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University of New Mexico

Theses/Dissertations

2018

Analgesia

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Inpatient Initiated Methadone For Chronic Non-Cancer Pain At The University Of New Mexico, Steven Fishburn Jul 2018

Inpatient Initiated Methadone For Chronic Non-Cancer Pain At The University Of New Mexico, Steven Fishburn

Biomedical Sciences ETDs

ABSTRACT

Introduction

Inpatient initiation of methadone is ideal due to associated risks of cardiac arrhythmias and a high incidence of overdose. Evidence based guidelines have been developed for initiation of methadone for chronic noncancer pain (CNCP). The purpose of this study is to describe the frequency of pretreatment testing and high-risk prescribing in patients initiated on methadone at the University of New Mexico Hospital (UNMH).

Methods

A retrospective observational study was conducted using electronic health record data from UNMH, a southwest tertiary care center. We collected data on frequency of (1) pretreatment testing and (2) discharges with concomitant high-risk prescriptions. …