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Epidemiology of Chronic Pain in the United States | U.S. Trends in Opioid Prescribing and Epidemiology of Prescription Opioid Abuse | Barriers to Providing Effective Pain Management | Risks Related to Opioid Prescribing | Screening for Risk of Opioid Abuse in Pain Patients | Identifying Aberrant Behaviors Among Patients With Chronic Pain | Buprenorphine-Naloxone for Treatment of Opioid Dependence and Chronic Pain | Conclusion

Excerpt

In this chapter I focus on several dimensions of the intersection between chronic pain and addiction. The co-occurrence of pain and opioid addiction is a clinically challenging area that has received increasingly close consideration in the past several years. Prescription opioid addiction currently represents a major public health concern in light of the widespread abuse and misuse of opioids for their psychotropic effects both in the United States and in many countries throughout the world. The interface between the legitimate medical use of opioids and the phenomena associated with abuse and addiction is clinically challenging, leading to uncertainty about the appropriate role of these drugs in the treatment of pain.

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