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Chou R, Hartung D, Turner J, et al. Opioid Treatments for Chronic Pain [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2020 Apr. (Comparative Effectiveness Review, No. 229.)

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Opioid Treatments for Chronic Pain [Internet].

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Appendix CList of Excluded Studies

Exclusion Codes:

  • 2 = Background paper
  • 3 = Paper used for contextual question
  • 4 = Ineligible population
  • 5 = Ineligible intervention or no intervention
  • 6 = Ineligible comparison
  • 7 = Ineligible outcome
  • 8 = Ineligible setting
  • 9 = Ineligible publication type
  • 10 = Ineligible study design
  • 11 = Not available in English language
  • 12 = Outdated review article or non systematic review
  • 13 = Inadequate duration
  • 14 = No reference standard used for KQ 4a
  • 15= Poor-quality

1.
Methods Guide for Effectiveness and Comparative Effectiveness Reviews. Rockville, MD: Agency for Healthcare Research and Quality. https:​//effectivehealthcare​.ahrq.gov/topics​/cer-methods-guide/overview. Accessed June 19 2019. Exclusion: 2
2.
2017 CDC Survey Results. Pain News Network. https://www​.painnewsnetwork​.org/2017-cdc-survey/. Accessed Jul 17 2019. Exclusion: 3
3.
Oxycodone for neuropathic pain and fibromyalgia-little evidence. Drug and Therapeutics Bulletin. 2014;52(9):100. doi: 10.1136/dtb.2014.9.0275. Exclusion: E9 [CrossRef]
4.
Abdel Shaheed C, Maher CG, Williams KA, et al. Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. JAMA Internal Medicine. 2016 Jul 01;176(7):958–68. doi: 10.1001/jamainternmed.2016.1251. PMID: 27213267. Exclusion: E12 [PubMed: 27213267] [CrossRef]
5.
Aboussouan A, Huffman K, Jimenez X. Sustained benefits of an interdisciplinary chronic pain rehabilitation program in women with chronic pelvic pain. Pain Medicine (United States). 2018;19(4):894–5. doi: 10.1093/pm/pny044. Exclusion: E5 [CrossRef]
6.
Adams EH, Chwiecko P, Ace-Wagoner Y, et al. A Study of AVINZA® (Morphine Sulfate Extended-Release Capsules) for Chronic Moderate-to-Severe Noncancer Pain Conducted Under Real-World Treatment Conditions—The ACCPT Study. Pain Pract. 2006 2006/12/01;6(4):254–64. doi: 10.1111/j.1533-2500.2006.00094.x. Exclusion: E10 [PubMed: 17129306] [CrossRef]
7.
Adams LL, Gatchel RJ, Robinson RC, et al. Development of a self-report screening instrument for assessing potential opioid medication misuse in chronic pain patients. Journal of Pain & Symptom Management. 2004 May;27(5):440–59. doi: 10.1016/j.jpainsymman.2003.10.009. PMID: 15120773. Exclusion: E7 [PubMed: 15120773] [CrossRef]
8.
Adler JA, Mallick-Searle T. An overview of abuse-deterrent opioids and recommendations for practical patient care. Journal of multidisciplinary healthcare. 2018;11:323–32. doi: 10.2147/JMDH.S166915. PMID: 30026658. Exclusion: E12 [PMC free article: PMC6045950] [PubMed: 30026658] [CrossRef]
9.
Adu J, Chung CP, Munters LA, et al. Fibromyalgia patients taking opioids have low self-efficacy and high pain catastrophizing but no reduction in pain or improvement in activity. Arthritis and Rheumatology. 2014;66:S491. doi: 10.1002/art.38914. Exclusion: E9 [CrossRef]
10.
Afilalo M, Morlion B. Efficacy of tapentadol ER for managing moderate to severe chronic pain. Pain Physician. 2013;16(1):27–40. Exclusion: E12 [PubMed: 23340531]
11.
Agarwal S, Polydefkis M, Block B, et al. Transdermal fentanyl reduces pain and improves functional activity in neuropathic pain states. Pain Medicine. 2007 Oct–Nov;8(7):554–62. PMID: 17883740. Exclusion: E10 [PubMed: 17883740]
12.
