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      The clinical impact of a false-positive urine cocaine screening result on a patient's pain management.

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          Abstract

          The urine of a patient admitted for chest and epigastric pain tested positive for cocaine using an immunoassay-based drug screening method (positive/negative cutoff concentration 150 ng/mL). Despite the patient's denial of recent cocaine use, this positive cocaine screening result in conjunction with a remote history of drug misuse impacted the patient's recommended pain therapy. Specifically, these factors prompted the clinical team to question the appropriateness of opioids and other potentially addictive therapeutics during the treatment of cancer pain from previously undetected advanced pancreatic carcinoma.

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          Author and article information

          Journal
          Pain Med
          Pain medicine (Malden, Mass.)
          Wiley-Blackwell
          1526-4637
          1526-2375
          Jun 2015
          : 16
          : 6
          Affiliations
          [1 ] Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
          [2 ] Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
          Article
          10.1111/pme.12265
          24138673

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