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Hospitalists may withhold opioids for acute pain due to a variety of reasons. However, adequate pain management in patients with opioid use disorder, including with opioids, is the standard of care. This piece explains how to best manage acute pain in hospitalized patients with opioid use disorder with supportive evidence and discharge planning considerations.<\/jats:p>","DOI":"10.1002\/jhm.70295","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T21:12:03Z","timestamp":1773004323000},"page":"928-931","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Things We Do for No Reason\u2122: Withholding opioids among patients with acute pain and opioid use disorder"],"prefix":"10.1002","volume":"21","author":[{"given":"Anna\u2010Maria","family":"South","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Hospital Medicine University of Kentucky, College of Medicine Lexington Kentucky USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan L.","family":"Calcaterra","sequence":"additional","affiliation":[{"name":"Department of Medicine, Divisions of General Internal Medicine and Hospital Medicine University of Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlene","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Hospital Medicine San Francisco General Hospital and the University of California San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.2980"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.105852"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2019.1671942"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.12893"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-144-2-200601170-00010"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.12788\/jhm.3265"},{"key":"e_1_2_8_8_1","unstructured":"Code of Federal Regulations. \u00a7 1306.07 Administering or dispensing of narcotic drugs. 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