Agboola FO, Kumar VM, Synnott PG, et al. Abuse-deterrent formulations of opioids: effectiveness and economic impact. Value in Health. 2018;21:S191. doi: 10.1016/j.jval.2018.12.005. PMID: 30975392. Exclusion: E9 [CrossRef]
13.
Ahmedzai S. New approaches to pain control in patients with cancer. European Journal of Cancer. 1997 Jul;33 Suppl 6:S8–14. PMID: 9404234. Exclusion: E12 [PubMed: 9404234]
14.
Ahmedzai S, Brooks D. Transdermal fentanyl versus sustained-release oral morphine in cancer pain: preference, efficacy, and quality of life. The TTS-Fentanyl Comparative Trial Group. J Pain Symptom Manage. 1997 May;13(5):254–61. PMID: 9185430. Exclusion: E4 [PubMed: 9185430]
15.
Ahmedzai SH, Leppert W, Janecki M, et al. Long-term safety and efficacy of oxycodone/naloxone prolonged-release tablets in patients with moderate-to-severe chronic cancer pain. Supportive Care in Cancer. 2015 Mar;23(3):823–30. doi: 10.1007/s00520-014-2435-5. PMID: 25218610. Exclusion: E10 [PMC free article: PMC4311064] [PubMed: 25218610] [CrossRef]
16.
Ahmedzai SH, Nauck F, Bar-Sela G, et al. A randomized, double-blind, active-controlled, double-dummy, parallel-group study to determine the safety and efficacy of oxycodone/naloxone prolonged-release tablets in patients with moderate/severe, chronic cancer pain. Palliative Medicine. 2012 Jan;26(1):50–60. doi: 10.1177/0269216311418869. PMID: 21937568. Exclusion: E4 [PMC free article: PMC3255516] [PubMed: 21937568] [CrossRef]
17.
Ahn JS, Lin J, Ogawa S, et al. Transdermal buprenorphine and fentanyl patches in cancer pain: a network systematic review. Journal of Pain Research. 2017;10:1963–72. doi: 10.2147/JPR.S140320. PMID: 28860851. Exclusion: E4 [PMC free article: PMC5571859] [PubMed: 28860851] [CrossRef]
18.
Aiyer R, Gulati A, Gungor S, et al. Treatment of chronic pain with various buprenorphine formulations: a systematic review of clinical studies. Anesth Analg. 2018 Aug;127(2):529–38. doi: 10.1213/ANE.0000000000002718. PMID: 29239947. Exclusion: E12 [PubMed: 29239947] [CrossRef]
19.
Aiyer R, Mehta N, Gungor S, et al. A systematic review of NMDA receptor antagonists for treatment of neuropathic pain in clinical practice. Clinical Journal of Pain. 2018 May;34(5):450–67. doi: 10.1097/AJP.0000000000000547. PMID: 28877137. Exclusion: E5 [PubMed: 28877137] [CrossRef]
20.
Ajo R, Segura A, Inda MM, et al. Opioids increase sexual dysfunction in patients with non-cancer pain. Journal of Sexual Medicine. 2016 09;13(9):1377–86. doi: 10.1016/j.jsxm.2016.07.003. PMID: 27555508. Exclusion: E10 [PubMed: 27555508] [CrossRef]
21.
Alam A, Juurlink DN. The prescription opioid epidemic: an overview for anesthesiologists. Canadian Journal of Anaesthesia. 2016 Jan;63(1):61–8. doi: 10.1007/s12630-015-0520-y. PMID: 26507535. Exclusion: E12 [PubMed: 26507535] [CrossRef]
22.
Alberts D, Von Hoff D, Forman N, et al. Relationship between effective doses of fentan yl sublingual spray and around-the-clock tran sdermal fentanyl in patients with breakthrough cancer pain. Supportive Care in Cancer. 2014;22(1):S123–S4. doi: 10.1007/s00520-014-2222-3. PMID: 27020837. Exclusion: E9 [CrossRef]
23.
Alberts DS, Rauck RL, Parikh N, et al. Fentanyl sublingual spray for breakthrough cancer pain in patients receiving transdermal fentanyl. Journal of Clinical Oncology. 2014;32(31)doi: 10.2217/pmt-2015-0009. PMID: 27020837 Exclusion: E9 [PubMed: 27020837] [CrossRef]
24.
