In the Crosshairs: Targeting Opioid Addiction

3PM – 4PM | Zinner Breakout Room
Tabletten

About the Session

The growing epidemic of opioid addiction is of great concern for the general population and healthcare professionals alike who prescribe these drugs to help patients manage pain. Even the most well-intentioned and/or well-informed patients could be affected by this public health crisis engulfing the nation. At BWH, our aim and our duty as prescribers is to help patients suffering from pain to improve their quality of life.  We also have a responsibility to help remedy the opiate problem.  In this session, BWH clinicians from Rheumatology, Allergy & Immunology, Anesthesiology and Pharmacoepidemiology will discuss chronic pain in musculoskeletal conditions, appropriate pain management strategies for different situations, comparative effectiveness of these options and the safe and effective utilization of opioids where applicable.

Speakers


MODERATOR
:

  • Jeffrey Katz, MD, PhD
    Professor of Medicine and Orthopedic Surgery, HMS
    Director, Orthopedic and Arthritis Center for Outcomes Research
    Department of Orthopedic Surgery and Division of Rheumatology, BWH

 

PANELISTS:

  • Robert Edwards

 

  • Robert N. Jamison, Ph.D.
    Professor of Anesthesia & Psychiatry
    Brigham & Women’s Hospital & Harvard Medical School

 

  • Seoyoung C. Kim, MD, ScD, MSCE
    Division of Pharmacoepidemiology & Pharmacoeconomics
    Division of Rheumatology, Immunology and Allergy
    Brigham and Women’s Hospital & Harvard Medical School

 

  •  Yvonne C. Lee, MD, MMSc
    Assistant Professor of Medicine
    Brigham & Women’s Hospital & Harvard Medical School

 

  • Timothy Mariano, MD, PhD, MSc
    Instructor of Psychiatry, Harvard Medical School
    Associate Psychiatrist, Brigham and Women’s Hospital
edwards

Robert Edwards, PhD
Psychologist, Brigham and Women’s Hospital
Associate Professor of Anaesthesia, Harvard Medical School

Dr. Edwards’ research focuses on bio-psycho-social aspects of the pain experience, including studies of how negative emotions may magnify the physiological impact of pain. In addition to studying the role of negative emotions in shaping the pain experience, Dr. Edwards’ work focuses on evaluating individual differences in sensitivity to pain using psychophysical techniques to assess responses to a variety of noxious stimuli. He has established a psychophysical pain testing laboratory at Brigham & Women’s Hospital (located adjacent to the Pain Management Center), in which quantitative sensory testing (QST) is used to study sensory responses in a controlled environment. In past work, Dr. Edwards has studied ethnic and sex differences in responses to pain, and some of the psychosocial variables which might explain such differences. More recently, his research has focused on factors such as emotional distress, pain-related catastrophizing, and disrupted sleep as important contributors to pain responses both inside and outside of the laboratory. Dr. Edwards is the recipient of several NIH and foundation awards, including: a K23 award from NIAMS, which includes the use of QST in patients with rheumatoid arthritis and osteoarthritis, an R21 from NCI, which includes the use of QST assessments in patients undergoing surgical procedures, and young investigator awards from the American College of Rheumatology and the Arthritis Foundation, which involve functional neuroimaging studies to identify the central nervous system substrates of pain-related catastrophizing. Dr. Edwards works closely with Drs. Wasan and Jamison, and ongoing projects in his laboratory use tools such as functional Magnetic Resonance Imaging (fMRI) to evaluate how the brain processes pain-related information. Additional projects include a laboratory-based study of how pain-related anxiety can alter the functioning of the immune system and stimulate an inflammatory response, as well as a study of the predictors of individual differences in post-surgical pain.

jamison

Robert N. Jamison, PhD
Professor of Anesthesia & Psychiatry

Dr. Jamison has over thirty five year’s experience working with persons with chronic pain. He is the Chief Psychologist at the Pain Management Center at BWH where he directs a structured pain management program. Dr. Jamison has received numerous grants from the NIH & has authored 2 books & over 250 peer-reviewed articles & chapters in the area of behavioral medicine & chronic pain. He has been on the Board of Directors for the American Pain Society & is Past President of the New England Pain Association. Dr. Jamison has also been a surveyor for the Commission on Accreditation of Rehabilitation Facilities & has served as the PI in many government & industry-sponsored research studies. He serves on the editorial boards of five different journals, is a frequent ad hoc reviewer for others and has served as a member of the NIH Behavioral Medicine & NIDA Study Sections. Additionally, he has been an invited speaker in several national and international conferences.

