Dr. Stefan Kertesz on the opioid crisis and addiction in our society


Together with Dr. Adam Gordon of University of Utah, Dr. Kertesz published a commentary on the history of the US opioid crisis, in Addiction, the most prominent scholarly journal on substance misuse. It's titled "A Crisis of Opioids and the Limits of Prescription Control" (abstract online).


"Turning the Tide or Riptide: the Changing Opioid Epidemic"
An early commentary that highlighted the transition in overdose causation toward fentanyl, and it provided an account for how policies in response to the crisis should shift: https://amersa.org/most-downloaded-manuscript-2018/
The article has won the award for most downloaded article for two years running, with the journal Substance Abuse announcing that it is also the most downloaded article for 2018, as it was for 2017: https://twitter.com/SubstanceAbuseJ/status/1059888321055342594



Dr. Kertesz spoke at the National Academies of Sciences, Engineering, and Medicine Roundtable. “Pain and Symptom Management for People with Serious Illness in the Context of the Opioid Epidemic“ was the topic of discussion.
See more here: http://nationalacademies.org/hmd/Activities/HealthServices/QualityCareforSeriousIllnessRoundtable/2018-NOV-29.aspx


New York Times coverage of physician response to proposed opioid coverage rules:
https://www.nytimes.com/2018/03/27/health/opioids-medicare-limits.html


Editorial: Pill Limits Are Not a Smart Way to Fight the Opioid Crisis
How much to prescribe, and to whom, is a complicated medical question.
https://slate.com/technology/2018/03/pill-limits-are-not-a-smart-way-to-fight-the-opioid-crisis.html


"They Called Me An Addict: He Took Opioids To Manage His Chronic Pain. When His Doctors Took Them Away, He Didn’t Want To Live Anymore"
by Dan Vergano
https://www.buzzfeed.com/danvergano/chronic-pain-debate-opioid-painkillers


Morning Edition, NPR (Nov 2017):
https://www.npr.org/sections/health-shots/2017/11/13/563266123/is-there-a-way-to-keep-using-opioid-painkillers-and-reduce-risk


"The Crackdown on Painkillers is Killing People" (Nov 2017)
https://news.vice.com/story/how-the-crackdown-on-painkillers-is-killing-people


"Opioid Crisis Continues to Pressure Physicians, But Patients Bear the Pain" (Nov 2017)
http://www.painmedicinenews.com/Policy-and-Management/Article/11-17/Opioid-Crisis-Continues-to-Pressure-Physicians-But-Patients-Bear-the-Pain/45054


"The Unexpected Urine Test: A Matter Far From Simple"
Review of recent work on urine drug testing in patients prescribed controlled substances (online, free)
http://journals.lww.com/journaladdictionmedicine/pages/results.aspx?txtkeywords=10.1097%2fADM.0000000000000357


Kertesz SG, Satel SS. Some People Still Need Opioids. 2017; http://www.slate.com/articles/health_and_science/medical_examiner/2017/08/cutting_down_on_opioids_has_made_life_miserable_for_chronic_pain_patients.html. Accessed August 23, 2017, 2017.

PODCAST: "Will Pill Control 'Fix' Our Problem" (podcast, Young Justice). http://www.blogtalkradio.com/youngjustice/2017/08/21/stefan-kertesz-will-pill-control-fix-our-problem-1

A new study suggests it’s possible to get people off opioids and improve their pain (A recent review from Vox.com, July 20, 2017)
https://www.vox.com/science-and-health/2017/7/20/15988524/opioid-pain-outcomes-study

"Pain pill prescriptions drop, yet overdose deaths continue to rise in Alabama" (News from AL.com, July 13, 2017)
http://www.al.com/news/index.ssf/2017/07/pain_pill_prescriptions_drop_y.html

Peer-reviewed: "Will strict limits on opioid prescription duration prevent addiction? advocating for evidence-based policymaking" 
http://www.tandfonline.com/doi/full/10.1080/08897077.2017.1345194?scroll=top&needAccess=true

Will Pill Control "Fix" Our Problem?" (Short talk presented in a shared session with Dr. Deborah Dowell, author of the Centers for Disease Control and Prevention on June 9. 2017)
https://www.youtube.com/watch?v=Dc6XDK8QxWg

Op-Ed: "As a physician, I urge caution as we cut back opioids" Published March, 28, 2017 in The Hill
http://thehill.com/blogs/pundits-blog/healthcare/326095-as-a-physician-i-urge-other-doctors-to-cut-back-on-prescribing


What's in the 2017 Opioid Proposal from the Centers for Medicare and Medicaid Services?
https://medium.com/@StefanKertesz/whats-in-that-opioid-plan-from-cms-72789a64d8e2#.

A wide-ranging interview on pill bottle timer caps, opioids in rural areas, and the risks to young adults (from NBC13)
https://m.youtube.com/watch?v=HjwHHG8EcA4 

Will prescription controls reverse the Opioid crisis? (Interview with CUNY-TV, starting at 19:05, 12/22/2016) https://youtu.be/EFGHiklJb5Q

From STATNews: "Strict limits on opioid prescribing risk the ‘inhumane treatment’ of pain patients"
https://www.statnews.com/2017/02/24/opioids-prescribing-limits-pain-patients/ 

...UAB article
UAB physician calls for better understanding, policy and treatment for opioid addiction: 
http://www.uab.edu/news/focus-on-patient-care/item/7786-uab-physician-calls-for-better-understanding-policy-and-treatment-for-opioid-addiction 

...on Fox6 news:
excerpts from interviews with Dr Kertesz on opioids and pain (May 5, 2016):
http://www.wbrc.com/story/31906225/uab-doctor-talks-about-how-doctors-are-addressing-opioid-addiction-in-patients ..

...on NPR:
Click here for 4 minute story:  
https://news.wbhm.org/feature/2016/yall-talk-commentary-inside-the-room-a-commentary-on-opioid-prescriptions-and-the-doctor-patient-relationship-by-dr-stefan-kertesz-uab-primary-care-physician


Historical (2009):
Addiction Treatment Under the Watch of Justice: Report of the Alabama Supreme Court Drug Court Task Force Treatment Capacity Subcommittee:
Report_to_Drug_Court_Task_Force.pdf



Follow Dr Kertesz on Twitter:
@StefanKertesz







Disclaimer: Views presented by Dr. Kertesz are his own and do not represent positions of the State of Alabama or the United States Department of Veterans Affairs