{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:38:17Z","timestamp":1790699897967,"version":"4.1.0"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T00:00:00Z","timestamp":1738627200000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Care Innovation and Community Improvement Program through the Ohio State University Wexner Medical Center"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Clinical decisions surrounding cancer care can be complicated by co-occurring substance use disorders (SUDs), particularly with respect to pain management and cancer treatment safety. Yet, few studies have examined oncology teams\u2019 experiences treating patients with co-occurring cancer and SUDs. We therefore sought to understand the perspectives of oncology team providers regarding the challenges they face when caring for patients with cancer and SUDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a qualitative study to understand the experiences of clinicians who have provided cancer care to patients with concurrent SUD. Questions about substances used focused mainly on non-prescribed opioids and stimulants. Individual interviews were conducted in March\u2013July 2023 by telephone or videoconference, recorded, transcribed verbatim, and analyzed rigorously using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty-seven individuals were interviewed (15 physicians, 8 advanced practice providers, 2 registered nurses, and 2 social workers). Specialties included medical oncology, hematology, radiation oncology, and gynecology oncology. We identified four themes representing the challenges oncology teams face when caring for patients with cancer and SUD: (1) patients\u2019 unmet social needs; (2) uncertainty about pain management options; (3) implicit biases about patients with SUDs; and( 4) patients\u2019 active substance use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Oncology teams face many challenges when caring for patients with cancer and SUDs. Understanding these challenges is critical and can both inform the design of interventions for patients with cancer and SUD and guide future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-025-09181-7","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T04:48:11Z","timestamp":1738644491000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Care for patients with cancer and substance use disorders: a qualitative study of oncology team experiences"],"prefix":"10.1007","volume":"33","author":[{"given":"Sachin S.","family":"Kale","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura J.","family":"Rush","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer L.","family":"Eramo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireille","family":"Bitangacha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadie","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devon K.","family":"Check","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie Fitzgerald","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Merlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann Scheck","family":"McAlearney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,2,4]]},"reference":[{"issue":"26","key":"9181_CR1","doi-asserted-by":"publisher","first-page":"2485","DOI":"10.1056\/NEJMp1812850","volume":"379","author":"AW Loren","year":"2018","unstructured":"Loren AW (2018) Harder to treat than leukemia \u2014 opioid use disorder in survivors of cancer. N Engl J Med 379(26):2485\u20132487. https:\/\/doi.org\/10.1056\/NEJMp1812850","journal-title":"N Engl J Med"},{"issue":"12","key":"9181_CR2","doi-asserted-by":"publisher","first-page":"e2143436","DOI":"10.1001\/jamanetworkopen.2021.43436","volume":"4","author":"N Moryl","year":"2021","unstructured":"Moryl N, Malhotra VT (2021) A case for palliative care and addiction specialists collaboration and joint research. JAMA Netw Open 4(12):e2143436. https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.43436","journal-title":"JAMA Netw Open"},{"issue":"4","key":"9181_CR3","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1080\/00952990.2022.2081923","volume":"48","author":"JJ Palamar","year":"2022","unstructured":"Palamar