A systematic scoping study exploring opioid use across a variety of disability conditions<\/p>\n
Authors:<\/p>\n
Goss, Katherine D.\u00a0a, \u2217
Abramson, Nicholas\u00a0b
Ioerger, Michael\u00a0c
Reyes, Alicia C.\u00a0b
Turk, Margaret A.\u00a0a<\/p>\n
Affiliation:<\/p>\n
a\u00a0Department of Physical Medicine & Rehabilitation, SUNY Upstate Medical University, Syracuse, NY, 13210, USA
b\u00a0College of Medicine, SUNY Upstate Medical University, Syracuse, NY, 13210, USA
c\u00a0College of Medicine, The Ohio State University, Columbus, OH, 43210, USA<\/p>\n
Source:<\/p>\n
In\u00a0Disability and Health Journal\u00a0October 2021 14(4)<\/p>\n
Publisher:<\/p>\n
Elsevier Inc.<\/p>\n
Keywords:<\/p>\n
Opioid use
Pain management
Disability
Impairments
Scoping review<\/p>\n
Abstract:<\/p>\n
Background Opioid use experiences among people with disability (PWD) as a group has not been clearly articulated in the current literature, despite links between pain and measures of disability.<\/p>\n
\u00a0<\/p>\n
Methods Four databases were queried (i.e., Medline, PsycINFO, Embase, and CINAHL) for peer-reviewed,\u00a0empirical, English-language, journal\u00a0articles\u00a0focused on long-term opioid use among PWD. Collected data points included: disability details (specific condition, onset of disability), opioid details (category of opioid use, and specified substance), study details, and design.<\/p>\n
\u00a0<\/p>\n
Results A total of 196\u00a0articles\u00a0were included, with 83.7% published since 2000 largely from the US. The majority of\u00a0articles\u00a0(70.4%) focused on the use of opioids as medical treatment, with fewer\u00a0articles\u00a0focusing on recreational opioid use or substance use disorders. The majority of included sources (73%) focused on opioid use in acquired conditions; neuropathic pain (21.9%) and attention deficit hyperactivity disorder (20.4%) were the most commonly studied. Differences were observed in the distribution of disability conditions across category of opioid use and study design classification; 73.5% were considered observational in design.<\/p>\n
\u00a0<\/p>\n
Conclusions The varied representation of disability conditions, and differences across opioid use category and study design classification point to a complicated relationship between opioid use and disability. The present research portfolio would benefit from research matching informational needs of a specific disability area or opioid use category to provide the evidence necessary to advance current knowledge and promote inclusion in national agendas.<\/p>\n
Document Type:<\/p>\n
Review\u00a0Article<\/p>\n
ISSN:<\/p>\n
1936-6574<\/p>\n
DOI:<\/p>\n
10.1016\/j.dhjo.2021.101106<\/p>\n
Accession Number:<\/p>\n
S1936657421000522<\/p>\n
Copyright:<\/p>\n
Published by Elsevier Inc.<\/p>\n
Database:<\/p>\n
ScienceDirect<\/p>\n
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