Background: Despite medical advancements for organic and structural diseases, effectively managing acute and chronic functional pain syndromes remains a daunting challenge for hospitalists. Standard inpatient treatments frequently fail to adequately control symptoms, often compelling hospitalists to shift from diagnostics to the contentious task of tapering opioids in patients with legitimate pain. This pivot can lead [...]

Background: Despite medical advancements for organic and structural diseases, effectively managing acute and chronic functional pain syndromes remains a daunting challenge for hospitalists. Standard inpatient treatments frequently fail to adequately control symptoms, often compelling hospitalists to shift from diagnostics to the contentious task of tapering opioids in patients with legitimate pain. This pivot can lead [...]

Background: Hospitalizations for opioid overdose and complications of opioid use disorder (OUD) have risen dramatically over the last two decades. Hospitalizations represent opportunities to initiate lifesaving medications for OUD (MOUD), but rates of hospital MOUD initiation are low. Addiction consult services (ACS) can help facilitate hospital MOUD initiation and promote linkage to post-discharge MOUD, but [...]

Background: As of 2020, a reported 2.7 million people in the United States have opioid use disorder (OUD). Hospitalizations related to opioid use have risen dramatically over the last two decades. Inpatients with substance use disorders are at increased risk of leaving the hospital prior to treatment completion which can further lead to poor health [...]

Background: Project Caring for Patients with Opioid Misuse through Evidence-Based Treatment (COMET) launched in 2019 to provide patients with opioid use disorders (OUD) individualized and evidence-based care at Duke University Hospital (DUH). Patients with OUD have higher rates of self-directed discharge (SDD) which is associated with higher healthcare utilization costs, hospital readmissions, and adverse health [...]

Background: Approximately 12% of hospitalizations are related to substance use disorder (SUD), an estimated 20% of hospitalized patients may have SUD, and patients with SUDs are nearly twice as likely to be readmitted. Pharmacotherapies for SUD are underutilized in hospitals, especially in Texas, due to lack of training, structures, and organizational cultures to support evidence-based [...]