Resources

pain and addiction

APS/AAPM Clinical Guidelines For the Use of Chronic Opioid Therapy in Chronic Noncancer Pain (2009)
Type: Document
Downloadable: Yes
Comments: 0
This clinical practice guideline was developed by a multi-disciplinary panel of experts representing the American Pain Society and the American Academy of Pain Medicine. Based on a systematic review of the literature through November 2007, 25 recommendations were developed to guide the use of opioids for carefully selected and monitored patients with chronic non-cancer pain. However, the panel identified numerous research gaps and they did not rate any of the recommendations as supported by high-quality evidence. Only 4 recommendations were viewed as supported by moderate-quality evidence. Nonetheless, the panel came to a unanimous consensus on almost all of its recommendations. J Pain 2009; 10(2): 131-146.

Clinical Challenges in Prescribing Controlled Drugs: Prescribing Opioids for Chronic Pain (2008)
Type: URL
Downloadable: No
Comments: 0
Slides and audio of sessions from "Prescribing Opioids for Chronic Pain" conference held September 12, 2008 in Portland, Maine.


Opioid Therapies for Patients with Chronic Pain (2008)
Type: URL
Downloadable: No
Comments: 0
Slides and audio of sessions from "Opioid Therapies for Patients with Chronic Pain" conference held May 15, 2008 at the Massachusetts Medical Society.


Opioids for Chronic Noncancer Pain: Prediction and Identification of Aberrant Drug-Related Behaviors (2009)
Type: Document
Downloadable: Yes
Comments: 0
The authors conclude that evidence on the prediction and identification of aberrant drug-related behaviors is limited. Although several screening instruments exist, evidence for their external validity is lacking. Further studies evaluating clinical outcomes associated with different assessment and monitoring strategies are needed. J Pain 2009; 10(2): 113-130.

Research Gaps on Use of Opioids for Chronic Noncancer Pain (2009)
Type: Document
Downloadable: Yes
Comments: 0
The authors conclude that clinical decisions regarding the use of opioids for chronic noncancer pain need to be made based on weak evidence. Research funding priorities need to address these critical needs if the care of patients with chronic noncancer pain is to improve.  J Pain 2009; 10(2): 147-159.