorder TreatmentPain Management and Opioid UseSubstance Abuse Treatment and Outcomes

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Definitions related to the medical use of opioids: Evolution towards universal agreement

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Savage, Seddon R., Joranson, David E., Covington, Edward C., Schnoll, Sidney H., Heit, Howard A., Gilson, Aaron M.·2003·Journal of Pain and Symptom Management

DOI 10.1016/s0885-3924(03)00219-7

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Abstract

Misunderstandings regarding the nature and occurrence of addiction have historically been barriers to the appropriate treatment of pain and have stigmatized the medical use of opioids. This article reviews the evolution of nomenclature related to addiction, presents current scientific understanding of addiction that may help shape universally acceptable terminology, and discusses an integrated effort of pain and addiction professionals to reach consensus on addiction-related terms. The article suggests key principles that may clarify terminology including: clear differentiation of the concepts of addiction and physical dependence, conceptualization of addiction as a multidimensional disease, and use of a label for the phenomenon of addiction that does not include the ambiguous term "dependence." More universal agreement on terminology related to addiction is expected to improve the treatment of both pain and addictive disorders; improve communication between health care providers, regulators, and enforcement agencies; and reduce health care and other societal costs.

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Chronische nichttumor- bedingte Schmerzen Langzeitbehandlung mit schnell freisetzenden und kurz wirksamen Opioiden im Kontext von Missbrauch und Abhängigkeit
Carl, U., & Carus, G. (2013)

Authors: Savage, S. R., Joranson, D. E., Covington, E. C., Schnoll, S. H., Heit, H. A., & Gilson, A. M.
Affiliations: Dartmouth College (US)
Corresponding author: Savage, Seddon R.
ORCID: Savage, Seddon R.
Covington, Edward C.
Gilson, Aaron M.
Venue: Journal of Pain and Symptom Management
Publisher: Elsevier BV
Published: 2003-07
Volume: 26
Issue: 1
Pages: 655-667
ISSN: 0885-3924 (ISSN-L)
DOI: 10.1016/s0885-3924(03)00219-7
OpenAlex: W2041342242
Cited by: 221
References: 58
Citations by year: 2025: 4 · 2024: 6 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 6 · 2019: 6 · 2018: 12 · 2017: 8 · 2016: 11 · 2015: 9 · 2014: 13 · 2013: 16 · 2012: 10
FWCI: 1.83
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6040 d)
Locations: Journal of Pain and Symptom Management (publishedVersion)
PubMed (publishedVersion)
Funders: Pfizer Pharmaceuticals
United States Drug Enforcement Administration
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: addiction, physical dependence, pain management, opioid use disorder, stigma
MeSH terms: Analgesics, Opioid, Humans, Opioid-Related Disorders, Terminology as Topic, Pain, Consensus

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Definitions related to the medical use of opioids: Evolution towards universal agreement

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