Addiction Medicine Journal Club: The Association Between Opioid Tapering and Overdose and Mental Health Crises - Audio, Episode 7

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Addiction is a disease that can be treated, and this podcast will help you stay up to date with the latest research that you can use in your addiction medicine practice. In this episode of Addiction Medicine Journal Club we discuss an article exploring the association between tapering long-term high-dose opioids, and subsequent opioid overdose and mental health crises. 

Article citation: Agnoli, A., Xing, G., Tancredi, D. J., Magnan, E., Jerant, A., & Fenton, J. J. 
(2021). Association of Dose Tapering With Overdose or Mental Health Crisis Among Patients Prescribed Long-term Opioids. JAMA, 326(5), 411-419. 
htt12s://doi.org/10.1001/jama.2021.11013 

In our introduction we discuss the book The Least of Us: True Tales of America and Hope in the Time of Fentanyl and Meth by Sam Quinones (htt12s://samguinones.com/), and the self ­exclusion program in Pennsylvania for gambling disorder.

If you want to learn more about the self-exclusion program, you can go to htt12s://res12onsible12lay .. 12a.gov/self-exclusion/ . 

I also mention a case study I wrote on a method for tapering long-term, high-dose opioids, which can be read here: htt12s://www.cureus.com/articles/73505-use-of-a-sim12le-12ain­assessment-tool-in-a-shared-decision-making-a1mroach-to-ta12ering-chronic-high-dose­QRioids 

To have your comments about this article included in a future episode, leave them in your CME quiz, email us at [email protected], talk to us on [email protected], or even record a comment using the voice memo app on your phone and email it to us. Thank you for being part of the conversation. 
Credits 

Host: Sonya Del Tredici, MD 
Host: John Keenan, MD 
Music: Benjamin Kennedy 
Audio Production: Angela Ohlfest 
CME Coordinator: georgeanna ledgerwood, MLIS/LMT

Sponsor: WellSpan Health 

1. Summarize the main results from the article on the association between tapering long-term high-dose opioids and opioid overdose and mental health crisis
2. Analyze how the conclusions of the article affect current treatment of chronic pain with high-dose opioids and safety during opioid tapering
3. Discuss the risks of tapering long-term, high-dose opioids

AMA PRA Category 1 Credits™ (0.50 hours), Non-Physician Attendance (0.50 hours), Act 13 Patient Safety/Risk Management Credits (0.50 hours), Act 124 Opioid Continuing Education Qualified (0.50 hours)

Friday, May 27, 2022, 12:00 AM - Sunday, December 31, 2023, 11:59 PM

Accreditation Statement: WellSpan Health is accredited by the Pennsylvania Medical Society to provide continuing medical education for physicians. 

Credit Designation: WellSpan Health designates this Enduring Material activity for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

All faculty participating in continuing medical education programs sponsored by WellSpan Health are expected to disclosure to the program audience whether they do or do not have any real or apparent conflict(s) of interest or other relationships related to the content of their presentation(s).

Mitigation of Relevant Financial Relationships

WellSpan Health CME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.