CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016 - PubMed (original) (raw)
Practice Guideline
. 2016 Mar 18;65(1):1-49.
doi: 10.15585/mmwr.rr6501e1.
Affiliations
- PMID: 26987082
- DOI: 10.15585/mmwr.rr6501e1
Practice Guideline
CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016
Deborah Dowell et al. MMWR Recomm Rep. 2016.
Erratum in
- MMWR Recomm Rep. 2016;65(11):295
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.
Comment in
- Reducing the Risks of Relief--The CDC Opioid-Prescribing Guideline.
Frieden TR, Houry D. Frieden TR, et al. N Engl J Med. 2016 Apr 21;374(16):1501-4. doi: 10.1056/NEJMp1515917. Epub 2016 Mar 15. N Engl J Med. 2016. PMID: 26977701 Free PMC article. No abstract available.
Similar articles
- CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016.
Dowell D, Haegerich TM, Chou R. Dowell D, et al. JAMA. 2016 Apr 19;315(15):1624-45. doi: 10.1001/jama.2016.1464. JAMA. 2016. PMID: 26977696 Free PMC article. Review. - CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022.
Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. Dowell D, et al. MMWR Recomm Rep. 2022 Nov 4;71(3):1-95. doi: 10.15585/mmwr.rr7103a1. MMWR Recomm Rep. 2022. PMID: 36327391 Free PMC article. - Announcing the CDC guideline for prescribing opioids for chronic pain.
Houry D, Baldwin G. Houry D, et al. J Safety Res. 2016 Jun;57:83-4. doi: 10.1016/j.jsr.2016.03.007. Epub 2016 Apr 16. J Safety Res. 2016. PMID: 27178083 - Guideline for Prescribing Opioids for Chronic Pain.
Centers For Disease Control And Prevention Public Health Service U S Department Of Health And Human Services. Centers For Disease Control And Prevention Public Health Service U S Department Of Health And Human Services. J Pain Palliat Care Pharmacother. 2016 Jun;30(2):138-40. doi: 10.3109/15360288.2016.1173761. J Pain Palliat Care Pharmacother. 2016. PMID: 27301691 - Using opioids in general practice for chronic non-cancer pain: an overview of current evidence.
Currow DC, Phillips J, Clark K. Currow DC, et al. Med J Aust. 2016 May 2;204(8):305-9. doi: 10.5694/mja16.00066. Med J Aust. 2016. PMID: 27125804 Review.
Cited by
- Robotic kidney transplant has superior outcomes compared to open kidney transplant: results of a propensity match analysis.
Kiani AZ, Hill AL, Vachharajani N, Davidson J, Progar K, Olumba F, Yu J, Cullinan D, Martens G, Lin Y, Chapman WC, Doyle MB, Wellen JR, Khan AS. Kiani AZ, et al. Surg Endosc. 2024 Oct 5. doi: 10.1007/s00464-024-11301-z. Online ahead of print. Surg Endosc. 2024. PMID: 39368003 - Physicians' Self-Reported Knowledge and Behaviors Related to Prescribing Opioids for Chronic Pain and Diagnosing Opioid Use Disorder, DocStyles, 2020.
Ragan-Burnett KR, Curtis CR, Schmit KM, Mikosz CA, Schieber LZ, Guy GP Jr, Haegerich TM. Ragan-Burnett KR, et al. AJPM Focus. 2024 Aug 22;3(6):100269. doi: 10.1016/j.focus.2024.100269. eCollection 2024 Dec. AJPM Focus. 2024. PMID: 39345913 Free PMC article. - Assessment of opioid knowledge and attitudes among senior medical students in Taiwan's pain education curriculum: A cross-sectional questionnaire survey.
Chen JL, Ho ST, Yeh CC, Hsu YC, Cheng KI, Lin TC. Chen JL, et al. BMC Med Educ. 2024 Sep 27;24(1):1045. doi: 10.1186/s12909-024-06043-4. BMC Med Educ. 2024. PMID: 39334303 Free PMC article. - Lean Six Sigma quality improvement approach to implement clinical practice guidelines for prescribing opiates for chronic pain in a primary care setting.
Bakhai S, Mustafa J, Cloutier M, Islam F, Gudleski GD, Reynolds JL. Bakhai S, et al. BMJ Open Qual. 2024 Sep 16;13(3):e002912. doi: 10.1136/bmjoq-2024-002912. BMJ Open Qual. 2024. PMID: 39284680 Free PMC article. - Design and Implementation of an Opioid Scorecard for Hospital System-Wide Peer Comparison of Opioid Prescribing Habits: Observational Study.
Slovis BH, Huang S, McArthur M, Martino C, Beers T, Labella M, Riggio JM, Pribitkin ED. Slovis BH, et al. JMIR Hum Factors. 2024 Sep 9;11:e44662. doi: 10.2196/44662. JMIR Hum Factors. 2024. PMID: 39250214 Free PMC article.
Publication types
MeSH terms
Substances
LinkOut - more resources
Other Literature Sources
Medical