Down the drain: Reconsidering routine urine drug testing during the COVID-19 pandemic.

COVID-19 Humans Opioid-Related Disorders / diagnosis Patient-Centered Care / methods Substance Abuse Detection / methods Telemedicine

Journal

Journal of substance abuse treatment
ISSN: 1873-6483
Titre abrégé: J Subst Abuse Treat
Pays: United States
ID NLM: 8500909

Informations de publication

Date de publication:
01 2021
Historique:
received: 06 06 2020
revised: 30 07 2020
accepted: 29 09 2020
entrez: 10 12 2020
pubmed: 11 12 2020
medline: 22 12 2020
Statut: ppublish

Résumé

The COVID-19 pandemic and the move to telemedicine for office-based opioid treatment have made the practice of routine urine drug tests (UDT) obsolete. In this commentary we discuss how COVID-19 has demonstrated the limited usefulness and possible harms of routine UDT. We propose that practitioners should stop using routine UDT and instead use targeted UDT, paired with clinical reasoning, as part of a patient-centered approach to care.

Identifiants

DOI: 10.1016/j.jsat.2020.108155 PMID: 33298297 PMC: PMC7534596
pubmed: 33298297
pii: S0740-5472(20)30412-8
doi: 10.1016/j.jsat.2020.108155
pmc: PMC7534596
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

108155

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Références

Int J Drug Policy. 2020 Apr 17;79:102722
pubmed: 32311513
Am J Drug Alcohol Abuse. 2019;45(4):333-340
pubmed: 31084515
JAMA. 2019 Jul 8;:
pubmed: 31282953
Drug Alcohol Depend. 2020 May 1;210:107958
pubmed: 32203863
Drug Alcohol Depend. 2019 Apr 1;197:78-82
pubmed: 30784952
J Addict Med. 2017 May/Jun;11(3):163-173
pubmed: 28557958
Ann Intern Med. 2018 Nov 6;169(9):628-635
pubmed: 30357262
J Subst Abuse Treat. 2015 May;52:48-57
pubmed: 25601365
J Subst Abuse Treat. 2009 Dec;37(4):426-30
pubmed: 19553061

Auteurs

Jarratt D Pytell (JD)

Addiction Medicine and General Internal Medicine Fellowships, Johns Hopkins University School of Medicine, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd floor, Baltimore, MD 21224, United States of America. Electronic address: jpytell1@jhmi.edu.

Darius A Rastegar (DA)

Division of Addiction Medicine, Johns Hopkins Bayview Medical Center, 5200 Eastern Avenue, Mason Lord Building, East Tower, 2nd floor, Baltimore, MD 21224, United States of America. Electronic address: drasteg1@jhmi.edu.

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Classifications MeSH

questionsmedicales.fr › Maladies de l'appareil respiratoire › Infections de l'appareil respiratoire › Pneumopathie infectieuse › Pneumopathie virale › COVID-19 › Down the drain: Reconsidering routine urine...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Down the drain: Reconsidering routine urine...
questionsmedicales.fr › Troubles mentaux › Troubles liés à une substance › Troubles liés à l'usage de substances psychotropes › Troubles liés aux opiacés › Down the drain: Reconsidering routine urine...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Soins centrés sur le patient › Down the drain: Reconsidering routine urine...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Pratiques en santé publique › Dépistage de masse › Détection d'abus de substances › Down the drain: Reconsidering routine urine...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Télémédecine › Down the drain: Reconsidering routine urine...