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The Compass Opioid Stewardship Coaches Top 5 Podcast aims to provide clinicians with both recent and landmark medical literature to keep them up to date on in their practice. Episodes highlight topics such as pain management, alternatives to opioids, buprenorphine and methadone treatment, substance use disorders, health equity, harm reduction and more! Dr. Don Stader, a Board Certified Addiction Medicine Physician, and Clinical Pharmacist, Dr. Susan Bradley, lead the discussions, emphasizing ...
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This six part mini series features interviews with experts regarding the role of stigma in the opioid epidemic.
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Compass Opioid Stewardship Mini Series on Health Equity and Health Disparities
Iowa Healthcare Collaborative
Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, discuss the economic, racial, geographic, and social factors that often limit our patient’s abilities to achieve their greatest health. In this mini-series, they explore the policy and practice solutions that promote equity and advance the health and healthcare of our patients and communities. Through informational episodes and expert interviews, this series hopes to help craft a more equitable, just, and healthy nation.
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing opioid consumption post-bariatric surgery, topical anesthetics for corneal abrasions, drug related infant mortality, and more! The effect of bariatric surgery on opioid consumption in patients with obesity: a registry-based …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing alcohol and chronic pain, psychedelics for pain and OUD, and more! Association between alcohol consumption and chronic pain: a systematic review and meta-analysis, Published in the British Journal of Anaesthesia, April 2022 …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing SGLT2 inhibitors and false positive urine drug screens, ginger for painful periods, the legal issues with opioid treatment agreements, and more! SGLT2 Inhibitors and False Positive Toxicology Tests, Published in the New Engl…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing pain and withdrawal during OUD treatment, reducing alcohol consumption during pregnancy, chronic pain among homecare workers, and more! Effective Treatments for Opioid Use Disorder — Finding Recovery and Staying Safe, Publis…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing fibromyalgia from a patients perspective, treatments for tobacco use disorder, the struggles of primary care providers, and more! The Plight of Primary Care, Part 2 — ITT Episode 13, Published in the New England Journal of M…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing low-dose buprenorphine initiation for cancer pain, integrated HCV treatment into OUD care, mindfulness education in waiting rooms, and more! Buprenorphine Dispensing after Elimination of the Waiver Requirement, Published in …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing benzodiazepine dependence, endocrine effects of opioids, prevalence of illicit fentanyl use, and more! Racial and Ethnic Disparities in Geographic Availability of Buprenorphine, Published in the Journal of Addiction Medicine…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing long-term use of benzodiazepines, the use of semaglutide in cannabis use disorder, tapentadol, and more! Long-Term Use of Benzodiazepines and Benzodiazepine-Related Drugs: A Register-Based Danish Cohort Study on Determinants…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the opioid epidemic, opioid-free anesthesia, buprenorphine misinformation, and more! A Stat Investigation: The War on Recovery: How the U.S. is Sabotaging it’s Best Tools to Prevent Deaths in the Opioid Epidemic Published by…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the efficacy of antidepressants for chronic back pain, trends in against medical advice (AMA discharges) in patients with OUD, and more! Understanding Pain Catastrophizing: Putting Pieces Together, Published in Frontier is P…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing mindfulness therapy, telehealth services for OUD, spinal cord stimulation for low back pain, and more! Mindfulness-Oriented Recovery Enhancement remediates anhedonia in chronic opioid use by enhancing neurophysiological resp…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing prenatal opioid exposure and NOWS, deprescribing of opioids for chronic pain, and more! Efficacy of prescribed opioids for acute pain after being discharged from the emergency department: A systematic review and meta-analysi…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the link between chronic opioid therapy and immune and endocrine function, methadone treatment for illicit fentanyl use, the surprising efficacy of ibuprofen in treating acute pain, and more! Effects of Opioids on Immune and…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing mindfulness-oriented recovery enhancement, accidental substance-related acute toxicity deaths in older adults, and more! Mutual Mistrust: The Multilayered Experiences at the Intersection of Healthcare and Early Parenting Amo…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing buprenorphine in pregnancy, pain catastrophizing, stimulant use in youth, and more! Low-dose Induction of Buprenorphine in Pregnancy: A Case Series Published in The Journal of Addiction Medicine, Jan/Feb 2024 Opioid Prescrib…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the efficacy of 4 mg vs 8 mg naloxone nasal spray, a recent 29% decrease in overdose deaths associated with the injection