Alberts DS, Smith CC, Parikh N, et al. Fentanyl sublingual spray for breakthrough cancer pain in patients receiving transdermal fentanyl. Pain Management. 2016 Oct;6(5):427–34. doi: 10.2217/pmt-2015-0009. PMID: 27020837. Exclusion: E13 [PubMed: 27020837] [CrossRef]
25.
Alburaih A, Witting MD. Effectiveness of a rural emergency department (ED)-based pain contract on ED visits among ED frequent users. Journal of Emergency Medicine. 2018 09;55(3):327–32.e1. doi: 10.1016/j.jemermed.2018.04.056. PMID: 29858142. Exclusion: E4 [PubMed: 29858142] [CrossRef]
26.
Aldington D, Cole P, Knaggs R, et al. Hydromorphone for neuropathic pain in adults. Cochrane Database of Systematic Reviews. 2015;2015(3)doi: 10.1002/14651858.CD011604. PMID: 27216018. Exclusion: E9 [PMC free article: PMC6491092] [PubMed: 27216018] [CrossRef]
27.
Alharbi GS, Chen LC, Knaggs R. Efficacy of anticonvulsant, antidepressant and opioid in treating neuropathic pain: a systematic review and meta-analysis. Pharmacoepidemiology and Drug Safety. 2016;25:582. doi: 10.1002/pds.4070. Exclusion: E9 [CrossRef]
28.
Alinejad S, Ghaemi K, Abdollahi M, et al. Nephrotoxicity of methadone: a systematic review. Springerplus. 2016;5(1):2087. doi: 10.1186/s40064-016-3757-1. PMID: 28018795. Exclusion: E4 [PMC free article: PMC5148752] [PubMed: 28018795] [CrossRef]
29.
Allegri N, Mennuni S, Rulli E, et al. Systematic review and meta-analysis on neuropsychological effects of long-term use of opioids in patients with chronic noncancer pain. Pain Pract. 2018 Oct 24;24:24. doi: 10.1111/papr.12741. PMID: 30354006. Exclusion: 2 [PubMed: 30354006] [CrossRef]
30.
Allen C, Meeraus W, Donegan K. The comparative risk of all-cause mortality in older patients prescribed opioids for non-malignant pain: a retrospective observational cohort study. Drug Safety. 2015;Conference: 15th ISoP Annual Meeting “Cubism in Pharmacovigilance” Prague Czech Republic. Conference Start:. 20151027 Conference End: 20151030. Conference Publication:(var.pagings) 38 (10):962–3. Exclusion: E9
31.
Allen C, Meeraus W, Donegan K. Comparative risk of cause-specific mortality in older patients prescribed codeine or tramadol for non-malignant pain: retrospective cohort study. Drug Safety. 2017;40(10):993–4. doi: 10.1007/s40264-017-0580-8. Exclusion: E9 [CrossRef]
32.
Allen MA. Opioid analgesics: is it time for risk stratification prior to use? CJEM Canadian Journal of Emergency Medical Care. 2017 09;19(5):414. doi: 10.1017/cem.2017.359. PMID: 28750692. Exclusion: E9 [PubMed: 28750692] [CrossRef]
33.
Almenara S, Planelles B, López-Gil S, et al. Pharmacogenetics of pain and analgesia of tapentadol in chronic pain. Basic and Clinical Pharmacology and Toxicology. 2016;119:33. Exclusion: E9
34.
Almenara S, Planelles B, Muriel J, et al. Iatrogenically induced opioid dependence, pharmacogenetics and pain. Basic and Clinical Pharmacology and Toxicology. 2016;119:15. Exclusion: E9
35.
Amato F, Ceniti S, Mameli S, et al. High dosage of a fixed combination oxycodone/naloxone prolonged release: efficacy and tolerability in patients with chronic cancer pain. Supportive care in cancer. 2017. Exclusion: E10 [PubMed: 28470370]
36.
Amato F, Ceniti S, Palmieri V, et al. Cancer pain therapy with a fixed combination of prolonged-release oxycodone/naloxone: a real-life scenario. Regional Anesthesia and Pain Medicine. 2014;39(5):e301–e2. doi: 10.1097/AAP.0000000000000142. Exclusion: E9 [CrossRef]
37.
