Opioids for chronic pain management in patients with dialysis-dependent kidney failure

DG Tobin, MB Lockwood, PL Kimmel… - Nature Reviews …, 2022 - nature.com
Chronic pain is highly prevalent among adults treated with maintenance haemodialysis (HD)
and has profound negative effects. Over four decades, research has demonstrated that 50–…

[PDF][PDF] Breaking the pain contract: a better controlled-substance agreement for patients on chronic opioid therapy

DG Tobin, K Keough Forte, S Johnson McGee - Cleve Clin J Med, 2016 - academia.edu
“Pain contracts” for patients receiving long-term opioid therapy, though well-intentioned,
often stigmatize the patient and erode trust between patient and physician. This article …

Nonmedical use of opioid analgesics obtained directly from physicians: prevalence and correlates

WC Becker, DG Tobin, DA Fiellin - Archives of internal medicine, 2011 - jamanetwork.com
Methods. Data Source and Study Population. We used data from the National Survey on
Drug Use and Health, an annual survey of the civilian, noninstitutionalized population. We …

Pain and addiction in specialty and primary care: the bookends of a crisis

…, SA Waldman, AR Gluck, DG Tobin - Journal of Law …, 2018 - cambridge.org
Specialists and primary care physicians play an integral role in treating the twin epidemics
of pain and addiction. But inadequate access to specialists causes much of the treatment …

Prescribing opioids in primary care: Safely starting, monitoring, and stopping.

DG Tobin, R Andrews, WC Becker - Cleveland Clinic journal of …, 2016 - europepmc.org
Chronic noncancer pain is common and often managed in the outpatient setting with chronic
opioid therapy, even though the efficacy of this approach is uncertain and adverse effects …

Full-body skin examinations: the patient's perspective

DG Federman, JD Kravetz, DG Tobin, F Ma… - Archives of …, 2004 - jamanetwork.com
Objectives To determine (1) primary care practitioner (PCP) and dermatologist full-body skin
examination (FBSE) rates by using a patient questionnaire and (2) whether patient risk …

Pharmacotherapy for alcohol use disorder

SR Holt, DG Tobin - Medical Clinics, 2018 - medical.theclinics.com
Alcohol use disorder (AUD) is a severe form of problematic drinking characterized by
compulsive and uncontrolled alcohol use despite evidence of harm. The fifth edition of the …

Continuity of care as an educational goal but failed reality in resident training: time to innovate

MS Ellman, DG Tobin… - Journal of graduate …, 2016 - meridian.allenpress.com
Continuity of care between a patient and a physician is a core aspiration. However, we
rarely achieve it in residency training, 1–4 even though benefits of care continuity accrue in …

Creating a satisfying continuity clinic experience for primary care trainees

SR Holt, DG Tobin, L Whitman, M Ellman… - The American journal of …, 2021 - Elsevier
Methods The authors, each with a decade or more of leadership experience as program
directors in internal medicine or pediatrics (SH, JM, BD) and clinic directors (DT, LW, ME), …

[HTML][HTML] Responding to unsafe opioid use: abandon the drug, not the patient

DG Tobin, SR Holt, BR Doolittle - Journal of General Internal Medicine, 2021 - Springer
P hysicians have a legal and ethical duty to protect their patients and support them during
times of clinical need; the decision to end a doctor-patient relationship should not be made …