Daniel Alford

Daniel Alford

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Daniel Alford

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Medicine, with a focus on physicians: Addressing substance use in the 21st century.

Subst Abus 2019 27;40(4):396-404. Epub 2019 Nov 27.

Boston University School of Medicine, Boston Medical Center, Boston, Masachussetts, USA.

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http://dx.doi.org/10.1080/08897077.2019.1691130DOI Listing
November 2019

Opioid discontinuation as an institutional mandate: Questions and answers on why we wrote to the Centers for Disease Control and Prevention.

Subst Abus 2019 30;40(4):466-468. Epub 2019 Jul 30.

Clinical Addiction Research and Education (CARE) Unit, Boston University School of Medicine & Boston Medical Center, Boston, Massachusetts, USA.

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http://dx.doi.org/10.1080/08897077.2019.1635973DOI Listing
July 2019

National Trends in Prescription Opioid Risk Mitigation Practices: Implications for Prescriber Education.

Pain Med 2019 05;20(5):907-915

The Barry M. Manuel Continuing Medical Education Office, Boston University School of Medicine, Boston, Massachusetts, USA.

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http://dx.doi.org/10.1093/pm/pny298DOI Listing
May 2019

Opioid discontinuation as an institutional mandate: Questions and answers on why we wrote to the Centers for Disease Control and Prevention.

Subst Abus 2019 17;40(1):4-6. Epub 2019 May 17.

e Clinical Addiction Research and Education (CARE) Unit , Boston University School of Medicine and Boston Medical Center , Boston , Massachusetts , USA.

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http://dx.doi.org/10.1080/08897077.2019.1613830DOI Listing
May 2019

Utilizing a Faculty Development Program to Promote Safer Opioid Prescribing for Chronic Pain in Internal Medicine Resident Practices.

Pain Med 2019 04;20(4):707-716

Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts.

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https://academic.oup.com/painmedicine/advance-article/doi/10
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http://dx.doi.org/10.1093/pm/pny292DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442747PMC
April 2019

NEJM Knowledge+ Pain Management and Opioids - A New Adaptive Learning Module.

N Engl J Med 2019 04 10;380(16):1576-1577. Epub 2019 Apr 10.

From Brigham and Women's Hospital (O.-P.R.H.), Harvard Medical School (O.-P.R.H.), Boston University School of Medicine (D.P.A., I.T.H.), and Boston Medical Center (D.P.A.), Boston, and NEJM Group, Waltham (O.-P.R.H., C.T.R.) - all in Massachusetts.

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http://www.nejm.org/doi/10.1056/NEJMe1903798
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http://dx.doi.org/10.1056/NEJMe1903798DOI Listing
April 2019

Prescription Medication Misuse.

Semin Neurol 2018 12 6;38(6):654-664. Epub 2018 Dec 6.

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston University School of Medicine, Boston Medical Center, Boston, MA.

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http://dx.doi.org/10.1055/s-0038-1673691DOI Listing
December 2018

Opioid and cocaine use among primary care patients on buprenorphine-Self-report and urine drug tests.

Drug Alcohol Depend 2018 11 25;192:245-249. Epub 2018 Sep 25.

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, United States; Boston University School of Public Health, Boston, MA, United States.

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https://linkinghub.elsevier.com/retrieve/pii/S03768716183061
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http://dx.doi.org/10.1016/j.drugalcdep.2018.08.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6291245PMC
November 2018

Comparison of Post-Cesarean Section Opioid Analgesic Requirements in Women With Opioid Use Disorder Treated With Methadone or Buprenorphine.

J Addict Med 2017 Sep/Oct;11(5):397-401

Boston Medical Center, Boston, MA (ALV, SMB, EMW, KS, DPA); Boston University School of Medicine, Boston, MA (SMB, FR-M, EMW, KS, DPA); Boston University School of Public Health, Boston, MA (KAH); and QuintilesIMS, Cambridge, MA (KAH).

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http://dx.doi.org/10.1097/ADM.0000000000000339DOI Listing
May 2018

The Surgeon General's Facing Addiction report: An historic document for health care.

Subst Abus 2017 Apr-Jun;38(2):122

l Division of Epidemiology, Department of Medicine , University of Utah School of Medicine , Salt Lake City , Utah , USA.

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http://dx.doi.org/10.1080/08897077.2017.1309935DOI Listing
March 2018

Training internal medicine residents to manage chronic pain and prescription opioid misuse.

Subst Abus 2017 Apr-Jun;38(2):200-204. Epub 2017 Apr 10.

c Cleveland Clinic Foundation , Cleveland , Ohio , USA.