American Academy of Family Physicians. CDC Clarifies Opioid Guideline Dosage Thresholds. 2018. https://www​.aafp.org​/news/health-of-the-public​/20180112cdcopioidclarify.html. Accessed September 20 2019. Exclusion: 2
38.
American College of Medical T. Safety issues regarding prescription opioids. Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 2016 Mar;12(1):142–4. doi: 10.1007/s13181-015-0529-1. PMID: 26732680. Exclusion: E9 [PMC free article: PMC4781802] [PubMed: 26732680] [CrossRef]
39.
Anastassopoulos KP, Chow W, Tapia CI, et al. Economic study on the impact of side effects in patients taking oxycodone controlled-release for noncancer pain. J Manag Care Spec Pharm. 2012 Oct;18(8):615–26. PMID: 23127149. Exclusion: E10 [PMC free article: PMC10437335] [PubMed: 23127149]
40.
Anastassopoulos KP, Chow W, Tapia CI, et al. Reported side effects, bother, satisfaction, and adherence in patients taking hydrocodone for non-cancer pain. J Opioid Manag. 2013 Mar–Apr;9(2):97–109. doi: 10.5055/jom.2012.0151. PMID: 23709319. Exclusion: 3 [PubMed: 23709319] [CrossRef]
41.
Anderson JT, Haas AR, Percy R, et al. Chronic opioid therapy after lumbar fusion surgery for degenerative disc disease in a workers’ compensation setting. Spine. 2015 Nov;40(22):1775–84. doi: 10.1097/BRS.0000000000001054. PMID: 26192725. Exclusion: E7 [PubMed: 26192725] [CrossRef]
42.
Andresen V, Lass A, Banerji V, et al. Users of weak opioids have a smaller spectrum of constipation symptoms, but a similar degree of bother from constipation, as users of potent opioids. United European Gastroenterology Journal. 2017;5(5):A71. doi: 10.1177/2050640617725668. Exclusion: E9 [CrossRef]
43.
Anonymous. Long-acting opioids for chronic non-cancer pain: a review of the clinical efficacy and safety. Canadian Agency for Drugs and Technologies in Health. CADTH Rapid Response Reports. 2015 08 27;08:27. PMID: 26985539. Exclusion: E12 [PubMed: 26985539]
44.
Anonymous. Education and assessment for overdose prevention: a review of the clinical evidence and guidelines. Canadian Agency for Drugs and Technologies in Health. CADTH Rapid Response Reports. 2015 09 24;09:24. PMID: 26468567. Exclusion: E12 [PubMed: 26468567]
45.
Anonymous. Erratum: efficacy and tolerability of buccal buprenorphine in opioid-experienced patients with moderate to severe chronic low back pain: results of a phase 3, enriched enrollment, randomized withdrawal study (Pain (2016) 157 (2517–2526)). Pain. 2017;158(2):366. Exclusion: E9 [PMC free article: PMC5065057] [PubMed: 27434505]
46.
Antony A, Fishman MA, Hunter CW, et al. Absence due to disability increases after starting opioid use in chronic pain. Neuromodulation. 2019;22(3):E170–E1. doi: 10.1111/ner.12950. Exclusion: E9 [CrossRef]
47.
Apelt SM, Scherbaum N, Golz J, et al. Safety, effectiveness and tolerance of buprenorphine-naloxone in the treatment of opioid dependence: results from a nationwide non-interventional study in routine care. Pharmacopsychiatry; 2013. p. 94–107. Exclusion: E4 [PubMed: 23293011]
48.
Argoff C, Arnstein P, Stanos S, et al. Relationship between change in pain intensity and functional outcomes in patients with chronic pain receiving twice daily extended-release hydrocodone bitartrate. Journal of Opioid Management. 2015 Sep–Oct;11(5):417–24. doi: 10.5055/jom.2015.0291. PMID: 26535969. Exclusion: E6 [PubMed: 26535969] [CrossRef]
49.
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50.
Argoff CE, Silvershein DI. A comparison of long and short-acting opioids for the treatment of chronic noncancer pain: tailoring therapy to meet patient needs. Mayo Clinic Proceedings. 2009 Jul;84(7):602–12. doi: 10.1016/S0025-6196(11)60749-0. PMID: 19567714. Exclusion: E12 [PMC free article: PMC2704132] [PubMed: 19567714] [CrossRef]
51.
