Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
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Summary
This guideline provides guidance on patient selection and risk stratification; informed consent and opioid management plans; initiation and titration of chronic opioid therapy; use of methadone; monitoring of patients on chronic opioid therapy; dose escalations, high-dose opioid therapy, opioid rotation, and indications for discontinuation of therapy.
- Type
- article
- Published
- 2009-02-01
- Cited by
- 2,161
- References
- 144
- Access
- Open access
- OpenAlex
- https://openalex.org/W2024012275
- Semantic Scholar
- https://api.semanticscholar.org/CorpusID:10370058
Keywords
Medicine, Chronic pain, Opioid, Intensive care medicine, Guideline
References
- Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients.
- Predicting aberrant drug behavior in patients treated for chronic pain: importance of abuse history.
- Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy.
- Primary care physicians and specialists as personal physicians. Health care expenditures and mortality experience.
- Outpatient treatment of prescription opioid dependence: comparison of two methods.
- Prevalence and characteristics of breakthrough pain in patients receiving opioids for chronic back pain in pain specialty clinics.
- Equianalgesic dose ratios for opioids. a critical review and proposals for long-term dosing.
- Predictors of opioid misuse in patients with chronic pain: a prospective cohort study
- Switching from morphine to oral methadone in treating cancer pain: what is the equianalgesic dose ratio?
- Work conditioning, work hardening and functional restoration for workers with back and neck pain.
- Addiction to opioids in chronic pain patients: A literature review
- Self-reported vs. actual use of medications in chronic pain patients.
- Validation of the revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R).
- The Effect of Opioids on Driving and Psychomotor Performance in Patients With Chronic Pain
- Systematic Review: Opioid Treatment for Chronic Back Pain: Prevalence, Efficacy, and Association with Addiction
- A community-based evaluation of sudden death associated with therapeutic levels of methadone.
- Torsade de Pointes Associated with Very-High-Dose Methadone
- Opiate reduction in chronic pain patients: A comparison of patient‐controlled reduction and staff controlled cocktail methods
- Defacto Long-term Opioid Therapy for Non-Cancer Pain
- Episodic (breakthrough) pain
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- Marijuana correlates with use of other illicit drugs in a pain patient population.
- Opioids in chronic noncancer pain: more faces from the crowd.
- A perfect storm in interventional pain management: regulated, but unbalanced.
- Continuous Opioid Treatment for Chronic Noncancer Pain: A Time for Moderation in Prescribing
- Opioids for chronic noncancer pain: a new Canadian practice guideline
- A Population-based Cohort Study on Chronic Pain: The Role of Opioids
- Efficacy and safety of oxycodone HCl/niacin tablets for the treatment of moderate-to-severe postoperative pain following bunionectomy surgery
- Long-term safety of Remoxy® (extended-release oxycodone) in patients with moderate to severe chronic osteoarthritis or low back pain.
- A Review of Opioids for In-Hospital Pain Management
- Evolution of Opioid Risk Management and Review of the Classwide REMS for Extended-Release/Long-Acting Opioids
- Trajectories of health care service utilization and differences in patient characteristics among adults with specific chronic pain: analysis of health plan member claims
- A Research Agenda for Enhancing Appropriate Opioid Prescribing in Primary Care
- Pain and ethnicity.
- Chronic Opioid Therapy Risk Reduction Initiative: Impact on Urine Drug Testing Rates and Results
- The perils of opioid prescribing during pregnancy.
- Automated radiochemical synthesis and biodistribution of [11C]l-α-acetylmethadol ([11C]LAAM)
- Pain care for patients with epidermolysis bullosa: best care practice guidelines
- Distribution of Naloxone for Overdose Prevention to Chronic Pain Patients
- Guidelines warfare over interventional techniques: is there a lack of discourse or straw man?
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