Publications by authors named "C J Marienfeld"
Background: Substance use is a significant contributor to emergency department (ED) visits. Little is known about ED utilization patterns of individuals with substance related diagnosis (SRD). We used electronic health records (EHR) from a large healthcare system in California to examine ED healthcare utilization and socio-demographic characteristics of individuals with SRDs.
View Article and Find Full Text PDFBackground: Accessing opioid use disorder (OUD) treatment is difficult for individuals in unstable housing. This population often uses public libraries for computer and internet access, which could provide telehealth access to OUD treatment. Therefore, we developed a novel 12-week library-facilitated telehealth intervention study called "Bupe by the Book" (BBB), which uses library resources to facilitate the initiation and retention of OUD treatment with buprenorphine.
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- - The study aimed to estimate health state utility values (HSUVs) for opioid use disorder (OUD) by analyzing data from 1,777 individuals, using various quality of life measures.
- - Significant reductions in HSUVs were linked to factors like extra-medical opioid use, injecting behaviors, having HIV, and age, while the impact of OUD treatment medications was not statistically significant.
- - The findings indicated that withdrawal symptoms significantly impacted HSUVs, with higher symptom severity leading to lower utility values, highlighting the importance of considering patient input in this type of research.
Article Synopsis
- A study investigated opioid tapering patterns in older cancer survivors, highlighting their unique healthcare needs compared to the general population.
- The research found no significant increase in hospitalizations or emergency visits related to psychiatric or drug-related issues after tapering opioids in this group.
- Contrary to existing studies on the general population, these findings suggest that older cancer survivors may not face heightened risks associated with opioid tapering.
Background: Craving has been implicated as a central feature of addiction and a predictor of relapse. However, a complete understanding of how craving varies across patient populations is lacking. This study aimed to better inform the effective and accurate use of craving as a clinical prognostic tool for patients with substance use disorders (SUD).
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