真Check for updatesReceived:14 January 2022Accepted:29 May 2022D0t10.1002/jhm.12893Journal ofPOSITION STATEMENTHospital Medicinesh.Management of opioid use disorder and associated conditionsamong hospitalized adults:A Consensus Statement from theSociety of Hospital MedicineSusan L.Calcaterra MD,MPH1 Marlene Martin MD2Richard Bottner DHA,PA-C3 Honora Englander MD4 Zoe Weinstein MD5Melissa B.Weimer DO,MCRS Eugene Lambert MD?Shoshana J.Herzig MD,MPH78Department of Medicine,Division of GeneralInternal Medicine,Division of HospitalAbstractMedicine,University of Colorado,Aurora,Colorado,USAHospital-based clinicians frequently care for patients with opioid withdrawal or2Department of Medicine.Division of Hospitalopioid use disorder(OUD)and are well-positioned to identify and initiate treatmentMedicine,San Francisco General Hospital,for these patients.With rising numbers of hospitalizations related to opioid use andUniversity of California San Francisco,SanFrancisco,California,USAopioid-related overdose,the Society of Hospital Medicine convened a working3Department of Internal Medicine,Dellgroup to develop a Consensus Statement on the management of OUD andMedical School,The University of Texas,associated conditions among hospitalized adults.The guidance statement is intendedAustin,Texas,USAfor clinicians practicing medicine in the inpatient setting (e.g.,hospitalists,primaryDepartment of Medicine,Section ofAddiction Medicine,Division of Hospitalcare physicians,family physicians,advanced practice nurses,and physicianMedicine,Oregon Health and Scienceassistants)and is intended to apply to hospitalized adults at risk for,or diagnosedUniversity.Portland,Oregon,USASSection of General Internal Medicine,Bostonwith,OUD.To develop the Consensus Statement,the working group conducted aUniversity School of Medicine,Boston,systematic review of relevant guidelines and composed a draft statement based onMassachusetts,USAextracted recommendations.Next,the working group obtained feedback on theDepartment of Medicine,Yale School ofdraft statement from external experts in addiction medicine,SHM members,Medicine,New Haven,Connecticut,USADepartment of Medicine,Harvard Medicalprofessional societies,harm reduction organizations and advocacy groups,and peerSchool,Division of General Internal Medicinereviewers.The iterative development process resulted in a final ConsensusMassachusetts General Hospital,Boston,Massachusetts,USAStatement consisting of 18 recommendations covering the following topics:(1)aDepartment of Medicine,Beth Israelidentification and treatment of OUD and opioid withdrawal,(2)perioperative andDeaconess Medical Center,Boston,acute pain management in patients with OUD,and(3)methods to optimize careMassachusetts,USAtransitions at hospital discharge for patients with OUD.Most recommendations inCorrespondencethe Consensus Statement were derived from guidelines based on observationalSusan L.Calcaterra,MD,MPH,Division ofGeneral Internal Medicine,University ofstudies a
