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The Compass Opioid Stewardship Coaches Top 5 Podcast aims to provide clinicians with both recent and landmark medical literature to keep them up to date on in their practice. Episodes highlight topics such as pain management, alternatives to opioids, buprenorphine and methadone treatment, substance use disorders, health equity, harm reduction and more! Dr. Don Stader, a Board Certified Addiction Medicine Physician, and Clinical Pharmacist, Dr. Susan Bradley, lead the discussions, emphasizing ...
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Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, discuss the economic, racial, geographic, and social factors that often limit our patient’s abilities to achieve their greatest health. In this mini-series, they explore the policy and practice solutions that promote equity and advance the health and healthcare of our patients and communities. Through informational episodes and expert interviews, this series hopes to help craft a more equitable, just, and healthy nation.
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing physician empathy and the impact on pain perception, esketamine for prevention of postpartum depression, and more! Mindfulness Training vs Recovery Support for Opioid Use, Craving, and Anxiety During Buprenorphine Treatment: …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing risks of opioid tapering, a novel artery procedure for knee arthritis, and more! Association of opioid tapering with pain-related emergency department visits, hospitalizations, and primary care visits: a retrospective cohort …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing Journavx (suzetrigine), recommendations for vitamin D and calcium supplementation, perioperative use of tapentadol, and more! FDA Approves Novel Non-Opioid Treatment for Moderate to Severe Acute Pain, Published as an FDA News…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing chronic pelvic pain syndrome in men, long-term effects of muscle relaxants, and more! Chronic Pain and High-impact Chronic Pain in U.S. Adults, 2023, Published by the National Center for Health Statistics Data Brief, Number 5…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing the effects of long-term kratom use, hand osteoarthritis, insomnia in older adults, and more! The Unregulated Opioid: Neurologic and Electrolyte Imbalance From Long-Term Kratom Use, Published in the Annals of Internal Medicin…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing the link between Vitamin D levels and migraines, methotrexate for knee osteoarthritis, and more! Trends in Private Equity Acquisition of Pain Management Practices, Published in JAMA, December 2024 Association between serum vi…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing persistent pain and long-term opioids, safer opioid supply programs, suicide risk in patients prescribed opioid agonist therapy, and more! Suicide in people prescribed opioid-agonist therapy in Scotland, United Kingdom, 201…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing opioids and dementia risk, bending the overdose curve, extended release naltrexone, and more! Opioids and Dementia in the Danish Population, Published in JAMA Network Open, November 2024 Bending the Overdose Curve — Still Not…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks discussing pain neuroscience education, CBT for insomnia in chronic spinal pain patients, and more! Masked Taper With Behavioral Intervention for Discontinuation of Benzodiazepine Receptor Agonists: A Randomized Clinical Trial, Publishe…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing TENS for knee osteoarthritis, buprenorphine continuation in the peri-operative period, combination therapy for neuropathic pain, and more! The association between glucose-dependent insulinotropic polypeptide and/or glucagon-…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing Nav1.7 for osteoarthritis, resistance exercise for fibromyalgia, virtual yoga for chronic low back pain , and more! Buprenorphine/Naloxone vs Methadone for the Treatment of Opioid Use Disorder, Published in JAMA, October 202…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing buprenorphine associated precipitated withdrawal, open label placebo injections, the potential use of GLP-1 RA’s in SUD, and more! Open-Label Placebo Injection for Chronic Back Pain With Functional Neuroimaging: A Randomized…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing pregabalin versus gabapentin in lumbar radiculopathy, outcomes of placebo treatment in psychiatric disorders, illicit fentanyl during the prenatal period, and more! Comparing the effectiveness of pregabalin and gabapentin in…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing extended-release injectable buprenorphine versus sublingual, mortality association with benzodiazepine and opioid agonist co-prescribing, and more! Buprenorphine Prescribing Characteristics Following Relaxation of X-Waiver …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing semaglutide for OUD, risks of