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http://dx.doi.org/10.1080/08897077.2017.1296526DOI Listing
March 2018

What do providers want to know about opioid prescribing? A qualitative analysis of their questions.

Subst Abus 2017 Apr-Jun;38(2):222-229. Epub 2017 Apr 10.

a Boston University School of Medicine , Boston , Massachusetts , USA.

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http://dx.doi.org/10.1080/08897077.2017.1296525DOI Listing
March 2018

Safe and competent opioid prescribing education: Increasing dissemination with a train-the-trainer program.

Subst Abus 2017 Apr-Jun;38(2):168-176

a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA.

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http://dx.doi.org/10.1080/08897077.2016.1275927DOI Listing
March 2018

The Alcohol and Other Drugs Education Program for Social Work Faculty: A Model for Immersion Training.

J Soc Work Pract Addict 2018 20;18(1):8-29. Epub 2018 Feb 20.

Professor, School of Medicine, Boston University, Boston, MA, United States.

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http://dx.doi.org/10.1080/1533256X.2017.1412980DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715135PMC
February 2018

Brief intervention for daily marijuana users identified by screening in primary care: A subgroup analysis of the ASPIRE randomized clinical trial.

Subst Abus 2016 Apr-Jun;37(2):336-42. Epub 2015 Oct 9.

a Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine , Department of Medicine, Boston Medical Center and Boston University School of Medicine , Boston , Massachusetts , USA.

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http://dx.doi.org/10.1080/08897077.2015.1075932DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4826635PMC
January 2018

Chronic pain, craving, and illicit opioid use among patients receiving opioid agonist therapy.

Drug Alcohol Depend 2016 Sep 27;166:26-31. Epub 2016 Jun 27.

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, 801 Massachusetts Ave., Second Floor, Boston, MA 02118, United States; Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave., Second Floor, Boston, MA 02118, United States; Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave., Second Floor, Boston, MA 02118, United States.

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http://dx.doi.org/10.1016/j.drugalcdep.2016.06.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983520PMC
September 2016

Primary Care Patients with Drug Use Report Chronic Pain and Self-Medicate with Alcohol and Other Drugs.

J Gen Intern Med 2016 May 25;31(5):486-91. Epub 2016 Jan 25.

Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston University School of Medicine, 801 Massachusetts Avenue, 2nd floor, Boston, MA, 02118, USA.

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http://dx.doi.org/10.1007/s11606-016-3586-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4835374PMC
May 2016

Opioid Prescribing for Chronic Pain--Achieving the Right Balance through Education.

Authors:
Daniel P Alford

N Engl J Med 2016 Jan;374(4):301-3

From the Boston University School of Medicine and Boston Medical Center - both in Boston.

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http://dx.doi.org/10.1056/NEJMp1512932DOI Listing
January 2016

Hepatitis C virus infection and pain sensitivity in patients on methadone or buprenorphine maintenance therapy for opioid use disorders.

Drug Alcohol Depend 2015 Aug 22;153:286-92. Epub 2015 May 22.

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, 801 Massachusetts Ave., Second Floor, Boston, MA 02118, United States; Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, 801 Massachusetts Ave., Second Floor, Boston, MA 02118, United States; Department of Community Health Sciences, Boston University School of Public Health, 801 Massachusetts Ave., Second Floor, Boston, MA 02118, United States.

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http://dx.doi.org/10.1016/j.drugalcdep.2015.05.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509826PMC
August 2015

Effects of testosterone replacement in men with opioid-induced androgen deficiency: a randomized controlled trial.

Pain 2015 Feb;156(2):280-8

aThe Research Program in Men's Health: Aging and Metabolism, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA bDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA cDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA dDepartment of Anesthesiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA eDepartments of Anesthesiology and Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

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http://dx.doi.org/10.1097/01.j.pain.0000460308.86819.aaDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6036339PMC
February 2015

Screening and brief intervention for drug use in primary care: the ASPIRE randomized clinical trial.

JAMA 2014 Aug;312(5):502-13

Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts2Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center and Boston.

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http://dx.doi.org/10.1001/jama.2014.7862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4667772PMC
August 2014

Update in pain medicine for primary care providers: a narrative review, 2010-2012.

Pain Med 2014 Mar 14;15(3):425-31. Epub 2014 Jan 14.

Denver VA Medical Center, Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.

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http://dx.doi.org/10.1111/pme.12337DOI Listing
March 2014

Opioid prescribing: can the art become more science?

Authors:
Daniel P Alford

J Gen Intern Med 2013 Oct;28(10):1253-4

Boston University School of Medicine, Boston, MA, USA,

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http://dx.doi.org/10.1007/s11606-013-2493-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785648PMC
October 2013

Weighing in on opioids for chronic pain: the barriers to change.

