{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T12:14:16Z","timestamp":1788092056744,"version":"build-2803163510"},"reference-count":47,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000008","name":"Health Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000008","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    In the rapidly evolving climate of opioid use, this scoping review sought to map the factors affecting access to and experience of palliative care (PC) among those with opioid use disorder (OUD).\n                    <jats:bold>Methods:<\/jats:bold>\n                    This scoping review was developed using JBI Scoping Review and Preferred Reporting Items for Systematic reviews and Meta-analyses extension for Scoping Reviews (PRISMA-ScR) criteria. Academic literature searches were performed using PubMed, Web of Science and the Canadian Business &amp; Current Affairs databases. Full-text, peer-reviewed articles published in English or French were searched from January 1, 2010, to present. Thematic analysis was used to examine data extracted in the context of the research question.\n                    <jats:bold>Results:<\/jats:bold>\n                    Twenty-one primary research articles representing 680,992 participants were included. Studies from the United States, Australia, The Netherlands and Canada that focused on PC services from the perspective of the individual, their care partners and health care providers were reviewed. Results were synthesized into three broad themes (person-level, health care provision, and system level), which were broken into ten subthemes (pain management needs, social needs, clinician confidence\/expertise, risk of problematic use, fragmented care, prescribing opioid agonist therapy, guidelines and models of care, impact of stigma, policy\/legislative limitations and other system limitations).\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    While the PC needs of individuals living with OUD are similar to those without OUD, the PC experiences are very different. Overall, individuals with OUD had less access to PC, the care they received was fragmented and uncoordinated, and pain management needs were unmet. We identified how stigma, prescribing practices, and other considerations also negatively affected PC experiences.\n                  <\/jats:p>","DOI":"10.1177\/08258597261480834","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:11:16Z","timestamp":1787843476000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Palliative Care for Individuals with Opioid Use Disorder: A Scoping Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8475-5686","authenticated-orcid":false,"given":"Shawn P.","family":"Dookie","sequence":"first","affiliation":[{"name":"Lakehead University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi","family":"Gokani","sequence":"additional","affiliation":[{"name":"Lakehead University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Martin","sequence":"additional","affiliation":[{"name":"Lakehead University"},{"name":"Lakehead University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"World Health Organization. Fact Sheets: Palliative Care. Published 05 Aug 2020. Accessed 18 Sept 2025. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care."},{"key":"e_1_3_4_3_2","unstructured":"Ontario Health. Palliative Care: Care for Adults with a Serious Disease 2024 Update. Ontario Palliative Care Network: Quality Standards. Published Apr 2024. Accessed 21 Sept 2025. https:\/\/www.hqontario.ca\/portals\/0\/documents\/evidence\/quality-standards\/qs-palliative-care-quality-standard-2024-en.pdf."},{"key":"e_1_3_4_4_2","unstructured":"World Health Organization. Assessing National Capacity for the Prevention and Control of Noncommunicable Diseases: Report of the 2019 Global Survey. Published 2020. Accessed 16 Sept 2025. https:\/\/iris.who.int\/bitstream\/handle\/10665\/331452\/9789240002319-eng.pdf."},{"key":"e_1_3_4_5_2","unstructured":"Health Canada. Framework on Palliative Care in Canada. Reports: Publications. Health Canada. Updated 26 Jan 2023. Accessed 21 Sept 2025. Framework on Palliative Care in Canada."},{"key":"e_1_3_4_6_2","unstructured":"Health Canada. Canadian Alcohol and Drugs Survey (CADS): summary of results for 2019. Published 06 Jun 2023. Accessed 18 Sept 2025. https:\/\/www.canada.ca\/en\/health-canada\/services\/canadian-alcohol-drugs-survey\/2019-summary.html."},{"key":"e_1_3_4_7_2","unstructured":"Canadian Centre on Substance Use and Addiction. Canadian Drug Summary: Opioids. Published Nov 2022. Accessed 18 Sept 2025. https:\/\/www.ccsa.ca\/sites\/default\/files\/2022-11\/CCSA-Canadian-Drug-Summary\u2013Opioids-2022-en.pdf."},{"key":"e_1_3_4_8_2","unstructured":"American Psychiatric Association. Diagnostic and Statistical Manual of Menal Disorders Fifth Edition Text Revision. Published 2022. doi:10.5555\/appi.books.9780890425787.x00pre."},{"key":"e_1_3_4_9_2","unstructured":"Canadian Substance Use Cost and Harms Scientific Working Group (CSUCH). Canadian substance use cost and harms 2007-2020. Canadian Centre on Substance Use and Addiction. Published 2023. Accessed 18 Sept 2025. https:\/\/csuch.ca\/assets\/documents\/reports\/english\/Canadian-Substance-Use-Costs-and-Harms-Report-2007-2020-en.pdf."