methadone, buprenorphine for pain, and more! Semaglutide and Opioid Overdose Risk in Patients With Type 2 Diabetes and Opioid Use Disorder, Published in JAMA Network Open, September 2024 Methado…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing acute care pain management pearls, the impact of an addiction care team on outcomes relating to Drug Use Associated-Infective Endocarditis , and more! Acute Pain Management Pearls: A Focused Review for the Hospital Clinician…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing mortality risk after opioid substitution, virtual reality-based Mindfulness-Oriented Recovery Enchancement , and more! Mortality risk during and after opioid substitution treatment:systematic review and meta-analysis of coho…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing psychedelics for depression, drug overdose death counts provided by the National Vital Statistics System, and more! Provisional Drug Overdose Death Counts, Published in the CDC’s National Vital Statistics System, Last Update…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing buprenorphine in perioperative settings and in pregnancy, stigma among PCP’s, and more! Higher First 30-Day Dose of Buprenorphine for Opioid Use Disorder Treatment Is Associated With Decreased Mortality, Published in the Jou…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing lessons from Germany in opioid prescribing, the link between childhood adversity and chronic pain in adulthood, acupuncture for methadone dose reduction, and more! How Germany averted an opioid crisis, Published by NBC New, …
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Episode 43 In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing second hand nicotine exposure from vaping, preoperative pharmacogenomic testing, efficacy of GLP-1 receptor agonists in SUD, and more! Rate of opioid use disorder in adults who received prescription opioid pain th…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing mental health needs of patients with chronic pain, data on opioid prescription quantities after cesarean delivery, and more! Consensus and Controversies Between Pain and Addiction Experts on the Prevention, Diagnosis, and Ma…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches' Top 5 picks, discussing naloxone for palliative care patients, a source control model for SUD, a lack of benefit seen with acetaminophen as an adjunct agent, and more! Opioid Abuse in Chronic Pain — Misconceptions and Mitigation Strategies, Publi…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches' Top 5 picks, discussing co-occurrence of anxiety and depression in chronic pain patients, telemedicine for OUD, opioid dose conversion data, and more! Strategies for Reducing Opioid-Overdose Deaths — Lessons from Canada, Published in the New Engl…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches' Top 5 picks, discussing the treatment of OUD, proposed changes to pain classifications, and more! Case 6-2019: A 29-Year-Old Woman with Nausea, Vomiting, and Diarrhea, Published in the New England Journal of Medicine, February 2019 Extended-Relea…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches' Top 5 picks, discussing injectable buprenorphine, benzodiazepine tapering, advances in the prevention of migraine, and more! Community-Based Cluster-Randomized Trial to Reduce Opioid Overdose Deaths, Published in the New England Journal of Medici…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing outpatient alcohol withdrawal, low dose naltrexone for pain, updates on treating trigeminal neuralgia, and more! Alcohol Withdrawal Syndrome: Outpatient Management, Published in the American Family Physician, September 2021 …
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Episode 36 In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing light therapy for chronic migraine, treatment for methamphetamine use disorder, and more! Effects of oral alcohol administration on heat pain threshold and ratings of supra-threshold stimuli, Published in the Scan…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the link between smoking and lower back pain, sleep as a treatment for pain, genetic variations associated with acamprosate response, and more! Smoking, alcohol and coffee consumption and risk of low back pain: a Mendelian r…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing opioid consumption post-bariatric surgery, topical anesthetics for corneal abrasions, drug related infant mortality, and more! The effect of bariatric surgery on opioid consumption in patients with obesity: a registry-based …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing alcohol and chronic pain, psychedelics for pain and OUD, and more! Association between alcohol consumption and chronic pain: a systematic review and meta-analysis, Published in the British Journal of Anaesthesia, April 2022 …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing SGLT2 inhibitors and false positive urine drug screens, ginger for painful periods, the legal issues with opioid treatment agreements, and more! SGLT2 Inhibitors and False Positive