Morbidity and Mortality Weekly Report: Recommendations and Reports, March 18, 2016 / Vol. 65 / No. RR-1

Details

• Alternative Title:
  CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR): Recommendations and Reports
• Personal Author:
  Dowell, Deborah ; Haegerich, Tamara M. ; Chou, Roger
• Corporate Authors:
  National Center for Injury Prevention and Control (U.S.). Division of Unintentional Injury Prevention.
• Description:
  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.
  
  Suggested citation for this article: , Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016. MMWR Recomm Rep 2016;65:1–49. DOI: http://dx.doi.org/10.15585/mmwr.rr6501e1er.
  
  PMID: 26987082
  
  rr6501e1.pdf
  
  
• Subjects:
  Analgesics, Opioid Chronic Pain Drug Overdose Drug Prescriptions Inappropriate Prescribing Opioid-Related Disorders
• Source:
  Morbidity and Mortality Weekly Report (MMWR): Recommendations and Reports, 2016; v. 65, no. 1
• Series:
  Recommendations and Reports: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.rr6501e1
• ISSN:
  1057-5987 (print) ; 1545-8601 (digital)
• Pubmed ID:
  26987082
• Document Type:
  Journal Issue
• Genre:
  Statistics
• Place as Subject:
  United States
• Pages in Document:
  52 pdf pages
• Volume:
  65
• Issue:
  1
• Collection(s):
  Guidelines and Recommendations Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:03e3254ed9a939731f89c4a51f683337943ab4449feb3e79d86c8cbdfde8ff726d8c6cadd8e0b2b56510eddd01c47c1bb73314a0ca4a9ff26e5521b0ab00e190
• Download URL:
  https://stacks.cdc.gov/view/cdc/38440/cdc_38440_DS1.pdf
• File Type:
  [PDF - 705.38 KB ]