Ambulatory diagnosis and treatment of nonmalignant pain in the united states, 2000-2010
Matthew Daubresse,Hsien Yen Chang,Yuping Yu,Shilpa Viswanathan,Nilay Shah,Randall S. Stafford,Stefan P. Kruszewski,G. Caleb Alexander +7 more
TLDR
Increased opioid prescribing has not been accompanied by similar increases in nonopioid analgesics or the proportion of ambulatory pain patients receiving pharmacologic treatment, suggesting clinical alternatives to prescription opioids may be underutilized as a means of treating ambulatory nonmalignant pain.Abstract:
Background:Escalating rates of prescription opioid use and abuse have occurred in the context of efforts to improve the treatment of nonmalignant pain.Objective:The aim of the study was to characterize the diagnosis and management of nonmalignant pain in ambulatory, office-based settings in the Unitread more
Citations
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Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
TL;DR: This guideline is intended to improve communication about benefits and risks of opioids for chronic pain, improve safety and effectiveness of pain treatment, and reduce risks associated with long-term opioid therapy.
Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.
TL;DR: 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.
Journal ArticleDOI
The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction
Andrew Kolodny,David T. Courtwright,Catherine S. Hwang,Peter Kreiner,John L. Eadie,Thomas W. Clark,G. Caleb Alexander +6 more
TL;DR: The scope of this public health crisis, its historical context, contributing factors, and lines of evidence indicating the role of addiction in exacerbating morbidity and mortality, are described, and a framework for interventions to address the epidemic of opioid addiction is provided.
Journal ArticleDOI
Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015.
Gery P. Guy,Kun Zhang,Michele K. Bohm,Jan L. Losby,Brian Lewis,Randall Young,Louise B. Murphy,Deborah Dowell +7 more
TL;DR: Despite reductions in opioid prescribing in some parts of the country, the amount of opioids prescribed remains high relative to 1999 levels and varies substantially at the county-level, and health care providers should carefully weigh the benefits and risks when prescribing opioids.
References
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Journal ArticleDOI
Trends in use of opioids for non-cancer pain conditions 2000-2005 in commercial and Medicaid insurance plans: the TROUP study.
Mark D. Sullivan,Mark J. Edlund,Ming Yu Fan,Andrea DeVries,Jennifer Brennan Braden,Bradley C. Martin +5 more
TL;DR: Trends in opioid therapy for NCPC in two disparate populations, one national and commercially insured population (HealthCore plan data) and one state‐based and publicly‐insured population over a six year period (2000–2005), likely represent a broad‐based shift in opioid treatment philosophy.
Journal ArticleDOI
Recommendations for using opioids in chronic non-cancer pain.
Eija Kalso,Laurie G. Allan,Paul L.I. Dellemijn,Clara C Faura,Wilfried K Ilias,Troels S. Jensen,Serge Perrot,Léon Plaghki,Michael Zenz +8 more
TL;DR: The aim of opioid treatment is to relieve pain and improve the patient's quality of life and the use of sustained‐release opioids administered at regular intervals is recommended.
Journal ArticleDOI
Opioid Prescriptions by U.S. Primary Care Physicians From 1992 to 2001
TL;DR: A decade-long increase in opioid prescribing by U.S. primary care physicians is described and important geographic-, racial/ethnic-, and insurance-related differences in who receives these medications are identified.
Journal ArticleDOI
Comparative efficacy and safety of long-acting oral opioids for chronic non-cancer pain: a systematic review.
TL;DR: This systematic review summarizes and assesses the evidence for the comparative efficacy and safety of long-acting opioids in the management of chronic non-cancer pain and concludes that there was insufficient evidence to prove that different long- acting opioids are associated with different efficacy or safety profiles.
Journal Article
National Ambulatory Medical Care Survey: 2007 summary.
TL;DR: This report describes ambulatory care visits made to physician offices in the United States and indicates that from 1997 to 2007, the percentage of visits to physicians who were solo practitioners decreased 21 percent and during the same period, visits to Physicians who were part of a group practice with 6-10 physicians increased 46 percent.
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CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
Roger Chou,Gilbert J. Fanciullo,Perry G. Fine,Jeremy A Adler,Jane C. Ballantyne,Pamela Stitzlein Davies,Marilee I. Donovan,David A. Fishbain,Kathy M. Foley,Jeffrey Fudin,Aaron M. Gilson,Alexander Kelter,Alexander Mauskop,Patrick G. O'Connor,Steven D. Passik,Gavril W. Pasternak,Russell K. Portenoy,Ben A. Rich,Richard G. Roberts,Knox H. Todd,Christine Miaskowski +20 more