Authors:
Daniel P Alford

JAMA 2013 Oct;310(13):1351-2

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http://dx.doi.org/10.1001/jama.2013.278587DOI Listing
October 2013

Chronic back pain with possible prescription opioid misuse.

Authors:
Daniel P Alford

JAMA 2013 Mar;309(9):919-25

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts 02118, USA.

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http://dx.doi.org/10.1001/jama.2013.522DOI Listing
March 2013

Is unhealthy substance use associated with failure to receive cancer screening and flu vaccination? A retrospective cross-sectional study.

BMJ Open 2011 Apr 7;1(1):e000046. Epub 2011 Apr 7.

Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, Massachusetts, USA.

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http://dx.doi.org/10.1136/bmjopen-2010-000046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3191402PMC
April 2011

Collaborative care of opioid-addicted patients in primary care using buprenorphine: five-year experience.

Arch Intern Med 2011 Mar;171(5):425-31

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, 801 Massachusetts Ave, Second Floor, Boston, MA 02118, USA.

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http://dx.doi.org/10.1001/archinternmed.2010.541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3059544PMC
March 2011

Physician introduction to opioids for pain among patients with opioid dependence and depressive symptoms.

J Subst Abuse Treat 2010 Dec 19;39(4):378-83. Epub 2010 Aug 19.

Boston University School of Medicine/Boston Medical Center, Boston, MA 02118, USA.

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http://dx.doi.org/10.1016/j.jsat.2010.06.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3129653PMC
December 2010

Update in pain medicine.

J Gen Intern Med 2010 Nov 15;25(11):1222-6. Epub 2010 Jul 15.

Boston University School of Medicine and Boston Medical Center, Boston, MA 02118, USA.

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http://dx.doi.org/10.1007/s11606-010-1452-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947651PMC
November 2010

Screening and brief intervention for unhealthy drug use in primary care settings: randomized clinical trials are needed.

J Addict Med 2010 Sep;4(3):123-30

Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA.

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http://dx.doi.org/10.1097/ADM.0b013e3181db6b67DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2950314PMC
September 2010

A transitional opioid program to engage hospitalized drug users.

J Gen Intern Med 2010 Aug 17;25(8):803-8. Epub 2010 Mar 17.

Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA, USA.

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http://dx.doi.org/10.1007/s11606-010-1311-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2896583PMC
August 2010

Systematic review: treatment agreements and urine drug testing to reduce opioid misuse in patients with chronic pain.

Ann Intern Med 2010 Jun;152(11):712-20

Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA.

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http://dx.doi.org/10.7326/0003-4819-152-11-201006010-00004DOI Listing
June 2010

Internal medicine residency training for unhealthy alcohol and other drug use: recommendations for curriculum design.

BMC Med Educ 2010 Mar 15;10:22. Epub 2010 Mar 15.

Residency Training Program in Internal Medicine, Boston University School of Medicine, Boston, MA, USA.

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http://dx.doi.org/10.1186/1472-6920-10-22DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848062PMC
March 2010

Opioids for chronic pain in patients with substance abuse: too much, too little or just right?

Authors:
Daniel P Alford

Pain 2009 Oct 23;145(3):267-8. Epub 2009 Jul 23.

Boston University School of Medicine, Boston Medical Center, Boston, MA 02118, USA.

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http://dx.doi.org/10.1016/j.pain.2009.06.036DOI Listing
October 2009

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

J Gen Intern Med 2009 Sep 4;24(9):1007-11. Epub 2009 Jul 4.

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA 02118, USA.

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http://dx.doi.org/10.1007/s11606-009-1043-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726880PMC
September 2009

Low vitamin d status of patients in methadone maintenance treatment.

J Addict Med 2009 Sep;3(3):134-8

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Diabetes and Metabolism, Beth Israel Deaconess Medical Center, Boston, MA, USA.

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http://dx.doi.org/10.1097/ADM.0b013e31819b736dDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4059827PMC
September 2009

Physicians' pain management confidence versus competence.

J Opioid Manag 2009 May-Jun;5(3):169-74

Department of Pharmacy Practice, Northeastern University School of Pharmacy, Boston, MA, USA.

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http://dx.doi.org/10.5055/jom.2009.0017DOI Listing
August 2009

Promoting substance use education among generalist physicians: an evaluation of the Chief Resident Immersion Training (CRIT) program.

J Gen Intern Med 2009 Jan 21;24(1):40-7. Epub 2008 Oct 21.