Arkinstall WW, Goughnour BR, White JA, et al. Control of severe pain with sustained-release morphine tablets v. oral morphine solution. CMAJ Canadian Medical Association Journal. 1989 Mar 15;140(6):653–7, 61. PMID: 2645988. Exclusion: E13 [PMC free article: PMC1268755] [PubMed: 2645988]
52.
Arner S, Meyerson BA. Lack of analgesic effect of opioids on neuropathic and idiopathic forms of pain. Pain. 1988 Apr;33(1):11–23. PMID: 2454440. Exclusion: E8 [PubMed: 2454440]
53.
Ashworth J, Green DJ, Dunn KM, et al. Opioid use among low back pain patients in primary care: Is opioid prescription associated with disability at 6-month follow-up? Pain; 2013. p. 1038–44. Exclusion: E10 [PMC free article: PMC4250559] [PubMed: 23688575]
54.
Athanasos P, Smith CS, White JM, et al. Methadone maintenance patients are cross-tolerant to the antinociceptive effects of very high plasma morphine concentrations. Pain. 2006 Feb;120(3):267–75. doi: 10.1016/j.pain.2005.11.005. PMID: 16427197. Exclusion: E4 [PubMed: 16427197] [CrossRef]
55.
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56.
Attal N, Guirimand F, Brasseur L, et al. Effects of IV morphine in central pain: a randomized placebo-controlled study. Neurology. 2002 Feb 26;58(4):554–63. PMID: 11865132. Exclusion: E5 [PubMed: 11865132]
57.
Aurilio C, Pace MC, Pota V, et al. Opioids switching with transdermal systems in chronic cancer pain. Journal of experimental & clinical cancer research : CR. 2009;28(61)doi: 10.1186/1756-9966-28-61. PMID: 19422676. Exclusion: E13 [PMC free article: PMC2684533] [PubMed: 19422676] [CrossRef]
58.
Averill LA, Averill CL, Staley LA, et al. The opioid abuse risk screener predicts aberrant same-day urine drug tests and 1-year controlled substance database checks: a brief report. Health Psychology Open. 2017 Jul–Dec;4(2)doi: 10.1177/2055102917748459. PMID: 29379630. Exclusion: E4 [PMC free article: PMC5779942] [PubMed: 29379630] [CrossRef]
59.
Axon DR, Patel MJ, Martin JR, et al. Use of multidomain management strategies by community dwelling adults with chronic pain: evidence from a systematic review. Scandinavian Journal of Pain. 2018 Oct 30;30:30. doi: 10.1515/sjpain-2018-0306. PMID: 30375350. Exclusion: E5 [PubMed: 30375350] [CrossRef]
60.
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61.
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62.
Bagg MK, McLachlan AJ, Maher CG, et al. Paracetamol, NSAIDS and opioid analgesics for chronic low back pain: a network meta-analysis. Cochrane Database of Systematic Reviews. 2018;2018(6)doi: 10.1002/14651858.CD013045. Exclusion: E9 [CrossRef]
63.
Bahd J, Maumus M, Jeffreys J. Augmenting accurate diagnosis and successive treatment of opioid misuse in the clinical encounter: measuring outcomes. Ochsner Journal. 2017;17(3):e45. Exclusion: E9
64.
Bailey RW, Vowles KE. Using screening tests to predict aberrant use of opioids in chronic pain patients: caveat emptor. Journal of Pain. 2017 Dec;18(12):1427–36. doi: 10.1016/j.jpain.2017.06.004. PMID: 28669863. Exclusion: 2 [PMC free article: PMC5682225] [PubMed: 28669863] [CrossRef]
65.
Bair MJ. Using group visits to provide overdose education and distribute naloxone to high-risk primary care patients. Pain Medicine. 2017 Dec;18(12):2263–5. doi: 10.1093/pm/pnx279. Exclusion: E9 [PubMed: 29099984] [CrossRef]
66.
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Bair MJ, Outcalt SD, Slaven JE, et al. Care management for the effective use of opioids (CAMEO): a randomized trial. Psychosomatic medicine. 2019a;81(4):A149-. PMID: CN-01936770 NEW. Exclusion: E9
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Ballantyne JC. Opioids around the clock? Pain. 2011;152(6):1221–2. doi: 10.1016/j.pain.2011.01.052. Exclusion: E9 [PubMed: 21315514] [CrossRef]
69.
