{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:21:37Z","timestamp":1777915297074,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,1,27]],"date-time":"2023-01-27T00:00:00Z","timestamp":1674777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Data on health care providers' (HCPs\u2019) perceptions about patients with cancer pain and nonmedical opioid use (NMOU) are lacking. We examined the perceptions and attitudes of HCPs and assessed the usefulness of an interdisciplinary opioid stewardship program (OSP) while caring for these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>An anonymous cross-sectional survey was conducted among the supportive care HCPs between September and November 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 85 HCPs, 64 responded (75%) to the survey. Participants perceived that NMOU is underdiagnosed (42\/64; 67%), and caring for such patients is difficult (58\/64, 91%) and time consuming (54\/64, 87%). A majority (50\/51, 98%) were aware of the OSP, and (48\/51; 94%) found it helpful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>HCPs reported that NMOU is underdiagnosed and is challenging to manage. They endorsed the utility of an OSP in managing patients with concurrent cancer pain and NMOU. Future research should identify ways to standardize care and integrate OSP in routine supportive oncology practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jpm.2022.0293","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T16:59:16Z","timestamp":1670432356000},"page":"248-252","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Health Care Provider Attitudes and Beliefs Toward Nonmedical Opioid Use in Patients with Cancer Pain"],"prefix":"10.1177","volume":"26","author":[{"given":"Jaya","family":"Amaram-Davila","sequence":"first","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Ji","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Supportive and Palliative Care, Baylor University Medical Center, Dallas, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhila","family":"Reddy","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tonya","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianliang","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Urbauer","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeena","family":"Shelal","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvette","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monawar","family":"Hosain","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Arthur","sequence":"additional","affiliation":[{"name":"Department of Palliative, Rehabilitation, and Integrative Medicine and The University of Texas MD Anderson Cancer, Houston, Texas, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,1,27]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0885-3924(93)90141-H"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.08.031"},{"key":"e_1_3_5_4_2","unstructured":"Swarm RA Youngwerth JM Agne JL et al. NCCN Guidelines Version 2.2022 Adult Cancer Pain; 2022. Available from: https:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/pain.pdf [Last accessed: June 27 2022]."},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2020.6789"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2015.0335"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0248"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2019-0242"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.06.040"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/2049463715583142"},{"key":"e_1_3_5_11_2","unstructured":"Ferrell BR Mccaffery M. Knowledge and Attitudes Survey Regarding Pain Revised 2008. Copyright: Betty Ferrell and Margo McCaffery; 2008."},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2015.02.022"},{"key":"e_1_3_5_13_2","unstructured":"WHO Guidelines for the Pharmacological and Radiotherapeutic Management of Cancer Pain in Adults and Adolescents. Geneva: World Health Organization; 2018. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK537492\/"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/onco.13898"},{"issue":"1","key":"e_1_3_5_15_2","first-page":"37","article-title":"The challenge of cancer pain assessment","volume":"90","author":"Gulati RR.","year":"2021","unstructured":"Gulati RR. The challenge of cancer pain assessment. 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