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IASP Pain in Older Persons Special Interest Group Virtual Seminar: Is There a Role for Opioids in the Management of Chronic Non-Cancer Pain in Older People?

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The IASP Pain in Older Persons Special Interest Group will host a virtual seminar on The Role of Opioids in the Management of Pain in Older Adults.

Overview: The role of opioids for the management of chronic non-cancer pain (CNCP) in later life remains controversial. This controversy is perhaps most pronounced in countries significantly impacted by the ongoing opioid crisis. One in four older adults experience CNCP. Yet, according to the World Health Organization, by 2015, worldwide 75% of drug-related deaths in those over age 65 were due to opioids. This seminar brings together four experts from around the globe who will provide an international perspective regarding the use of opioids when managing CNCP in older populations. Using a case-based approach, presenters will cover key topics, including alternatives to the use of opioids in the treatment of moderate-to-severe pain, how to factor in polypharmacy and multimorbidity when deciding whether to prescribe a trial of an opioid, the importance of shared-decision making and defining mutually agreed upon treatment goals, and considerations regarding substance use and substance use disorders.


Contributors

  • Malcolm Hogg, MBBS

    Malcom Hogg is a Past-President of the Australian Pain Society and current board member of Painaustralia. He has advised on the development of National Strategic Action Plan for Pain Management and contributed to the development of the National Pain Service directory. At Royal Melbourne Hospital, Dr. Hogg supervises and coordinates a wide range of pain services, linking in-patient acute and interventional pain management with out-patient multidisciplinary services, which includes management strategies for cancer and CNCP and telehealth linked support to clinicians in western Victoria. He has served as an expert advisory committee member on the potential misuse of drugs of dependence and as a member of the Opioid Regulatory Advisory Group. He is a Clinical Associate Professor at the University of Melbourne. His clinical interests and research activities include the transition from acute to persistent pain, opioid, paracetamol and cannabis pharmacology, the use of ketamine to reduce persistent pain, and strategies to optimize pain management in older persons.

  • Graziano Onder, MD, PhD

    Graziano Onder is currently the Director of the Department of Cardiovascular, Endocrine-Metabolic Diseases and Aging at the Italian National Institute of Health (Istituto Superiore di Sanità). Dr. Onder has previously worked as Research Associate at the J. Paul Sticht Center on Aging, Wake Forest University, Winston Salem, NC, USA, and as Associate Professor at the Department of Geriatrics of the Università Cattolica del Sacro Cuore, Rome, Italy. He is fellow of the European Academy for Medicine of Aging and part of the interRAI network. His research focuses on topics that include pharmacoepidemiology in the elderly, pain, frailty, multimorbidity, chronic diseases, and organizational characteristics of health care systems. He has received multiple grants from public and private institutions including the Italian Ministry of Health and the European Commission through the Seventh Framework Programme and the Horizon 2020 Programme. At a national level he is a member of the Geriatric Working Group of the Italian Medicines Agency (AIFA). He has published more than 450 articles in peer-reviewed journals. Dr. Onder is also a geriatrician with experience in the field of chronic disease management and elder care.

  • Launette Marie Rieb, MD

    Launette Rieb is a Family Physician, Addiction Medicine Specialist, and Clinical Associate Professor at the University of British Columbia (UBC), Canada. She was the co-creator and initial Physician Director of UBC’s first Addiction Medicine Fellowship, and contributed to the formation of UBC’s first Pain Medicine Fellowship. She co-created the first Canadian Guidelines on Substance Use Disorders in Older Adults, including Co-Chairing the Opioid Use Disorder Guidelines. Dr. Rieb has published her research on opioid withdrawal-associated injury site pain (WISP) in the journal PAIN. She works clinically in a multidisciplinary team setting to help injured workers with pain, with a particular focus on addressing mental health and addiction issues. Dr. Rieb is the recipient of a UBC Post Graduate Teaching Award and the UBC College of Family Physicians Exceptional Teacher Honour.

  • Debra Weiner, MD

    Debra Weiner is Professor of Medicine, Psychiatry, Anesthesiology and Clinical & Translational Sciences at the University of Pittsburgh and Associate Director for Research of the VA Pittsburgh Geriatric Research, Education and Clinical Center. She is a geriatrician, rheumatologist, and acupuncturist who maintains an active clinical practice caring for older adults with CNCP. She has secured continuous federal funding over the past 25 years to study a variety of aspects related to pain and aging, and has published extensively on this topic, including over 100 peer-reviewed publications, books, book chapters, review articles and expert panel recommendations. Her current work focuses on evaluating the efficacy of a comprehensive and personalized approach to managing chronic low back pain in older adults, development of pragmatic educational interventions to improve pain management in primary care, including for patients with dementia and their caregivers, and understanding extraspinal factors that drive disability in older adults with lumbar spinal stenosis.

  • Benny Katz, MBBS (moderator)

    Benny Katz served until recently as the Director of Geriatric Medicine at St. Vincent’s Hospital Melbourne, Australia. He is a Clinical Associate Professor at the University of Melbourne. Dr. Katz has more than 35 years of experience in the management of pain in older adults. His research has focused on the role of multidisciplinary pain clinics as a strategy to manage pain, pharmacologic approaches to managing pain in the older adult, ways to optimize pain assessment, as well as research at the intersection of pain and dementia. Dr. Katz has served in leadership roles for the International Association for the Study of Pain SIG on Pain in Older Persons since its inception in 2005. He has developed and contributed to numerous workshops and seminars for the IASP SIG on challenges related to pain in older persons, combining his clinical pragmatism with best evidence available. He has contributed to key books and published numerous papers that guide the clinical care of older persons with pain.

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October 22, 2021
Fri 11:00 AM EDT

Duration 1H 30M

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