Toxicology Tests, Published in the New Engl…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing pain and withdrawal during OUD treatment, reducing alcohol consumption during pregnancy, chronic pain among homecare workers, and more! Effective Treatments for Opioid Use Disorder — Finding Recovery and Staying Safe, Publis…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing fibromyalgia from a patients perspective, treatments for tobacco use disorder, the struggles of primary care providers, and more! The Plight of Primary Care, Part 2 — ITT Episode 13, Published in the New England Journal of M…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing low-dose buprenorphine initiation for cancer pain, integrated HCV treatment into OUD care, mindfulness education in waiting rooms, and more! Buprenorphine Dispensing after Elimination of the Waiver Requirement, Published in …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing benzodiazepine dependence, endocrine effects of opioids, prevalence of illicit fentanyl use, and more! Racial and Ethnic Disparities in Geographic Availability of Buprenorphine, Published in the Journal of Addiction Medicine…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing long-term use of benzodiazepines, the use of semaglutide in cannabis use disorder, tapentadol, and more! Long-Term Use of Benzodiazepines and Benzodiazepine-Related Drugs: A Register-Based Danish Cohort Study on Determinants…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the opioid epidemic, opioid-free anesthesia, buprenorphine misinformation, and more! A Stat Investigation: The War on Recovery: How the U.S. is Sabotaging it’s Best Tools to Prevent Deaths in the Opioid Epidemic Published by…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the efficacy of antidepressants for chronic back pain, trends in against medical advice (AMA discharges) in patients with OUD, and more! Understanding Pain Catastrophizing: Putting Pieces Together, Published in Frontier is P…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing mindfulness therapy, telehealth services for OUD, spinal cord stimulation for low back pain, and more! Mindfulness-Oriented Recovery Enhancement remediates anhedonia in chronic opioid use by enhancing neurophysiological resp…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing prenatal opioid exposure and NOWS, deprescribing of opioids for chronic pain, and more! Efficacy of prescribed opioids for acute pain after being discharged from the emergency department: A systematic review and meta-analysi…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the link between chronic opioid therapy and immune and endocrine function, methadone treatment for illicit fentanyl use, the surprising efficacy of ibuprofen in treating acute pain, and more! Effects of Opioids on Immune and…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing mindfulness-oriented recovery enhancement, accidental substance-related acute toxicity deaths in older adults, and more! Mutual Mistrust: The Multilayered Experiences at the Intersection of Healthcare and Early Parenting Amo…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing buprenorphine in pregnancy, pain catastrophizing, stimulant use in youth, and more! Low-dose Induction of Buprenorphine in Pregnancy: A Case Series Published in The Journal of Addiction Medicine, Jan/Feb 2024 Opioid Prescrib…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the efficacy of 4 mg vs 8 mg naloxone nasal spray, a recent 29% decrease in overdose deaths associated with the injection route, but a 79% increase in smoking route overdoses, and more! Cutaneous Electroanalgesia for Relief …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing telemedicine associated buprenorphine initiations showing better treatment retention rates than in-office buprenorphine initiations, adolescents participating in more than one high school sport having a 30% greater risk of f…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing a novel sodium channel blocker showing promise in acute pain, ketamine vs. morphine for out of hospital analgesia, factors associated with overdose of young adults, and more! Selective Inhibition of NaV1.8 with VX-548 for Ac…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the potential of artificial intelligence in responding to patient inquiries, the association between distance and duration of MOUD treatment, the link between chronic pain and SUD in young adults, and more! Long-Term Outcome…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing health equity factors associated with abrupt opioid discontinuation, an overview of nociplastic pain, a 66% reduction seen in all-cause mortality for VA patients admitted to SUD residential treatment, and more! Factors Assoc…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the link between opioid prescribing and suicide, the role of GLP-1 receptor agonists in the treatment of SUDs, the positive data on using amitriptyline, pregabalin and duloxetine in diabetic peripheral neuropathic pain, and …
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