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"A lot of bureaucracy": Structural barriers to prescription opioids in cancer pain management.

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Title: "A lot of bureaucracy": Structural barriers to prescription opioids in cancer pain management.
Authors: Alejandro J; Department of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States., Luna S; College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States., Belin S; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States; Palliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, United States., Hamm M; Qualitative, Evaluation, and Stakeholder Engagement Services (QualEASE), Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States., Wasilko R; Qualitative, Evaluation, and Stakeholder Engagement Services (QualEASE), Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States., Abril Cameron F; Qualitative, Evaluation, and Stakeholder Engagement Services (QualEASE), Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States., Azizoddin DR; Department of Supportive Oncology, Dana-Farber Cancer Institute, Boston, MA, United States., Merlin JS; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States., Sabik LM; School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States., Schenker Y; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States; Palliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, United States; UPMC Hillman Cancer Center, Pittsburgh, PA, United States., Bulls HW; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States; Palliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, United States; UPMC Hillman Cancer Center, Pittsburgh, PA, United States; Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: hbulls@uabmc.edu.
Source: The journal of pain [J Pain] 2026 May 16; Vol. 46, pp. 106315. Date of Electronic Publication: 2026 May 16.
Publication Type: Journal Article
Journal Info: Publisher: Churchill Livingstone Country of Publication: United States NLM ID: 100898657 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-8447 (Electronic) Linking ISSN: 15265900 NLM ISO Abbreviation: J Pain Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Alejandro+J%22">Alejandro J</searchLink>; Department of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Luna+S%22">Luna S</searchLink>; College of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA, United States.<br /><searchLink fieldCode="AU" term="%22Belin+S%22">Belin S</searchLink>; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States; Palliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Hamm+M%22">Hamm M</searchLink>; Qualitative, Evaluation, and Stakeholder Engagement Services (QualEASE), Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Wasilko+R%22">Wasilko R</searchLink>; Qualitative, Evaluation, and Stakeholder Engagement Services (QualEASE), Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Abril+Cameron+F%22">Abril Cameron F</searchLink>; Qualitative, Evaluation, and Stakeholder Engagement Services (QualEASE), Center for Research on Health Care Data Center, University of Pittsburgh, Pittsburgh, PA, United States; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Azizoddin+DR%22">Azizoddin DR</searchLink>; Department of Supportive Oncology, Dana-Farber Cancer Institute, Boston, MA, United States.<br /><searchLink fieldCode="AU" term="%22Merlin+JS%22">Merlin JS</searchLink>; Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Sabik+LM%22">Sabik LM</searchLink>; School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Schenker+Y%22">Schenker Y</searchLink>; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States; Palliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, United States; UPMC Hillman Cancer Center, Pittsburgh, PA, United States.<br /><searchLink fieldCode="AU" term="%22Bulls+HW%22">Bulls HW</searchLink>; Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, United States; Palliative Research Center (PaRC), University of Pittsburgh, Pittsburgh, PA, United States; UPMC Hillman Cancer Center, Pittsburgh, PA, United States; Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: hbulls@uabmc.edu.
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  Data: <searchLink fieldCode="JN" term="%22100898657%22">The journal of pain</searchLink> [J Pain] 2026 May 16; Vol. 46, pp. 106315. <i>Date of Electronic Publication: </i>2026 May 16.
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