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      CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.

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          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.

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          Author and article information

          Journal
          MMWR Recomm Rep
          MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports
          Centers for Disease Control MMWR Office
          1545-8601
          1057-5987
          Mar 18 2016
          : 65
          : 1
          Affiliations
          [1 ] Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC, Atlanta, Georgia.
          Article
          10.15585/mmwr.rr6501e1
          26987082
          e82aa2e0-a09b-48c1-a32d-6cdb6a06967c
          History

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