2009 Clinical Guidelines from the American Pain Society and the American Academy of Pain Medicine on the use of chronic opioid therapy in chronic noncancer pain: what are the key messages for clinical practice?

2009 ◽  
Vol 119 (7-8) ◽  
pp. 469-477 ◽  
Author(s):  
Roger Chou
Keyword(s):  
Clinical Practice ◽  
American Academy ◽  
Clinical Guidelines ◽  
Opioid Therapy ◽  
Pain Medicine ◽  
Chronic Opioid Therapy ◽  
Chronic Noncancer Pain ◽  
American Pain Society ◽  
Noncancer Pain

scholarly journals Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain

2009 ◽  
Vol 10 (2) ◽  
pp. 113-130.e22 ◽  
Author(s):  
Roger Chou ◽  
Gilbert J. Fanciullo ◽  
Perry G. Fine ◽  
Jeremy A. Adler ◽  
Jane C. Ballantyne ◽  
...  
Keyword(s):  
Clinical Guidelines ◽  
Opioid Therapy ◽  
Chronic Opioid Therapy ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Depression and Ambivalence Toward Chronic Opioid Therapy for Chronic Noncancer Pain

2012 ◽  
Vol 28 (7) ◽  
pp. 561-566 ◽  
Author(s):  
Catherine Q. Howe ◽  
Mark D. Sullivan ◽  
Kathleen W. Saunders ◽  
Joseph O. Merrill ◽  
Caleb J. Banta-Green ◽  
...  
Keyword(s):  
Opioid Therapy ◽  
Chronic Opioid Therapy ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

Chronic opioid therapy issues associated with opioid abuse potential

2018 ◽  
Vol 5 (5) ◽  
pp. 287 ◽  
Author(s):  
Howard S. Smith, MD ◽  
Kenneth L. Kirsh, PhD ◽  
Steven D. Passik, PhD
Keyword(s):  
Primary Care Providers ◽  
The United States ◽  
Opioid Therapy ◽  
Due Diligence ◽  
Care Providers ◽  
Chronic Opioid Therapy ◽  
Chronic Noncancer Pain ◽  
Potential Risk Factors ◽  
Noncancer Pain ◽  
Documentation Tool

Chronic opioid therapy continues to be an important “mainstream” option for the relief of pain, despite continued debate over the efficacy and safety of utilizing opioids with chronic noncancer populations. With this increase in utilization for medical purposes, the authors have also experienced a troubling rise in the abuse and diversion of prescription opioids. Providers should note this relationship and always perform due diligence when assessing whether a patient with chronic noncancer pain is an appropriate candidate for opioid therapy based on potential risk factors. Because of the relative shortage of board-certified pain practitioners in the United States, much of the practice of pain management falls on primary care providers, who might feel uncomfortable or overwhelmed when facing these issues. To this end, a set of guidelines are discussed to promote an approach to chronic noncancer pain utilizing “universal precautions” principles. In addition, several risk tools are evaluated, including the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R), the Opioid Risk Tool (ORT), and the Pain Assessment and Documentation Tool (PADT). Finally, discussion is presented regarding what practices seen in opioid prescribing can be considered “in-or-out” of the mainstream box.

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