Article
Duration of Abstinence from Alcohol Prior to Liver Transplantation Does Not Lead to Increased Survival in Patients with Alcohol-related Liver Disease
March 1, 2023
Clinical question: How does the duration of abstinence from alcohol affect patient survival, allograft survival, and relapse-free survival in patients undergoing liver transplantation? Background:...
Article
Breaking News: X-waiver Eliminated
January 25, 2023
On January 12, 2023, the U.S. Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Services Administration (SAMHSA) announced the immediate elimination of the X-waiver for...
Article
How Do You Address Ongoing In-hospital Substance Use Among Adults with SUD?
October 3, 2022
Case A 28-year-old man with a past medical history notable for severe opioid use disorder and aortic valve endocarditis requiring valve replacement was admitted with recurrent bacteremia, prosthetic...
Article
Recognizing and Treating Substance Use in the Inpatient Setting
July 1, 2022
Presenters: Erin McKnight, MD, MPH, Nationwide Children’s Hospital, Columbus, Ohio, Hilary Lin, MD, Children’s Health Orange County, Orange County, Calif., Stephanie Kwon, DO, Medical University...
Article
New HHS Guidance for Increasing Number of Buprenorphine Clinicians Who Can Treat OUD
June 1, 2022
Does your state allow it? The ongoing opioid epidemic The U.S. hit a grim milestone of more than 100,000 drug overdose deaths,1 most opioid-involved, in the 12 months ending April 2021. This...
Article
Interpretation of the Urine Drug Screen
May 2, 2022
Dr. Cunningham Case A 40-year-old male with depression, post-traumatic stress disorder, and chronic pain presents with somnolence and a respiratory rate of 10 breaths per minute that responded to...
Article
Inpatient addiction-medicine consultation services decrease 90-day mortality and seven-day readmission rates, but not 30-day readmission rates or ED utilization
April 1, 2022
Dr. Munoa Clinical question: Do inpatient addiction-medicine consultation services (AMCS) affect patient mortality and medical utilization post-discharge? Background: AMCS are increasingly...
Article
Characteristics of hospitalized patients whose substance use increased amid the impacts of COVID-19
March 3, 2022
Nearly 20 million U.S. adults experience a substance use disorder (SUD) annually,1 leading to more than 650 thousand hospital admissions.2 Large-scale crises like the COVID-19 pandemic can...
News
Short-acting opioids needed for withdrawal in U.S. hospitals, say experts
November 23, 2021
The short-acting drugs can complement methadone and buprenorphine to help patients get faster relief and help patients stay in the hospital to help with long-term management, say the authors of a new commentary.
News
U.S. overdose deaths hit an all-time high
November 18, 2021
Fentanyl and methamphetamine are contributing to rising numbers of fatalities, federal officials say.