Citizens Petition
- Sustaining Partners
May 2012-
The Search for an Ideal Analgesic
June 2011-
Pharmacotherapy for Prescription Opioid Addiction
March 2011-
Advancing Safe Opioid Prescribing through Prescriber Training and Behavior Change
June 2010-
Payer Issues Related to Prescription Opioid Monitoring and Abuse
March 2010-
The role of Dentists in Preventing Opioid Abuse
July 2009-
Risk Evaluation and Mitigation Strategy for Prescription Opioids
April 2009-
Prescription Monitoring Research Update
November 2008-
Co-ingestion of Alcohol with Prescription Opioids
June 2008-
The Role of Urine Drug Monitoring in Pain Management
March 2008-
Sources of Diverted Prescription Opioids
September 2007-
Understanding the Types of Opioid Abusers
March 2007-
Responding to Signals of Opioid Abuse
November 2006-
Development of Abuse Deterrent Formulations
September 2006-
Best Practices in Opioid Risk Management
October 2005-
Opioid Abuse Resistance
March 2005-
Opioid Risk Management

Tufts Health Care Institute Program on
Opioid Risk Management

The mission of the Tufts Health Care Institute Program on Opioid Risk Management is to address challenges in the development and utilization of opioid analgesics, by engaging a multidisciplinary group of stakeholders focused on optimizing the benefits of opioid for pain management, and minimizing their risks, including abuse and diversion.

June 26 & 27, 2008


Executive Summary

June 2008

A Brief History of Urine Drug Testing: Forging a Common Vocabulary
Gary Reisfield, MD , Presentation >>

Opioid Pharmacology and Urine Drug Monitoring
J. David Haddox, DDS, MD, Presentation >>

Pharmacokinetics and Disposition of Urine Drug Monitoring: Comparison of Various Sources for Drug Testing: Urine, Blood, Hair, Saliva
Edward Cone, PhD, Presentation >>

Analytical Methods Used in Urine Drug Monitoring
Judith Stone, PhD, Presentation >>

Ways to Deceive Drug Testing
Ted Shults, Presentation >>

A Review of Outcome Studies and Gaps in the Literature of Urine Drug Monitoring
Joanna Starrels, MD, Presentation >>

Initiatives to Develop Professional Standards for Urine Drug Monitoring
Roger Bertholf, PhD, Presentation >>

Clinical Applications of Urine Drug Monitoring in the Addiction Treatment Setting
John Femino, MD, MS, Presentation >>

Clinical Applications of Urine Drug Monitoring in the Pain Management Setting: Proposed Guidelines
Howard Heit, MD, Presentation >>

Urine Drug Monitoring: Payer Perspectives
Annette Hanson, MD, MBA, Presentation >>

Case Studies in UDM in Paine Management: Handling Problem Patients
Doug Gourlay, MD, Presentation >>

Concurrent Workgroup Breakouts

Breakout Group 1: Guidelines for the use of (Urine) Drug Monitoring in Pain Management Presentation >>

Breakout Group 2: Clinical Research Gaps Related to Urine Drug Monitoring
Presentation >>

Breakout Group 3: Ethical issues Presentation >>

2008 Tufts Health Care Institute •   Boston, MA 02111 •   (617) 636-1000