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Substance Abuse 

Substance Abuse
Chapter:
Substance Abuse
Author(s):

Kenneth L. Kirsh

and Steven D. Passik

DOI:
10.1093/med/9780199988730.003.0008
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date: 27 May 2020

This chapter defines substance abuse and highlights how patients with pain and a remote or current history of drug abuse can complicate management of cancer and its psychosocial dimension. The importance of distinguishing between patients with prior drug abuse and those with no previous drug abusr is important in tailoring a specific drug program to mediate pain. Screening, evaluation, interventions, and management of substance abuse in cancer patients are discussed. The degree of aberrancy is carefully considered, and the use of urine drug tests is discussed.

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