Speaker: Date: Topic
Daniel P. Alford, MD, MPH
Apr. 23, 2014
Safe and Competent Opioid Prescribing for Chronic Pain
Responsibility for Content
The WebEx video, PowerPoint presentation, take-away points and article links were sent by the Medical Library and the CME Committee.
Diane E. Young, Information Specialist
Take-Away Points of the Presentation
• Opioids can be effective and safe for some patients but are imperfect and can cause harm for some patients.
• Use a consistent approach, but set level of opioid misuse monitoring to match risk.
• Judge the benefits and risks/harms of the opioid treatment and not the patient.
Links to Articles Cited in the Presentation
- Akbik H: Validation and clinical application of the Screener and Opioid Assessment for Patients with
- Alford DP: Chronic back pain with possible prescription opioid misuse. JAMA 2013;309(9):919-25.
- Angst MS: Opioid-induced hyperalgesia: a qualitative systematic review. Anesthesiology 2006;104(3):5
- Argoff CE: A comparison of long- and short-acting opioids for the treatment of chronic noncancer pai
- Butler SF: Development and validation of the Current Opioid Misuse Measure. Pain 2007;130(1-2):144-5
- Butler SF: Validation of the revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R)
- Chou R: Opioids for chronic noncancer pain: prediction and identification of aberrant drug-related b
- Dersh J: Prevalence of psychiatric disorders in patients with chronic disabling occupational spinal
- Dunn KM: Opioid prescriptions for chronic pain and overdose: a cohort study. Ann Intern Med 2010;152
- Eisenberg E: Efficacy and safety of opioid agonists in the treatment of neuropathic pain of nonmalig
- Evers GC: Pseudo-opioid-resistant pain. Support Care Cancer 1997;5(6):457-60.
- Gourlay DL: Universal precautions in pain medicine: a rational approach to the treatment of chronic
- Krebs EE: Development and initial validation of the PEG, a three-item scale assessing pain intensity
- Michna E: Predicting aberrant drug behavior in patients treated for chronic pain: importance of abus
- Michna E: Urine toxicology screening among chronic pain patients on opioid therapy: frequency and pr
- Nicolaidis C: Police officer, deal-maker, or health-care provider? Moving to a patient-centered fram
- Noble M: Long-term opioid management for chronic noncancer pain. Cochrane Database Syst Rev 2012 Jan
- Pesce A: Illicit drug use in the pain patient population decreases with continued drug testing. Pain
- Saunders KW: Relationship of opioid use and dosage levels to fractures in older chronic pain patient
- Stanos SP: Strategies to reduce the tampering and subsequent abuse of long-acting opioids: potential
- Starrels JL: Systematic review: treatment agreements and urine drug testing to reduce opioid misuse
- Trescot AM: Opioids in the management of chronic non-cancer pain: an update of Am Soc of the Interve
- Wu SM: The addiction behaviors checklist: validation of a new clinician-based measure of inappropria