},{"key":"e_1_3_4_10_2","unstructured":"Health Canada. The Canadian Drugs + Substances Framework: The Government of Canada\u2019s Approach to Substance Use Related Harms and the Overdose Crisis. Published 20 Oct 2023. Accessed 19 Sept 2025. https:\/\/www.canada.ca\/content\/dam\/hc-sc\/documents\/services\/publications\/healthy-living\/canadian-drugs-substances-strategy-approach-related-harms-overdose-crisis\/cdss-report-eng.pdf."},{"key":"e_1_3_4_11_2","unstructured":"Livingston JD. Structural Stigma in Health-Care Contexts for People with Mental Health and Substance Use Issues: A literature review. Mental Health Commission of Canada. Published 2020. Accessed 21 Sept 2025. https:\/\/www.mentalhealthcommission.ca\/wp-content\/uploads\/drupal\/2020-07\/structural_stigma_in_healthcare_eng.pdf."},{"key":"e_1_3_4_12_2","unstructured":"International Narcotics Control Board. Narcotic Drugs: Estimated world requirements for 2025; Statistics for 2023. Published 2024. Accessed 18 Sept 2025. https:\/\/www.incb.org\/documents\/Narcotic-Drugs\/Technical-Publications\/2024\/Narcotics_2024_EFN.pdf."},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m772"},{"key":"e_1_3_4_14_2","unstructured":"Zibbell J Howard J Duhard CS Ferrell A Karon SL. Non-fatal opioid overdose and associated health outcomes: Final summary report. US Department of Health and Human Services. Published Sep 2019. Accessed 20 Sept 2025. https:\/\/aspe.hhs.gov\/sites\/default\/files\/migrated_legacy_files\/190846\/Nonfatal.pdf."},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.09.022"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-21-00242"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/XEB.0000000000000277"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_4_19_2","unstructured":"OECD Members and Partners. Accessed 21 Sept 2025. https:\/\/www.oecd.org\/en\/about\/members-partners.html."},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.02.006"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2023.01.015"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-019-0443-4"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2024.04.011"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.231419"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.05.002"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2021-002906"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.02.023"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-240945"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-019-0502-x"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/104990912412590341"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.05.004"},{"key":"e_1_3_4_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-025-09181-7"},{"key":"e_1_3_4_33_2","doi-asserted-by":"publisher","DOI":"10.1177\/23743735221079141"},{"key":"e_1_3_4_34_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0446"},{"key":"e_1_3_4_35_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2023.0082"},{"key":"e_1_3_4_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-034363"},{"key":"e_1_3_4_37_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119890556"},{"key":"e_1_3_4_38_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.39968"},{"key":"e_1_3_4_39_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951522001717"},{"key":"e_1_3_4_40_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000976"},{"key":"e_1_3_4_41_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_4_42_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211061994"},{"key":"e_1_3_4_43_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-020-05980-2"},{"key":"e_1_3_4_44_2","volume-title":"Health professional education on Psychoactive Substance Use Issues","author":"World Health Organization","year":"2012","unstructured":"World Health Organization. Health professional education on Psychoactive Substance Use Issues. World Health Organization Program on Substance Abuse; 2012, https:\/\/www.who.int\/publications\/i\/item\/health-professional-education-on-psychoactive-substance-use-issues?utm_source=chatgpt.com"},{"key":"e_1_3_4_45_2","volume-title":"Substance Use and Addiction Education","author":"University of British Columbia","unstructured":"University of British Columbia. Substance Use and Addiction Education. UBC Health: Collaborative Health Education; n.d., https:\/\/health.ubc.ca\/collaborative-health-education\/substance-use-and-addiction-education"},{"key":"e_1_3_4_46_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.schbul.a007096"},{"key":"e_1_3_4_47_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-019-0306-61"},{"key":"e_1_3_4_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102509"}],"container-title":["Journal of Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597261480834","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08258597261480834","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08258597261480834","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T11:49:36Z","timestamp":1788090576000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08258597261480834"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,27]]},"references-count":47,"alternative-id":["10.1177\/08258597261480834"],"URL":"https:\/\/doi.org\/10.1177\/08258597261480834","relation":{},"ISSN":["0825-8597","2369-5293"],"issn-type":[{"value":"0825-8597","type":"print"},{"value":"2369-5293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,27]]},"article-number":"08258597261480834"}}