route, but a 79% increase in smoking route overdoses, and more! Cutaneous Electroanalgesia for Relief …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing telemedicine associated buprenorphine initiations showing better treatment retention rates than in-office buprenorphine initiations, adolescents participating in more than one high school sport having a 30% greater risk of f…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing a novel sodium channel blocker showing promise in acute pain, ketamine vs. morphine for out of hospital analgesia, factors associated with overdose of young adults, and more! Selective Inhibition of NaV1.8 with VX-548 for Ac…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the potential of artificial intelligence in responding to patient inquiries, the association between distance and duration of MOUD treatment, the link between chronic pain and SUD in young adults, and more! Long-Term Outcome…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing health equity factors associated with abrupt opioid discontinuation, an overview of nociplastic pain, a 66% reduction seen in all-cause mortality for VA patients admitted to SUD residential treatment, and more! Factors Assoc…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the link between opioid prescribing and suicide, the role of GLP-1 receptor agonists in the treatment of SUDs, the positive data on using amitriptyline, pregabalin and duloxetine in diabetic peripheral neuropathic pain, and …
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the new opioid antagonist nalmefene, the 6% increase in buprenorphine prescribing associated with the x-waiver repeal, brain signals associated with chronic pain, and more! Scientists Find Brain Signals of Chronic Pain, Publ…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing buprenorphine vs methadone treatment for OUD, the link between gabapentinoids and COPD exacerbations, the significant decrease in overdose mortality rates seen in Sweden after rolling out take-home naloxone, and more! Gabape…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing the benefit of physical therapy over glucocorticoid injections in osteoarthritis of the knee, the link between adolescent mortality data and presentation to an emergency department for an alcohol-related cause, and more! Phy…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing methadone treatment in patients with cancer, undiagnosed mood disorders in 75% of study patients with musculoskeletal pain, telehealth benefits in the treatment of OUD, and more! Juggling Two Full-Time Jobs - Methadone clini…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks, discussing overdose fatalities quadrupling among older adults, how to manage buprenorphine during surgery, statistically significant abstinence rates seen with the use of extended release buprenorphine, and more! Perioperative Buprenor…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Pharmacotherapy for Alcohol Use Disorder: A Systematic Review and Meta-Analysis Published in JAMA, November 2023 Integrating Opioid Use Disorder Treatment Into Primary Care Settings Published in JAMA, August 2023 Is Acetaminophen Benef…
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In this episode, Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Does Screening for Opioid Use Disorder in Primary Care Increase the Percentage of Patients With a New Diagnosis?, Published in The Annals of Internal Medicine, October 2023 A Painful Subject: Interactive Medical Case, Published in the…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Use of Medication for Opioid Use Disorder Among Adults With Past-Year Opioid Use Disorder in the US, 2021, Published in JAMA in August, 2024 using data from the 2021 National Survey on Drug Use and Health (NSDUH) Intranasal Naloxone Ad…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Patient and Provider Perspectives on Processes of Engagement in Outpatient Treatment for Opioid Use Disorder: A Scoping Review, Published in the Community Mental Health Journal, September 2023 Inherited Patients Taking Opioids for Chro…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Trends in Opioid Toxicity–Related Deaths in the US Before and After the Start of the COVID-19 Pandemic, 2011-2021, Published in JAMA, July 2023 I returned to medicine after my opioid addiction. What I learned can help patients — and ot…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Technology-Assisted Buprenorphine Treatment in Rural and Nonrural Settings Two Randomized Clinical Trials, Published in JAMA, Sept 2023 Examining the Primary Care Experience of Patients With Opioid Use Disorder: A Qualitative Study, Pu…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Long-term Outcomes Following a Comprehensive Quality Assurance and Process Improvement Endeavor to Minimize Opioid Use After Kidney Transplant, Published in the Clinical Transplantation Journal in June 2020 Regular Acetaminophen Use an…
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In this episode Dr. Stader and Dr. Bradley summarize and offer key insights for the following Coaches Top 5 picks: Initial opioid prescription characteristics and risk of opioid misuse, poisoning and dependence: retrospective cohort study, Published in the British Medical Journal of Quality and Safety July 2023. Substance use disorder approaches in…
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Episode 6 - The Peer Movement: An Interview with Racquel Garcia
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51:24
