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Authors: Soledad Cepeda, M.D.,Ph.D., Daniel B. Carr

1. Content and Objectives

  • Assessment of patients with chronic pain

  • Controversies about opioid use in patients with chronic non-malignant pain

  • Risk factors for poor opioid response in chronic non-malignant pain syndromes

  • Role of the multidisciplinary approach for pain treatment

2. Required Readings

  • Chapter 11. In: Cepeda MS, Cousins MJ, Carr DB. Fast Facts: Chronic Pain. Oxford: Health Press; 2007. (Required text)

  • Haddox DJ, Bonica JJ. Evolution of the specialty of pain medicine and the multidisciplinary approach to pain. In Cousins MJ, Bridenbaugh. Neural Blockade in Clinical Anesthesia and Management of Pain. Third edition. Lippincott-Raven. 1998. Chapter 33. Pages 1113-1134.

  • Weissman DE, Haddox DJ. Opioid pseudoaddiction--an iatrogenic syndrome. Pain 1989:36:363-366.

  • Eisenberg E, McNicol ED, Carr DB. Efficacy and safety of opioid agonists in the treatment of neuropathic pain of nonmalignant origin: systematic review and meta-analysis of randomized controlled trials. JAMA 2005;293:3043-3052.

  • Goodwin J, Bajwa ZH. Evaluating the patient with chronic pain. In Warfield CA, Bajwa ZH. Principles and Practice of Pain Management. McGraw-Hill, 2004 Chapter 6. Pages 61-68.

  • Wittink H, Goudas LC, Strassels S, Carr DB. Outcome measurements in pain medicine. In Warfield CA, Bajwa ZH. Principles and Practice of Pain Management. McGraw-Hill, 2004 Chapter 7. Pages 69-82.