CDC guideline for prescribing opioids for chronic pain - United States, 2016

Deborah Dowell, Tamara M. Haegerich, Roger Chou

Research output: Contribution to journalArticle

1044 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1-49
Number of pages49
JournalMMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports / Centers for Disease Control
Volume65
Issue number1
StatePublished - Mar 18 2016
Externally publishedYes

Fingerprint

Centers for Disease Control and Prevention (U.S.)
Chronic Pain
Opioid Analgesics
pain
Guidelines
grading
Therapeutics
Pain
Terminal Care
Resource Allocation
website
cancer
Advisory Committees
Checklist
Palliative Care
stakeholder
expert
death
Primary Health Care
communication

ASJC Scopus subject areas

  • Epidemiology
  • Health(social science)
  • Medicine(all)
  • Health, Toxicology and Mutagenesis
  • Health Information Management

Cite this

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