CDC Recommendations for Nonopioid Treatments in the Management of Chronic Pain
This COCA Call is the second in a series about CDC Guideline for Prescribing Opioids for Chronic Pain. To view a list of other webinars in the series, visit the opioid call series overview webpage.
Date:Wednesday, July 27, 2016
Deborah Dowell, MD, MPH
Senior Medical Advisor
Division of Unintentional Injury Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
James Robinson, MD, PhD
Department of Rehabilitation Medicine
Center for Pain Relief and the Bone and Joint Surgery Center
University of Washington
David J. Tauben, MD, FACP
Chief, Division of Pain Medicine
Hughes M & Katherine G Blake Endowed Professor
Departments of Medicine and Anesthesia & Pain Medicine
University of Washington
Between 1999-2014, nonopioid treatments for chronic pain were used less frequently while the amount of opioids prescribed in the United States quadrupled. Unfortunately, long-term opioid use for chronic pain is associated with serious risks, including abuse, dependence, and overdose. In addition, there is insufficient evidence to determine whether pain relief, function, or quality of life improves with long-term opioid therapy. The CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations for safer and more effective prescribing of opioids for chronic pain in patients 18 years of age and older in outpatient settings outside of active cancer treatment, palliative care, and end-of-life care. During this COCA Call, a case study will be used to illustrate how clinicians can identify appropriate treatment strategies for chronic pain. In addition, clinicians will learn about the effectiveness and risks of nonopioid medications and nonpharmacologic treatments for chronic pain.
- State the evidence related to effectiveness and potential risks associated with nonopioid treatments for chronic pain.
- Outline nonpharmacologic and nonopioid pharmacologic treatment options for various chronic pain conditions.
- Review patient evaluation methods that can be used to identify the most appropriate treatment options for chronic pain.
- Describe the role of patient beliefs and expectations, and value of exercise, education, and nonopioid drug treatments in the management of musculoskeletal pain complaints.
CDC Guideline for Prescribing Opioids for Chronic Pain and Related Materials
- MMWR: CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
- JAMA Special Communication: CDC Guideline for Prescribing Opioids for Chronic Pain
- Guideline Resources: Clinical Tools
- Prescription Drug Monitoring Programs (PDMPs)
CDC Vital Signs
CDC Injury Prevention and Control
- CDC Prescription Drug Overdose
- Prescription Drug Overdose: What Health Care Providers Need to Know about the Epidemic
- Prescription Drug Overdose Prevention for States
Other Agency Resources
- The White House - Office of National Drug Control Policy: Opioid Abuse in the United States[471KB]
- NIH Pain Consortium Centers of Excellence in Pain Education (CoEPEs)
- Providers' Clinical Support System for Medication Assisted Treatment
- Providers' Clinical Support System for Opioid Therapies
- CMS Improvements to Medicare Drug and Health Plans
- SAMHSA - Substance Abuse and Mental Health Services Administration
- National Institute on Drug Abuse
- PDMP Center of Excellence, Brandeis University
- Audio conference call on 7/27/16: 2:00 - 3:00 PM EST
- Web-on-demand training after 3:00 PM EST on 7/27/16
- Materials: PowerPoint slide set
- Activity number:WCWD2286(SC)
- Date of origination:December 12, 2013
- Date of renewal:December 12, 2015
- Date of expiration:December 12, 2017
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- Page last reviewed: July 11, 2016
- Page last updated: August 15, 2016
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