The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index.
Definitions related to the medical use of opioids: Evolution towards universal agreement
Open accessAbstract
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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“Addiction is a chronic relapsing disease with a neurological basis (13, 14).”
From Craving in Opioid Use Disorder: From Neurobiology to Clinical Practice (2019) · cites this paper as [13]
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
Diagnostic and Statistical Manual of Mental Disorders
&NA; (1988) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-198802020-00022 · Cited by 12,603
Drug Addiction, Dysregulation of Reward, and Allostasis
Koob, G. (2001) · Neuropsychopharmacology · doi:10.1016/s0893-133x(00)00195-0 · Cited by 2,953
Drug Dependence, a Chronic Medical Illness
McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000) · JAMA · doi:10.1001/jama.284.13.1689 · Cited by 2,622
The NIMH Epidemiologic Catchment Area Program
Regier, D. A. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210016003 · Cited by 1,257
Addiction Rare in Patients Treated with Narcotics
(1980) · New England Journal of Medicine · doi:10.1056/nejm198001103020221 · Cited by 1,106
Undertreatment of Medical Inpatients with Narcotic Analgesics
MARKS, R. M., & SACHAR, E. J. (1973) · Annals of Internal Medicine · doi:10.7326/0003-4819-78-2-173 · Cited by 1,103
Piazza, P. V., & Le Moal, M. (1996) · Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev.pa.36.040196.002043 · Cited by 690
Opioid pseudoaddiction — an iatrogenic syndrome
Weissman, D. E., & Haddox, J. D. (1989) · Pain · doi:10.1016/0304-3959(89)90097-3 · Cited by 644
Opioid therapy for chronic nonmalignant pain: a review of the critical issues
Portenoy, R. K. (1996) · Journal of Pain and Symptom Management · doi:10.1016/0885-3924(95)00187-5 · Cited by 532
Research works printed but not linked: 3
- Joranson, 1997, Is methadone maintenance the last resort for some chronic pain patients?, Amer Pain Soc Bull, 7, 1
- 2001, Federal Register, 66, 4075
- Passik, 1998, Substance abuse issues in cancer patients, Oncology, 12, 729
Cited by
Sorted by citations
Items 201–219 of 219
Problem e der medikamentösen Therapie
Lütz, J., & Glier, B. (2016) · Springer eBooks · doi:10.1007/978-3-662-50512-0_22
Integrative Approaches to the Management of Chronic Pain and Substance Abuse
Pujol, L. M., Herbert, B., GEPPERT, C. M. A., & Cardon, K. E. (2018) · Oxford University Press eBooks · doi:10.1093/med/9780190275334.003.0030
Issues Associated with Opioid Use
Issa, M., Celestin, J., & Wasan, A. D. (2013) · Elsevier eBooks · doi:10.1016/b978-0-323-08340-9.00051-7
Kharat, A. A. (2018) · UNM’s Digital Repository (University of New Mexico)
From painkiller to killer: the ‘oxy’ case
van Dijk, C. V. (2019) · Journal of ISAKOS · doi:10.1136/jisakos-2019-000342
Covington, E. C., & Bailey, J. A. (2013) · Elsevier eBooks · doi:10.1016/b978-0-323-08340-9.00050-5
Self-citationOpioids for Secondary Generalized Hyperhidrosis Associated with Renal Cell Carcinoma
Fujita, T., Ito, H., & Watanabe, H. (2020) · Palliative Care Research · doi:10.2512/jspm.15.355
Cancer Pain Management in Low-Resource Settings
Yazdani, S., & Abdi, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-67123-5_67
Schmerztherapie bei Suchtkranken
Jage, J. (2007) · Springer eBooks · doi:10.1007/978-3-540-49663-2_27
Schmerztherapie bei Suchtkranken
Jage, J. (2014) · Springer eBooks · doi:10.1007/978-3-642-54670-9_30-1
Jage, J. (2011) · Springer eBooks · doi:10.1007/978-3-642-12819-6_30
Read, S., & Eckert, J. M. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1818-8_13
Sickle cell disease: causes, treatments and the patient experience
Spurway, A., George, S., Thompson, C., Weeks, S., & Teo, X. Y. (2024) · Pharmaceutical journal/The pharmaceutical journal · doi:10.1211/pj.2023.1.205570
Managing Pain in Patients on Long-Term Opioids
Sandbrink, F. (2024) · Oxford University Press eBooks · doi:10.1093/med/9780197649176.003.0031
Sani, A. R. A., & Zin, C. S. (2024) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2024.2387602
Balancing Opioid Benefit and Risk for Subacute or Chronic Non-Cancer Pain
Strassels, S. A., & Carr, D. B. (2025) · doi:10.1093/med/9780197681541.003.0019
Non-procedural Interventions for Chronic Pain
Brown, A., Bautista, A., Chastain, D. C., DeMessa, C., Doshi, T. L., Friedrich, J. M., Hooten, W. M., Issa, M., Urban, L., & Kohan, L. R. (2025) · Springer eBooks · doi:10.1007/978-3-031-88357-6_5
Use of Opioids in Chronic Pain Management
Nagpal, A., Kalajian, T. A., Boies, B. T., Musa, H., Chovatiya, R., & Votta‐Velis, G. (2025) · Springer eBooks · doi:10.1007/978-3-031-88357-6_6
Rhodin, A. (2010) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Metadata
- 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.
- 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)
- 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
- 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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