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Article ; Online: Retrospective Cohort Study of Safety Outcomes Associated with Opioid Rotations to Buprenorphine.

Shah, Neil K / Chandler, Michael W / Cetto, Anne V / Luciani, Lisa L / Painter, Jacob / Bailey, Danielle

Journal of pain & palliative care pharmacotherapy

2023  Volume 37, Issue 3, Page(s) 234–245

Abstract: The objective of this study was to understand the effect buprenorphine rotations have on respiratory risk and other safety outcomes. This was a retrospective observational study evaluating Veterans who underwent an opioid rotation from full-agonist ... ...

Abstract The objective of this study was to understand the effect buprenorphine rotations have on respiratory risk and other safety outcomes. This was a retrospective observational study evaluating Veterans who underwent an opioid rotation from full-agonist opioids to buprenorphine products or to alternative opioids. The primary endpoint was change in the Risk Index for Overdose or Serious Opioid-induced Respiratory Depression (RIOSORD) score from baseline to six months post-rotation. Median baseline RIOSORD scores were 26.0 and 18.0 in the Buprenorphine Group and the Alternative Opioid Group, respectively. There was no statistically significant difference between groups in baseline RIOSORD score. At six months post-rotation, median RIOSORD scores were 23.5 and 23.0 in the Buprenorphine Group and Alternative Opioid Group, respectively. The difference in change in RIOSORD scores between groups was not statistically significant (
MeSH term(s) Humans ; Buprenorphine/adverse effects ; Analgesics, Opioid/adverse effects ; Retrospective Studies ; Pain Management ; Respiratory Insufficiency/chemically induced ; Opioid-Related Disorders/drug therapy
Chemical Substances Buprenorphine (40D3SCR4GZ) ; Analgesics, Opioid
Language English
Publishing date 2023-04-25
Publishing country England
Document type Observational Study ; Journal Article
ZDB-ID 2078852-6
ISSN 1536-0539 ; 1536-0288
ISSN (online) 1536-0539
ISSN 1536-0288
DOI 10.1080/15360288.2023.2200412
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