JJ, Cottler LB, Goldberger BA et al (2022) Trends in characteristics of fentanyl-related poisonings in the United States, 2015\u20132021. Am J Drug Alcohol Abuse 48(4):471\u2013480. https:\/\/doi.org\/10.1080\/00952990.2022.2081923","journal-title":"Am J Drug Alcohol Abuse"},{"key":"9181_CR4","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.genhosppsych.2019.04.016","volume":"60","author":"M Yusufov","year":"2019","unstructured":"Yusufov M, Braun IM, Pirl WF (2019) A systematic review of substance use and substance use disorders in patients with cancer. Gen Hosp Psychiatry 60:128\u2013136. https:\/\/doi.org\/10.1016\/j.genhosppsych.2019.04.016","journal-title":"Gen Hosp Psychiatry"},{"issue":"6","key":"9181_CR5","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/j.jpainsymman.2023.02.007","volume":"65","author":"CL Sedney","year":"2023","unstructured":"Sedney CL, Dekeseredy P, Singh SA, Holbein M (2023) Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. J Pain Symptom Manag 65(6):553\u2013561. https:\/\/doi.org\/10.1016\/j.jpainsymman.2023.02.007","journal-title":"J Pain Symptom Manag"},{"issue":"1","key":"9181_CR6","doi-asserted-by":"publisher","first-page":"e004295","DOI":"10.1136\/bmjopen-2013-004295","volume":"4","author":"CK Chang","year":"2014","unstructured":"Chang CK, Hayes RD, Broadbent MTM et al (2014) A cohort study on mental disorders, stage of cancer at diagnosis and subsequent survival. BMJ Open 4(1):e004295. https:\/\/doi.org\/10.1136\/bmjopen-2013-004295","journal-title":"BMJ Open"},{"issue":"3","key":"9181_CR7","doi-asserted-by":"publisher","first-page":"e156","DOI":"10.1016\/j.jpainsymman.2021.05.002","volume":"62","author":"SA Singh","year":"2021","unstructured":"Singh SA, Moreland RA, Fang W et al (2021) Compassion inequities and opioid use disorder: a matched case-control analysis examining inpatient management of cancer-related pain for patients with opioid use disorder. J Pain Symptom Manag 62(3):e156\u2013e163. https:\/\/doi.org\/10.1016\/j.jpainsymman.2021.05.002","journal-title":"J Pain Symptom Manag"},{"issue":"6","key":"9181_CR8","doi-asserted-by":"publisher","first-page":"5835","DOI":"10.3390\/curroncol30060437","volume":"30","author":"H Harsanyi","year":"2023","unstructured":"Harsanyi H, Cuthbert C, Schulte F (2023) The stigma surrounding opioid use as a barrier to cancer-pain management: an overview of experiences with fear, shame, and poorly controlled pain in the context of advanced cancer. Curr Oncol 30(6):5835\u20135848. https:\/\/doi.org\/10.3390\/curroncol30060437","journal-title":"Curr Oncol"},{"issue":"21","key":"9181_CR9","doi-asserted-by":"publisher","first-page":"3338","DOI":"10.1002\/cncr.28861","volume":"120","author":"S Chhatre","year":"2014","unstructured":"Chhatre S, Metzger DS, Malkowicz SB, Woody G, Jayadevappa R (2014) Substance use disorder and its effects on outcomes in men with advanced-stage prostate cancer. Cancer 120(21):3338\u20133345. https:\/\/doi.org\/10.1002\/cncr.28861","journal-title":"Cancer"},{"issue":"2","key":"9181_CR10","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1001\/jamapsychiatry.2013.278","volume":"70","author":"S Kisely","year":"2013","unstructured":"Kisely S, Crowe E, Lawrence D (2013) Cancer-related mortality in people with mental illness. JAMA Psychiat 70(2):209. https:\/\/doi.org\/10.1001\/jamapsychiatry.2013.278","journal-title":"JAMA Psychiat"},{"issue":"1","key":"9181_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3109\/00952990903490758","volume":"36","author":"G Chang","year":"2010","unstructured":"Chang G, Meadows ME, Jones JA, Antin JH, Orav EJ (2010) Substance use and survival after treatment for chronic myelogenous leukemia (CML) or myelodysplastic syndrome (MDS). Am J Drug Alcohol Abuse 36(1):1\u20136. https:\/\/doi.org\/10.3109\/00952990903490758","journal-title":"Am J Drug Alcohol Abuse"},{"key":"9181_CR12","doi-asserted-by":"publisher","unstructured":"Baliga S, Klamer B, Palmer JD et al (2022) Defining the psychiatric and financial burden of mental and substance use disorders in cancer patients. Cancer Med cam4.5548. https:\/\/doi.org\/10.1002\/cam4.5548 (Published online December 19, 