{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:20:23Z","timestamp":1777882823175,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"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":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:p>The breadth and complexity of knowledge and services required for the delivery of medical care has resulted in team member specialization and subspecialization to meet the needs of our patients. As a collateral effect, medical care has become increasingly fragmented and insular with various barriers to provider collaboration. Yet, the more medically or psychosocially complex the patient, the greater the number of involved parties and the greater the need for interdisciplinary cooperation. The cited oncologic case highlights this issue within palliative care as it relates to the care of patients at elevated risk for opioid pain management. The patient\u2019s clinical course and care barriers will be highlighted with discussion of potential areas for growth and reform, including earlier collaboration and case review, intensified case management, and early connection to advanced nonopioid pain interventions.<\/jats:p>","DOI":"10.1177\/26892820251376975","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T17:14:56Z","timestamp":1757524496000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lessons Learned: A Case for Reforming Siloed, Referral-Based Oncologic Palliative Care for High-Risk Opioid Patients"],"prefix":"10.1177","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1753-5173","authenticated-orcid":false,"given":"Benjamin","family":"Bailey","sequence":"first","affiliation":[{"name":"Department of Supportive Care Medicine, Moffitt Cancer Center, Tampa, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgetta","family":"Bundley","sequence":"additional","affiliation":[{"name":"Department of Supportive Care Medicine, Moffitt Cancer Center, Tampa, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Bromberg","sequence":"additional","affiliation":[{"name":"Department of Supportive Care Medicine, Moffitt Cancer Center, Tampa, Florida, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2022.2191"},{"key":"e_1_3_3_3_2","unstructured":"NCCN Clinical Practice Guidelines in Oncology: Adult Cancer pain. 2024. Available from: https:\/\/www.nccn.org\/guidelines\/guidelines-detail?category=3&id=1413 [Last accessed: January20 2025]."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11061594"},{"key":"e_1_3_3_5_2","volume-title":"Center for Behavioral Health Statistics and Quality","author":"SAMHSA","year":"2024","unstructured":"SAMHSA. Key substance use and mental health indicators in the United States: Results from the 2023 National Survey on Drug Use and Health. . In. Center for Behavioral Health Statistics and Quality. 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