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA 02118-2393, USA.

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http://dx.doi.org/10.1007/s11606-008-0819-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2607502PMC
January 2009

Office-based management of opioid dependence with buprenorphine: clinical practices and barriers.

J Gen Intern Med 2008 Sep;23(9):1393-8

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston Medical Center and Boston University School of Medicine, Boston, MA 02118, USA.

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http://dx.doi.org/10.1007/s11606-008-0686-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2518016PMC
September 2008

Update in pain medicine.

J Gen Intern Med 2008 Jun 11;23(6):841-5. Epub 2008 Mar 11.

Boston University School of Medicine, Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA 02118, USA.

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http://link.springer.com/10.1007/s11606-008-0570-8
Publisher Site
http://dx.doi.org/10.1007/s11606-008-0570-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517889PMC
June 2008

Commentary on letter entitled, "buprenorphine comes of age".

J Addict Med 2008 Mar;2(1):51

Boston University School of Medicine, Boston Medical Center, Boston, MA (Alford) Department of Medicine, Beth Israel Medical Center, New York, NY (Salsitz) The 14th Street Clinic and East Bay Community Recovery Project, Oakland, CA (Martin) Boston University School of Medicine, VA Boston Healthcare System, Boston, MA (Renner).

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http://dx.doi.org/10.1097/ADM.0b013e318159f989DOI Listing
March 2008

A web-based Alcohol Clinical Training (ACT) curriculum: is in-person faculty development necessary to affect teaching?

BMC Med Educ 2008 Mar 6;8:11. Epub 2008 Mar 6.

Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA.

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http://dx.doi.org/10.1186/1472-6920-8-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2329623PMC
March 2008

Update in addiction medicine for the generalist.

J Gen Intern Med 2007 Aug 10;22(8):1190-4. Epub 2007 May 10.

Mental Illness Research, Education, and Clinical Center, University of Pittsburgh, Pittsburgh, PA, USA.

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http://dx.doi.org/10.1007/s11606-007-0133-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2305747PMC
August 2007

Clinical case discussion: treating opioid dependence with buprenorphine.

J Addict Med 2007 Jun;1(2):73-8

From the Department of Medicine (DPA), Boston University School of Medicine, Office Based Opioid Treatment Program, Boston Medical Center, Boston, MA; Office-Based Opioid Therapy, Department of Medicine (ES), Beth Israel Medical Center, New York, NY; The 14th Street Clinic and East Bay Community Recovery Project (JM), Oakland, CA; and Department of Psychiatry (JAR), Boston University School of Medicine, VA Boston Healthcare System, Boston, MA.

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http://dx.doi.org/10.1097/ADM.0b013e3180691158DOI Listing
June 2007

Treating homeless opioid dependent patients with buprenorphine in an office-based setting.

J Gen Intern Med 2007 Feb;22(2):171-6

Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA 02118, USA.

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http://dx.doi.org/10.1007/s11606-006-0023-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1824722PMC
February 2007

Low bone density in patients receiving methadone maintenance treatment.

Drug Alcohol Depend 2006 Dec 21;85(3):258-62. Epub 2006 Jul 21.

Boston University School of Medicine, Department of Medicine, Boston, MA 02131, USA.

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http://dx.doi.org/10.1016/j.drugalcdep.2006.05.027DOI Listing
December 2006

Acute pain management for patients receiving maintenance methadone or buprenorphine therapy.

Ann Intern Med 2006 Jan;144(2):127-34

Clinical Addiction Research and Education (CARE) Unit, Boston University Medical Center, Boston, Massachusetts 02118, USA.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1892816PMC
http://dx.doi.org/10.7326/0003-4819-144-2-200601170-00010DOI Listing
January 2006

Addressing smoking cessation in methadone programs.

J Addict Dis 2005 ;24(2):33-48

Division of General Internal Medicine, Johns Hopkins University School of Medicine, 2024 East Monument Street, Room 2-516, Baltimore, MD 21287, USA.

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http://dx.doi.org/10.1300/J069v24n02_04DOI Listing
August 2005

Prescription drug use and abuse. Risk factors, red flags, and prevention strategies.

Postgrad Med 2005 Jul;118(1):19-26

Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, OH 44195, USA.

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http://dx.doi.org/10.3810/pgm.2005.07.1669DOI Listing
July 2005

Smoking policies in U.S. outpatient drug treatment facilities.

Nicotine Tob Res 2005 Jun;7(3):475-80

University of Kansas Medical School and Kansas Cancer Institute, Kansas City, KS 66160, USA.

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http://dx.doi.org/10.1080/14622200500144956DOI Listing
June 2005