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70.
Ballantyne JC, LaForge KS. Opioid dependence and addiction during opioid treatment of chronic pain. Pain. 2007 Jun;129(3):235–55. PMID: 17482363. Exclusion: E12 [PubMed: 17482363]
71.
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Ballantyne JC, Shin NS. Efficacy of opioids for chronic pain: A review of the evidence. Clin J Pain. 2008 Jul–Aug;24(6):469–78. doi: 10.1097/AJP.0b013e31816b2f26. PMID: 18574357. Exclusion: E12 [PubMed: 18574357] [CrossRef]
73.
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75.
Bao YJ, Hou W, Kong XY, et al. Hydromorphone for cancer pain. Cochrane Database Syst Rev. 2016 Oct 11;10:Cd011108. doi: 10.1002/14651858.CD011108.pub2. PMID: 27727452. Exclusion: E4 [PMC free article: PMC6457981] [PubMed: 27727452] [CrossRef]
76.
Barclay JS, Owens JE, Blackhall LJ. Screening for substance abuse risk in cancer patients using the Opioid Risk Tool and urine drug screen. Support Care Cancer. 2014 Jul;22(7):1883–8. doi: 10.1007/s00520-014-2167-6. PMID: 24563103. Exclusion: E7 [PubMed: 24563103] [CrossRef]
77.
Barkin RL. Extended-release Tramadol (ULTRAM ER): a pharmacotherapeutic, pharmacokinetic, and pharmacodynamic focus on effectiveness and safety in patients with chronic/persistent pain. American Journal of Therapeutics. 2008 Mar–Apr;15(2):157–66. doi: 10.1097/MJT.0b013e31815b035b. PMID: 18356636. Exclusion: E9 [PubMed: 18356636] [CrossRef]
78.
Baron MJ, McDonald PW. Significant pain reduction in chronic pain patients after detoxification from high-dose opioids. J Opioid Manag. 2006 Sep–Oct;2(5):277–82. PMID: 17319259. Exclusion: E5 [PubMed: 17319259]
79.
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80.
Baron R, Schwittay A, Binder A, et al. Effectiveness of tapentadol prolonged release (PR) versus oxycodone/naloxone pr for severe chronic low back pain with a neuropathic pain component. Pain Pract. 2014;14:59–60. Exclusion: E9
81.
Barrera-Chacon JM, Mendez-Suarez JL, Jauregui-Abrisqueta ML, et al. Oxycodone improves pain control and quality of life in anticonvulsant-pretreated spinal cord-injured patients with neuropathic pain. Spinal Cord. 2011 Jan;49(1):36–42. doi: 10.1038/sc.2010.101. PMID: 20820176. Exclusion: E4 [PubMed: 20820176] [CrossRef]
82.
Barrett T, Kostenbader K, Nalamachu S, et al. Safety and tolerability of biphasic immediate-release/extended-release oxycodone/acetaminophen tablets: analysis of 11 clinical trials. Pain Pract. 2016 09;16(7):856–68. doi: 10.1111/papr.12324. PMID: 26296448. Exclusion: E4 [PubMed: 26296448] [CrossRef]
83.
Barth KS, Becker WC, Wiedemer NL, et al. Association between urine drug test results and treatment outcome in high-risk chronic pain patients on opioids. Journal of addiction medicine. 2010 Sep;4(3):167–73. doi: 10.1097/ADM.0b013e3181c379ed. PMID: 21769031. Exclusion: E6 [PubMed: 21769031] [CrossRef]
84.
Bartoli A, Michna E, He E, et al. Pain intensity and interference with functioning and well-being in subgroups of patients with chronic pain treated with once-daily hydrocodone tablets. Journal of Opioid Management. 2015 Nov–Dec;11(6):519–33. doi: 10.5055/jom.2015.0305. PMID: 26728649. Exclusion: E10 [PubMed: 26728649] [CrossRef]
85.
Bartoli A, Michna E, He E, et al. Efficacy and safety of once-daily, extended-release hydrocodone in individuals previously receiving hydrocodone/acetaminophen combination therapy for chronic pain. Postgraduate Medicine. 2015 Jan;127(1):5–12. PMID: 25526227. Exclusion: E12 [PubMed: 25526227]
86.
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