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Dr. Don Stader, MD and Dr. Rachael Duncan, PharmD sit down to discuss the importance of peer support of individuals in recovery for substance use disorder. Racquel, a certified addiction counselor, recovery coach and found of Hard Beauty, a peer recovery support organization based in Colorado committed to helping clients rise and thrive beyond thei…
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Episode 5 - A Personal Story of Stigma, Triumph & Purpose: An Interview with Ryan Hampton Part 2
26:42
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Dr. Don Stader, MD and Dr. Rachael Duncan, PharmD sit down with Ryan Hampton. In recovery from a decade-long opioid addiction, Hampton is regarded as a forefront expert and thought leader in America’s rising addiction recovery advocacy & drug policy reform movements. In this interview, Ryan speaks on his path into addiction, the role stigma played …
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Episode 4 - A Personal Story of Stigma, Triumph & Purpose: An Interview with Ryan Hampton Part 1
40:46
40:46
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Dr. Don Stader, MD and Dr. Rachael Duncan, PharmD sit down with Ryan Hampton. In recovery from a decade-long opioid addiction, Hampton is regarded as a forefront expert and thought leader in America’s rising addiction recovery advocacy & drug policy reform movements. In this interview, Ryan speaks on his path into addiction, the role stigma played …
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Episode 3 - A Patient’s Perspective on Stigma, Chronic Pain, and Chronic Opioid Therapy: An Interview with Kate Nicholson Part 2
33:26
33:26
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Dr. Don Stader, MD and Dr. Rachael Duncan, PharmD continue with their interview with returning guest, Kate Nicholson, JD to discuss the intersection of pain, stigma, and opioids. Kate Nicholson is a civil rights attorney, speaker, and writer who advocates for the appropriate treatment of pain. She is the Executive Director and founder of the Nation…
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Episode 2 - A Patient’s Perspective on Stigma, Chronic Pain, and Chronic Opioid Therapy: An Interview with Kate Nicholson Part 1
40:53
40:53
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Dr. Don Stader, MD and Dr. Rachael Duncan, PharmD sit down with returning guest, Kate Nicholson, JD to discuss the intersection of pain, stigma, and opioids. Kate Nicholson is a civil rights attorney, speaker, and writer who advocates for the appropriate treatment of pain. She is the Executive Director and founder of the National Pain Advocacy Cent…
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Episode 1 - Stigma and the Importance of Language: An Interview with Dr. Kaylin Klie
50:32
50:32
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Dr. Don Stader, MD and Dr. Kaylin Klie, PharmD sit down with Dr. Kaylin Klie to discuss the importance of language when it comes to substance use disorder. Dr. Kaylin Klie is a family medicine and addiction medicine physician at the University of Colorado and Denver Health. Her clinical focus is perinatal addiction which includes the care of famili…
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The Opioid Epidemic's Health Inequities in Rural Communities: An Interview with Michael Meit
43:32
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Hosts Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down with Michael Meit, the co-director of Center for Rural Health Research and a research associate professor in the Department of Health Services Management and Policy to discuss his work in rural health research. Mike talks about how your zipcode should not determine your health outco…
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“Where you live shouldn’t determine if you live not how well you live.” Hosts Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down to discuss how aspects unique to rural areas contribute to health disparities compared to urban areas. From a more restricted access to speciality care and demographic trends to environmental conditions and legi…
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Racial Disparities in Health Outcomes and the Opioid Epidemic
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Hosts Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down to discuss the breadth of racial disparities that exist in health outcomes with respect to the opioid epidemic. References: Goedel WC, Shapiro A, Cerdá M, Tsai JW, Hadland SE, Marshall BDL. Association of Racial/Ethnic Segregation With Treatment Capacity for Opioid Use Disorder in C…
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How the Tuskegee Syphilis Experiments led to Racial Disparities in Healthcare: An Interview with Dr. Susan Reverby
57:07
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Hosts Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down with Dr. Susan Reverby, PhD, to discuss the infamous Tuskegee syphilis experiments. Dr. Reverby discusses her research into the notorious experimental trial and how the fallout has led to distrust in the healthcare system within marginalized communities in the United States. Amidst …
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Disparities in the Treatment of Pain and Addiction
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In this episode, we dive into the effect of health disparities in the management of pain and treatment of substance use disorders.
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Dr. Don Stader, MD, and Dr. Rachael Duncan, PharmD, sit down to introduce the basic concept of health equity, social determinants of health, and how they can contribute to health disparities.
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