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Change in Pain Status and Subsequent Opioid and Marijuana Use Among Long-Term Adult Survivors of Childhood Cancer.

Author(s): Huang IC, Alberts NM, Buckley MG, Li Z, Ehrhardt MJ, Brinkman TM, Allen J, Krull KR, Klosky JL, Greene WL, Srivastava DK, Robison LL, Hudson...

We evaluated pain status change and associations with subsequent opioid/marijuana use among 1208 adult survivors of childhood cancer. Pain status and opioid/marijuana were self-reported at baseline...

Article GUID: 33409451
Wearable Respiratory Monitoring and Feedback for Chronic Pain in Adult Survivors of Childhood Cancer: A Feasibility Randomized Controlled Trial From the Childhood Cancer Survivor Study.

Author(s): Alberts NM, Leisenring WM, Flynn JS, Whitton J, Gibson TM, Jibb L, McDonald A, Ford J, Moraveji N, Dear BF, Krull KR, Robison LL, Stinson JN...

PURPOSE: Approximately 40% of childhood cancer survivors experience chronic pain, with many also reporting pain-related disability. Given associations established in the general population among re...

Article GUID: 33147073
Title:Change in Pain Status and Subsequent Opioid and Marijuana Use Among Long-Term Adult Survivors of Childhood Cancer.
Authors:Huang IC,  Alberts NM,  Buckley MG,  Li Z,  Ehrhardt MJ,  Brinkman TM,  Allen J,  Krull KR,  Klosky JL,  Greene WL,  Srivastava DK,  Robison LL,  Hudson MM,  Anghelescu DL
Link:https://www.ncbi.nlm.nih.gov/pubmed/33409451
DOI:10.1093/jncics/pkaa070
Category:JNCI Cancer Spectr
PMID:33409451
Dept Affiliation: PSYCHOLOGY
1 Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, TN, USA.
2 Department of Psychology, Concordia University, Montreal, Quebec, Canada.
3 Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.
4 Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA.
5 Department of Psychology, St. Jude Children's Research Hospital, Memphis, TN, USA.
6 Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA.
7 Department of Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, USA.
8 Department of Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, USA.

Description:

Change in Pain Status and Subsequent Opioid and Marijuana Use Among Long-Term Adult Survivors of Childhood Cancer.

JNCI Cancer Spectr. 2020 Dec; 4(6):pkaa070

Authors: Huang IC, Alberts NM, Buckley MG, Li Z, Ehrhardt MJ, Brinkman TM, Allen J, Krull KR, Klosky JL, Greene WL, Srivastava DK, Robison LL, Hudson MM, Anghelescu DL

Abstract

We evaluated pain status change and associations with subsequent opioid/marijuana use among 1208 adult survivors of childhood cancer. Pain status and opioid/marijuana were self-reported at baseline and follow-up evaluation (mean interval = 4.2?years). Over time, 18.7% of survivors endorsed persistent/increasing significant pain; 4.8% and 9.0% reported having used opioids and marijuana at follow-up. Persistent/increased (vs none/decreased) pain, persistent/increased (vs none/decreased) anxiety, and lack of health insurance increased odds of subsequent opioid use by 7.69-fold (95% confidence interval [CI]?=?3.71 to 15.95), 2.55-fold (95% CI?=?1.04 to 6.24), and 2.50-fold (95% CI?=?1.07 to 5.82), respectively. Persistent/increased (vs none/decreased) depression increased odds of subsequent marijuana use by 2.64-fold (95% CI?=?1.10 to 6.33).

PMID: 33409451 [PubMed]