2022)","DOI":"10.1002\/cam4.5548"},{"issue":"4","key":"9181_CR13","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1097\/XCS.0000000000000954","volume":"238","author":"ES Katayama","year":"2024","unstructured":"Katayama ES, Woldesenbet S, Munir MM et al (2024) Effect of behavioral health disorders on surgical outcomes in cancer patients. J Am Coll Surg 238(4):625\u2013633. https:\/\/doi.org\/10.1097\/XCS.0000000000000954","journal-title":"J Am Coll Surg"},{"issue":"2","key":"9181_CR14","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/j.jpainsymman.2011.03.009","volume":"43","author":"JW Childers","year":"2012","unstructured":"Childers JW, Arnold RM (2012) \u201cI Feel Uncomfortable \u2018Calling a Patient Out\u2019\u201d: educational needs of palliative medicine fellows in managing opioid misuse. J Pain Symptom Manag 43(2):253\u2013260. https:\/\/doi.org\/10.1016\/j.jpainsymman.2011.03.009","journal-title":"J Pain Symptom Manag"},{"key":"9181_CR15","doi-asserted-by":"publisher","unstructured":"Kale SS, Tosto GD, Rush LJ et al (2024) Creating a palliative care clinic for patients with cancer pain and substance use disorder. J Pain Symptom Manag S0885392424007206. https:\/\/doi.org\/10.1016\/j.jpainsymman.2024.04.011 (Published online April 2024)","DOI":"10.1016\/j.jpainsymman.2024.04.011"},{"issue":"4","key":"9181_CR16","doi-asserted-by":"publisher","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","volume":"52","author":"B Saunders","year":"2018","unstructured":"Saunders B, Sim J, Kingstone T et al (2018) Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant 52(4):1893\u20131907. https:\/\/doi.org\/10.1007\/s11135-017-0574-8","journal-title":"Qual Quant"},{"key":"9181_CR17","doi-asserted-by":"publisher","unstructured":"Willig C, Rogers W, Terry G, (2017) Thematic analysis. In Thematic Analysis.\u00a0SAGE Publications Ltd, pp 17\u201336.\u00a0https:\/\/doi.org\/10.4135\/9781526405555","DOI":"10.4135\/9781526405555"},{"issue":"9","key":"9181_CR18","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","volume":"89","author":"BC O\u2019Brien","year":"2014","unstructured":"O\u2019Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA (2014) Standards for reporting qualitative research: a synthesis of recommendations. Acad Med 89(9):1245\u20131251. https:\/\/doi.org\/10.1097\/ACM.0000000000000388","journal-title":"Acad Med"},{"issue":"1","key":"9181_CR19","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1377\/hlthaff.2015.0830","volume":"35","author":"MP Banegas","year":"2016","unstructured":"Banegas MP, Guy GP, De Moor JS et al (2016) For working-age cancer survivors, medical debt and bankruptcy create financial hardships. Health Aff (Millwood) 35(1):54\u201361. https:\/\/doi.org\/10.1377\/hlthaff.2015.0830","journal-title":"Health Aff (Millwood)"},{"key":"9181_CR20","doi-asserted-by":"publisher","unstructured":"Baptiste-Roberts K, Hossain M (2018) Socioeconomic disparities and self-reported substance abuse-related problems. Addict Health 10(2). https:\/\/doi.org\/10.22122\/ahj.v10i2.561","DOI":"10.22122\/ahj.v10i2.561"},{"key":"9181_CR21","doi-asserted-by":"publisher","first-page":"108127","DOI":"10.1016\/j.drugalcdep.2020.108127","volume":"214","author":"J Van Draanen","year":"2020","unstructured":"Van Draanen J, Tsang C, Mitra S, Karamouzian M, Richardson L (2020) Socioeconomic marginalization and opioid-related overdose: a systematic review. Drug Alcohol Depend 214:108127. https:\/\/doi.org\/10.1016\/j.drugalcdep.2020.108127","journal-title":"Drug Alcohol Depend"},{"issue":"3","key":"9181_CR22","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1016\/j.psym.2018.01.003","volume":"59","author":"P Ho","year":"2018","unstructured":"Ho P, Rosenheck R (2018) Substance use disorder among current cancer patients: rates and correlates nationally in the department of veterans affairs. Psychosomatics 59(3):267\u2013276. https:\/\/doi.org\/10.1016\/j.psym.2018.01.003","journal-title":"Psychosomatics"},{"issue":"7","key":"9181_CR23","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1177\/1049909119890556","volume":"37","author":"JS Merlin","year":"2020","unstructured":"Merlin JS, Young SR, Arnold R et al (2020) Managing