katz

Jeffrey N. Katz, MD, MSc
Professor of Medicine and Orthopedic Surgery, HMS
Director, Orthopedic and Arthritis Center for Outcomes Research
Department of Orthopedic Surgery and Division of Rheumatology, BWH

Dr. Katz is Director of the Orthopaedic and Arthritis Center for Outcomes Research in the Department of Orthopaedic Surgery and Division of Rheumatology, Immunology and Allergy at Brigham and Women’s Hospital. He is Principal Investigator of the Brigham Multidisciplinary Clinical Research Center (an NIH  P60 Center) and the MeTeOR Trial (a seven center RCT of the efficacy of arthroscopic partial meniscectomy) and is co-PI of a NIAMS funded T32 clinical research training program. He is Deputy Editor for Methodology of the Journal of Bone and Joint Surgery. He serves on the Boards of the Osteoarthritis Research Society International (OARSI) and Operation Walk Boston. Dr. Katz received the Young Investigator Award and the Distinguished Clinical Investigator Award from the American College of Rheumatology and the A Clifford Barger Mentoring Award from Harvard Medical School. In 2014, he was appointed as President–Elect of OARSI International.

kim

Seoyoung C. Kim, MD, ScD, MSCE
Division of Pharmacoepidemiology & Pharmacoeconomics
Division of Rheumatology, Immunology & Allergy
Brigham and Women’s Hospital & Harvard Medical School

Dr. Kim is an Assistant Professor of Medicine at Harvard Medical School and a faculty member in the Division of Pharmacoepidemiology and Pharmacoeconomics at BWH. She is board-certified in Internal Medicine and Rheumatology, and co-appointed in the Division of Rheumatology, Immunology and Allergy at Brigham and Women’s Hospital. She leads an NIH-funded study examining the use and safety of opioids in patients undergoing total joint replacement. Her other research projects are on comparative safety and effectiveness of medications for rheumatoid arthritis, gout and osteoporosis.

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Yvonne C. Lee, MD, MMSc
Assistant Professor of Medicine
Brigham and Women’s Hospital & Harvard Medical School

Dr. Lee is the Director of Pain Research in the Division of Rheumatology at BWH and the Principal Investigator of a multi-site, NIH-funded study to examine the role of central nervous system modulation of pain in rheumatoid arthritis (RA). She is also at the forefront of research examining the role of mobile technology for the assessment of pain & other patient-reported outcomes in RA. She recently launched a study to implement a smartphone application (app) + population management system to monitor RA symptoms between scheduled physician office visits. Dr. Lee completed her residency in internal medicine at Barnes-Jewish Hospital, Washington University in St. Louis & her fellowship in rheumatology at BWH. She received her MD from the University of Michigan Medical School & a Masters in Medical Sciences from Harvard Medical School.

painmanagement_timmarianoheadshot

Timothy Mariano, MD, PhD, MSc
Instructor of Psychiatry, Harvard Medical School
Associate Psychiatrist, Brigham and Women’s Hospital

Dr. Mariano is an outpatient psychiatrist at Brigham and Women’s Hospital and key staff in the BWH Transcranial Magnetic Stimulation Service.  Dr. Mariano is also principal investigator of a foundation-funded study of non-invasive electrical brain stimulation’s potential effectiveness for the depressive symptoms linked to chronic low back pain.  Other research projects seek to apply non-invasive brain stimulation to other psychiatric diagnoses.  Dr. Mariano completed psychiatry residency at Butler Hospital, Warren Alpert Medical School of Brown University.  He received the PhD in neural engineering and the MD from Case Western Reserve University in Cleveland, OH.  He also holds a Masters in Science in experimental psychology from the University of Oxford in Oxford, England and an undergraduate biomedical engineering degree from Harvard College.