CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.
By D. Dowell, Tamara M. Haegerich, R. Chou. MMWR Recommendations and Reports, 2016
1,092 citations recorded by the source corpus.
This guideline provides recommendations for primary care clinicians who are prescribing opioids for chronic pain outside of active cancer treatment, palliative care, and end-of-life care. The guideline addresses 1) when to initiate or continue opioids for chronic pain; 2) opioid selection, dosage, duration, follow-up, and discontinuation; and 3) assessing risk and addressing harms of opioid use. CDC developed the guideline using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework, and recommendations are made on the basis of a systematic review of the scientific evidence while considering benefits and harms, values and preferences, and resource allocation. CDC obtained input from experts, stakeholders, the public, peer reviewers, and a federally chartered advisory committee. It is important that patients receive appropriate pain treatment with careful consideration of the benefits and risks of treatment options. This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death. CDC has provided a checklist for prescribing opioids for chronic pain (http://stacks.cdc.gov/view/cdc/38025) as well as a website (http://www.cdc.gov/drugoverdose/prescribingresources.html) with additional tools to guide clinicians in implementing the recommendations.
Subfields: Anesthesiology and Pain Medicine, Pediatrics, Perinatology and Child Health, Public Health, Environmental and Occupational Health
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In Anesthesiology and Pain Medicine
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Citations in the corpus
- CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016 (2016, background): “Most patients taking opioids experience side effects (73% of patients taking hydrocodone for noncancer pain [11], 96% of patients taking opioids for chronic pain [12]), and side effects, rather than pain relief,”
- Drug and Opioid-Involved Overdose Deaths — United States, 2017–2018 (2020, positive): “Because of the reductions observed in deaths involving prescription opioids, continued efforts to encourage safe prescribing practices, such as following the CDC Guideline for Prescribing Opioids for Chronic Pain (10) might be enhanced by increased use of nonopioid and nonpharmacologic treatments fo”