Research Article: 2012 Update in addiction medicine for the generalist

Date Published: March 13, 2013

Publisher: BioMed Central

Author(s): Darius A Rastegar, Hillary V Kunins, Jeanette M Tetrault, Alexander Y Walley, Adam J Gordon.


This article presents an update on addiction-related medical literature for the calendar years 2010 and 2011, focusing on studies that have implications for generalist practice. We present articles pertaining to medical comorbidities and complications, prescription drug misuse among patients with chronic pain, screening and brief interventions (SBIs), and pharmacotherapy for addiction.

Partial Text

The goal of this paper is to identify and examine important recent advances in addiction medicine in the medical literature that have implications for the care of patients in primary care or other generalist settings. To accomplish this, the authors selected articles in the field of addiction medicine and summarized, critically appraised, and examined the articles in context of their implications for generalist practice, employing methodology used in prior updates
[1-3]. During an initial review, we identified articles through an electronic Medline search (limited to human studies and in English) using search terms for alcohol and other drugs of abuse from January 2010 to January 2012. From the citations, the authors selected articles for more intensive review. After this initial review, we searched for other literature in web-based or journal resources (e.g., Alcohol, Other Drugs, and Health: Current Evidence [], ACP Journal Club, and tables of contents of relevant journals). Through a consensus process, the authors agreed collectively on the important articles regarding addiction medicine that have implications for practice for generalist clinicians.

The authors declare that they have no competing interests for the work presented in this manuscript.

DAR authored the section on opioid pharmacotherapy, HVK the section on medical comorbidities, JMT the section on alcohol pharmacotherapy, AYW the section on prescription drug abuse, and AJG the section on screening and brief intervention. AJG coordinated the process of gathering and reviewing papers, DAR coordinated the writing of the manuscript. All authors read and approved the final manuscript.




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