opioids, including misuse and addiction, in patients with serious illness in ambulatory palliative care: a qualitative study. Am J Hosp Palliat Med 37(7):507\u2013513. https:\/\/doi.org\/10.1177\/1049909119890556","journal-title":"Am J Hosp Palliat Med"},{"issue":"12","key":"9181_CR24","doi-asserted-by":"publisher","first-page":"e2139968","DOI":"10.1001\/jamanetworkopen.2021.39968","volume":"4","author":"JS Merlin","year":"2021","unstructured":"Merlin JS, Khodyakov D, Arnold R et al (2021) Expert panel consensus on management of advanced cancer\u2013related pain in individuals with opioid use disorder. JAMA Netw Open 4(12):e2139968. https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.39968","journal-title":"JAMA Netw Open"},{"issue":"2","key":"9181_CR25","doi-asserted-by":"publisher","first-page":"296","DOI":"10.1089\/jpm.2019.0101","volume":"23","author":"ZS Sager","year":"2020","unstructured":"Sager ZS, Buss MK, Hill KP, Driver JA, Skarf LM (2020) Managing opioid use disorder in the setting of a terminal disease: opportunities and challenges. J Palliat Med 23(2):296\u2013299. https:\/\/doi.org\/10.1089\/jpm.2019.0101","journal-title":"J Palliat Med"},{"issue":"8","key":"9181_CR26","doi-asserted-by":"publisher","first-page":"1104","DOI":"10.1001\/jamaoncol.2022.2150","volume":"8","author":"J Arthur","year":"2022","unstructured":"Arthur J, Bruera E (2022) Managing cancer pain in patients with opioid use disorder or nonmedical opioid use. JAMA Oncol 8(8):1104. https:\/\/doi.org\/10.1001\/jamaoncol.2022.2150","journal-title":"JAMA Oncol"},{"key":"9181_CR27","unstructured":"NCCN Clinical Practice Guidelines in Oncology: Adult Cancer Pain. Version 2.2024. \u00a9 National Comprehensive Cancer Network, Inc. 202X. All rights reserved. Accessed [March 26,2024]. To view the most recent and complete version of the guideline, go online to NCCN.org"},{"issue":"12","key":"9181_CR28","doi-asserted-by":"publisher","first-page":"2491","DOI":"10.1002\/cncr.31303","volume":"124","author":"JA Paice","year":"2018","unstructured":"Paice JA (2018) Cancer pain management and the opioid crisis in America: how to preserve hard-earned gains in improving the quality of cancer pain management: cancer pain management. Cancer 124(12):2491\u20132497. https:\/\/doi.org\/10.1002\/cncr.31303","journal-title":"Cancer"},{"issue":"8","key":"9181_CR29","doi-asserted-by":"publisher","first-page":"1420","DOI":"10.1093\/annonc\/mdp001","volume":"20","author":"H Breivik","year":"2009","unstructured":"Breivik H, Cherny N, Collett B et al (2009) Cancer-related pain: a pan-European survey of prevalence, treatment, and patient attitudes. Ann Oncol 20(8):1420\u20131433. https:\/\/doi.org\/10.1093\/annonc\/mdp001","journal-title":"Ann Oncol"},{"issue":"36","key":"9181_CR30","doi-asserted-by":"publisher","first-page":"4149","DOI":"10.1200\/JCO.2014.56.0383","volume":"32","author":"MT Greco","year":"2014","unstructured":"Greco MT, Roberto A, Corli O et al (2014) Quality of cancer pain management: an update of a systematic review of undertreatment of patients with cancer. J Clin Oncol 32(36):4149\u20134154. https:\/\/doi.org\/10.1200\/JCO.2014.56.0383","journal-title":"J Clin Oncol"},{"issue":"1","key":"9181_CR31","doi-asserted-by":"publisher","first-page":"e2250423","DOI":"10.1001\/jamanetworkopen.2022.50423","volume":"6","author":"A Alishahi Tabriz","year":"2023","unstructured":"Alishahi Tabriz A, Turner K, Hong YR, Gheytasvand S, Powers BD, Elston LJ (2023) Trends and characteristics of potentially preventable emergency department visits among patients with cancer in the US. JAMA Netw Open 6(1):e2250423. https:\/\/doi.org\/10.1001\/jamanetworkopen.2022.50423","journal-title":"JAMA Netw Open"},{"issue":"1","key":"9181_CR32","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.jpainsymman.2011.03.010","volume":"43","author":"M O\u2019Connor","year":"2012","unstructured":"O\u2019Connor M, Weir J, Butcher I et al (2012) Pain in patients attending a specialist cancer service: prevalence and association with emotional distress. J Pain Symptom Manag 43(1):29\u201338. https:\/\/doi.org\/10.1016\/j.jpainsymman.2011.03.010","journal-title":"J Pain Symptom