Long-term opioid use in curative-intent radiotherapy: One-Year outcomes in head/neck cancer patients

Leif Erik D. Schumacher, Zoukaa B. Sargi, Melissa Masforroll, Deukwoo Kwon, Wei Zhao, Maria A. Rueda-Lara, Laura M. Freedman, Nagy Elsayyad, Stuart E. Samuels, Matthew C. Abramowitz, Michael A. Samuels

Research output: Contribution to journalArticle

Abstract

Background: No study has determined the incidence of long-term opioid use, or risk factors for long-term use, ≥1 year after radiotherapy. Methods: Medical records of 276 head/neck cancer patients were retrospectively assessed for persistent opioid use 1-year after curative-intent radiotherapy. Numerous potential risk factors were assessed and the physicians' documented reasons for continued use were qualitatively categorized as suspected opioid use disorder (OUD) or as medically indicated for control of ongoing pain. Results: Of note, 20 of 276 patients continued using opioids long-term. High maximum opioid dose and the use of opioids and/or psychotropics/non-opioid analgesics at the radiation oncology intake visit were associated with this outcome. Three patients continued due to suspected OUD and 17 due to medical indications. Conclusion: Of note, 7.2% of patients developed long-term opioid use, which was associated with high maximum opioid dose and early initiation of opioids and/or psychotropics/non-opioid analgesics. Physicians cited medical indications as the primary reason for continued use.

Original languageEnglish (US)
JournalHead and Neck
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Head and Neck Neoplasms
Opioid Analgesics
Radiotherapy
Analgesics
Physicians
Radiation Oncology
Medical Records
Pain
Incidence

Keywords

  • abuse
  • cancer
  • curative
  • long-term
  • opioid

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Schumacher, L. E. D., Sargi, Z. B., Masforroll, M., Kwon, D., Zhao, W., Rueda-Lara, M. A., ... Samuels, M. A. (Accepted/In press). Long-term opioid use in curative-intent radiotherapy: One-Year outcomes in head/neck cancer patients. Head and Neck. https://doi.org/10.1002/hed.26034

Long-term opioid use in curative-intent radiotherapy : One-Year outcomes in head/neck cancer patients. / Schumacher, Leif Erik D.; Sargi, Zoukaa B.; Masforroll, Melissa; Kwon, Deukwoo; Zhao, Wei; Rueda-Lara, Maria A.; Freedman, Laura M.; Elsayyad, Nagy; Samuels, Stuart E.; Abramowitz, Matthew C.; Samuels, Michael A.

In: Head and Neck, 01.01.2019.

Research output: Contribution to journalArticle

Schumacher, LED, Sargi, ZB, Masforroll, M, Kwon, D, Zhao, W, Rueda-Lara, MA, Freedman, LM, Elsayyad, N, Samuels, SE, Abramowitz, MC & Samuels, MA 2019, 'Long-term opioid use in curative-intent radiotherapy: One-Year outcomes in head/neck cancer patients', Head and Neck. https://doi.org/10.1002/hed.26034
Schumacher, Leif Erik D. ; Sargi, Zoukaa B. ; Masforroll, Melissa ; Kwon, Deukwoo ; Zhao, Wei ; Rueda-Lara, Maria A. ; Freedman, Laura M. ; Elsayyad, Nagy ; Samuels, Stuart E. ; Abramowitz, Matthew C. ; Samuels, Michael A. / Long-term opioid use in curative-intent radiotherapy : One-Year outcomes in head/neck cancer patients. In: Head and Neck. 2019.
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