Learn More
BACKGROUND The increased incidence of alcohol use disorders (AUD) after bariatric surgery has been proposed despite limited empirical support. We sought to determine the prevalence of current and lifetime AUD and other Axis I diagnoses in patients who have undergone bariatric surgery, and to test the hypothesis that greater weight loss is associated with a(More)
BACKGROUND Fentanyl and non-pharmaceutical fentanyls (NPFs) have been responsible for numerous outbreaks of overdoses all over the United States since the 1970s. However, there has been a growing concern in recent years that NPFs are contributing to an alarming rise in the number of opioid-related overdoses. METHODS The authors conducted a narrative(More)
BACKGROUND Opioid use disorders are a growing public health problem in the United States. Most women who are opioid-dependent are of childbearing age, and management of opioid dependence during pregnancy poses unique challenges. Assessment includes evaluation for addiction, withdrawal syndromes, and comorbid psychiatric diagnoses. Consultation-liaison (C-L)(More)
BACKGROUND A new class of synthetic hallucinogens called NBOMe has emerged as drugs of abuse. OBJECTIVE Our aim was to conduct a systematic review of published reports of toxicities associated with NBOMe ingestion. METHODS We searched PubMed for relevant English-language citations that described adverse effects from analytically confirmed human NBOMe(More)
BACKGROUND AND OBJECTIVES Opioid dependent patients are hospitalized frequently. We aimed to determine if initiation of buprenorphine treatment during hospitalization facilitates entry into treatment following discharge. METHODS Retrospective case series (n = 47). RESULTS Twenty-two (46.8%) patients successfully initiated buprenorphine treatment within(More)
OBJECTIVE To implement a collaborative care management program with buprenorphine in a primary care clinic. DESIGN Prospective observational study. SETTING A busy urban academic primary care clinic affiliated with a tertiary care hospital. PARTICIPANTS Opioid-dependent patients or patients with chronic pain using opioids nonmedically were recruited(More)
BACKGROUND Shared medical appointments (SMAs) are designed to improve patient satisfaction and increase access to treatment. In a typical SMA, 6-12 patients with similar diagnoses attend a group appointment with their health care providers, often lasting 60-120 minutes. All components of an individual visit are completed, and additional time is spent(More)