Manag"},{"issue":"8","key":"9181_CR33","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1097\/01.NAJ.0000947480.74410.06","volume":"123","author":"KF Jones","year":"2023","unstructured":"Jones KF, Broglio K, Ho JJ, Rosa WE (2023) Compassionate care for people with cancer and opioid use disorder. AJN Am J Nurs 123(8):56\u201361. https:\/\/doi.org\/10.1097\/01.NAJ.0000947480.74410.06","journal-title":"AJN Am J Nurs"},{"issue":"8","key":"9181_CR34","doi-asserted-by":"publisher","first-page":"1107","DOI":"10.1001\/jamaoncol.2022.2191","volume":"8","author":"K Fitzgerald Jones","year":"2022","unstructured":"Fitzgerald Jones K, Khodyakov D, Arnold R et al (2022) Consensus-based guidance on opioid management in individuals with advanced cancer-related pain and opioid misuse or use disorder. JAMA Oncol 8(8):1107. https:\/\/doi.org\/10.1001\/jamaoncol.2022.2191","journal-title":"JAMA Oncol"},{"issue":"1\u20132","key":"9181_CR35","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.drugalcdep.2013.02.018","volume":"131","author":"LC Van Boekel","year":"2013","unstructured":"Van Boekel LC, Brouwers EPM, Van Weeghel J, Garretsen HFL (2013) Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review. Drug Alcohol Depend 131(1\u20132):23\u201335. https:\/\/doi.org\/10.1016\/j.drugalcdep.2013.02.018","journal-title":"Drug Alcohol Depend"},{"key":"9181_CR36","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2147\/SAR.S304566","volume":"13","author":"A Cheetham","year":"2022","unstructured":"Cheetham A, Picco L, Barnett A, Lubman DI, Nielsen S (2022) The impact of stigma on people with opioid use disorder, opioid treatment, and policy. Subst Abuse Rehabil 13:1\u201312. https:\/\/doi.org\/10.2147\/SAR.S304566","journal-title":"Subst Abuse Rehabil"},{"issue":"8","key":"9181_CR37","doi-asserted-by":"publisher","first-page":"e223250","DOI":"10.1001\/jamahealthforum.2022.3250","volume":"3","author":"LA Cooper","year":"2022","unstructured":"Cooper LA, Saha S, Van Ryn M (2022) Mandated implicit bias training for health professionals\u2014a step toward equity in health care. JAMA Health Forum 3(8):e223250. https:\/\/doi.org\/10.1001\/jamahealthforum.2022.3250","journal-title":"JAMA Health Forum"},{"issue":"1","key":"9181_CR38","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1111\/j.1360-0443.2011.03601.x","volume":"107","author":"JD Livingston","year":"2012","unstructured":"Livingston JD, Milne T, Fang ML, Amari E (2012) The effectiveness of interventions for reducing stigma related to substance use disorders: a systematic review. Addiction 107(1):39\u201350. https:\/\/doi.org\/10.1111\/j.1360-0443.2011.03601.x","journal-title":"Addiction"},{"key":"9181_CR39","unstructured":"Kowalchuk AA. New DEA training requirement: who has to do it, and how to get it done. https:\/\/www.aafp.org\/pubs\/fpm\/blogs\/inpractice\/entry\/new-dea-requirement.html. Accessed July 19, 2024"},{"issue":"22","key":"9181_CR40","doi-asserted-by":"publisher","first-page":"2024","DOI":"10.1056\/NEJMp2310123","volume":"389","author":"KF Jones","year":"2023","unstructured":"Jones KF, Joudrey P, Meier D, Meghani S, Merlin J (2023) Juggling two full-time jobs \u2014 methadone clinic engagement and cancer care. N Engl J Med 389(22):2024\u20132026. https:\/\/doi.org\/10.1056\/NEJMp2310123","journal-title":"N Engl J Med"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09181-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-025-09181-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-025-09181-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T06:56:48Z","timestamp":1783407408000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-025-09181-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["9181"],"URL":"https:\/\/doi.org\/10.1007\/s00520-025-09181-7","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"26 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Research was conducted in accordance with the Declaration of Helsinki. The study protocol 2022C0123 was approved by the Ohio State University Institutional Review Board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics statement"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}],"article-number":"146"}}