{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:41:20Z","timestamp":1792017680507,"version":"4.4.0"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to comprehensively describe patient experiences with opioid\u2010related transitions (OrTs) and identify modifiable gaps in care to improve pain management for individuals with rheumatic disease (RD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a qualitative descriptive study with 20 participants with RD who had used prescribed opioids in the past year. Semistructured interviews were analyzed using conventional content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified four themes. The first, \u201cmanaging together, deciding alone,\u201d included the following subthemes: (a) clinician guidance in opioid use decision\u2010making, (b) family involvement in opioid decision\u2010making and advocacy, (c) self\u2010directed opioid use strategies, and (d) risk\u2010reduction strategies to prevent opioid addiction, dependence, and tolerance. The second, \u201cturbulence of opioid medication changes,\u201d included the following subthemes: (a) evolving and dynamic opioid regimens, (b) disrupted access to opioid medications, and (c) the toll of opioid medication changes. The third, \u201ctransitions across opioid prescribers,\u201d included the following subthemes: (a) context of opioid prescriber changes, (b) drivers of opioid prescriber changes, (c) navigating opioid prescriber changes, and (d) reassurance of trusting relationships during opioid prescriber changes. The fourth, \u201copioid transitions across care settings,\u201d included the following subthemes: (a) shifts in opioid management across care settings, (b) home to hospital transitions: delayed access and needed advocacy, and (c) hospital to home transitions: adequacy, engagement, and unmet needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with RD frequently experience OrTs across multiple clinicians and care settings. Findings highlight the complexity, risks, patient burden, and suboptimal outcomes associated with these transitions and underscore the need for improved care coordination and innovative support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr.80130","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T06:53:34Z","timestamp":1785912814000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Opioid\u2010Related Transition Experiences of Patients With Rheumatic Disease: A Qualitative Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5892-0377","authenticated-orcid":false,"given":"Lisa","family":"Carnago","sequence":"first","affiliation":[{"name":"Duke University School of Nursing  Durham North Carolina"},{"name":"Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolu O.","family":"Oyesanya","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jamie","family":"Lim","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham North Carolina"},{"name":"Duke University School of Medicine  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A.","family":"Paice","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell R.","family":"Knisely","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.25104"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rdc.2020.12.004"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr2.11488"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-025-03870-0"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOR.0000000000000868"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0282536"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24596"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ero.2025.06.010"},{"key":"e_1_2_7_10_1","unstructured":"Agency for Healthcare Research and Quality.Chartbook on care coordination.June 2018. 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