The opioid epidemic and national guidelines for opioid therapy for chronic noncancer pain: a perspective from different continents.
TLDR
Implementation of opioid prescribing guidelines should ensure that physicians prescribe opioids only for appropriate indications in limited doses for selected patients and advice patients on their safe use to contribute to reduce prescription opioid misuse/abuse and deaths.About:
This article is published in Pattern Recognition.The article was published on 2017-05-12 and is currently open access. It has received 128 citations till now. The article focuses on the topics: Chronic pain & Opioid.read more
Citations
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Journal ArticleDOI
Opioids for Chronic Noncancer Pain: A Systematic Review and Meta-analysis.
Jason W. Busse,Li Wang,Li Wang,Mostafa Kamaleldin,Samantha Craigie,John J. Riva,Luis Montoya,Sohail M. Mulla,Sohail M. Mulla,Luciane Cruz Lopes,Nicole Vogel,Eric Chen,Karin Kirmayr,Kyle De Oliveira,Lori Olivieri,Alka Kaushal,Alka Kaushal,Luis Enrique Chaparro,Inna Oyberman,Arnav Agarwal,Arnav Agarwal,Rachel Couban,Ludwig Tsoi,Tommy Lam,Per Olav Vandvik,Sandy Huey-Jen Hsu,Malgorzata M Bala,Stefan Schandelmaier,Stefan Schandelmaier,Anne Scheidecker,Anne Scheidecker,Shanil Ebrahim,Vahid Ashoorion,Vahid Ashoorion,Yasir Rehman,Patrick Jiho Hong,Stephanie Ross,Bradley C. Johnston,Bradley C. Johnston,Regina Kunz,Xin Sun,Xin Sun,Norman Buckley,Daniel I. Sessler,Gordon Guyatt +44 more
TL;DR: Evidence from high-quality studies showed that opioid use was associated with statistically significant but small improvements in pain and physical functioning, and increased risk of vomiting compared with placebo, and Comparisons of opioids with nonopioid alternatives suggested that the benefit for pain and functioning may be similar.
Journal ArticleDOI
Recent trends in life expectancy across high income countries: retrospective observational study
Jessica Y. Ho,Arun S. Hendi +1 more
TL;DR: Most of the countries that experienced declines in life expectancy during 2014-15 experienced robust gains inLife expectancy during 2015-16 that more than compensated for the declines, however, the United Kingdom and the United States appear to be experiencing stagnating or continued declines inlife expectancy, raising questions about future trends in these countries.
Journal ArticleDOI
European Pain Federation (EFIC) position paper on appropriate use of cannabis-based medicines and medical cannabis for chronic pain management
Winfried Häuser,David P. Finn,Eija Kalso,Nevenka Krcevski-Skvarc,Hans-Georg Kress,Bart Morlion,Serge Perrot,Michael Schäfer,Chris Wells,Silviu Brill +9 more
TL;DR: The quantity and quality of evidence are such that cannabis‐based medicines may be reasonably considered for chronic neuropathic pain and all other chronic pain conditions (cancer, non‐neuropathic noncancer pain).
Journal ArticleDOI
A Review of the Opioid Epidemic: What Do We Do About It?
TL;DR: In those parts of the world with an opioid epidemic, coroners and medical examiners, private and public health agencies, and agencies that enforce the law need to cooperate in an effort to slow down and reverse the indiscriminate use of prescribing opioids in the long-term for chronic non-cancer pain.
ReportDOI
Opioid Treatments for Chronic Pain
Roger Chou,Daniel M. Hartung,Judith A. Turner,Ian Blazina,Brian Chan,Ximena A. Levander,Marian McDonagh,Shelley Selph,Rongwei Fu,Miranda Pappas +9 more
TL;DR: Outcomes of interest were pain, function, health status/quality of life, mental health outcomes, sleep, doses of opioid used (for comparisons involving opioids and nonopioid therapy) and harms.
References
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TL;DR: A strategy was needed to differentiate among guidelines and ensure that those guidelines that vary widely in quality are distinguished.
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American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee
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TL;DR: The results support a revision of the NeuPSIG recommendations for the pharmacotherapy of neuropathic pain and allow a strong recommendation for use and proposal as first-line treatment in neuropathicPain for tricyclic antidepressants, serotonin-noradrenaline reuptake inhibitors, pregabalin, and gabapentin.
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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
TL;DR: Safe and effective chronic opioid therapy for chronic noncancer pain requires clinical skills and knowledge in both the principles of opioid prescribing and on the assessment and management of risks associated with opioid abuse, addiction, and diversion.