Latin-American guidelines for opioid use in chronic nononcologic pain.
OBJECTIVE
Latin-American experts in the use of opioids in patients with chronic nononcologic pain (CNOP) have updated existing recommendations to current Latin-American reality.


METHODS
Several key opinion leaders from Latin America participated in a face-to-face meeting in Guatemala (April 2015) to discuss the use of opioids in CNOP. Subgroups of experts worked on specific topics, reviewed the literature and shaped the final manuscript.


RESULTS
The expert panel developed guidelines taking into consideration the utility of both opioid and nonopioid analgesics and factors pertaining to their efficacy, safety, adherence, administration and risks for abuse/addiction.


CONCLUSIONS
Latin-American guidelines for the use of opioids in CNOP should improve pain relief and patients' quality of life by increasing access to these effective agents.
Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico.
Argelia
A
Lara-Solares
Hospital Clinico FUSAT, Rancagua, Chile.
Carlos
C
Aguayo Zamora
Hospital Ángeles, Tijuana, Mexico.
César
C
Amescua García
Pain & Palliative Care, Federal University of Maranhao, Brazil.
João Batista Santos
JBS
Garcia
Totalcare-Oncosalud-Lima, Perú.
María Del Rosario
MDR
Berenguel Cook
Instituto Oncológico 'Luis Razetti', Pain clinic & Palliative Care, Instituto Médico La Floresta, Caracas, Venezuela.
Patricia
P
Bonilla Sierra
Federal University of Bahia, Coordinator of the Pain Outpatient Clinic, Brazilian Society for the Study of Pain, Brazil.
Durval
D
Campos Kraychete
Programa Regional de Cuidados Paliativos, Unidad Médica de Alta Especialidad No. 25, IMSS, Monterrey NL, Mexico.
José Alberto
JA
Flores Cantisani
Hospital Universitario Fundación Santa Fe, Bogotá. Universidad de los Andes, Colombia.
Carlos
C
Guerrero
Medicina del Dolor y Cuidados Paliativos, Hospital Médica Sur, Mexico City, Mexico.
María Del Rocío
MDR
Guillén Núñez
Pain Medicine & Palliative Care, Universidad del Rosario - MEDERI, Bogotá, Colombia.
John Jairo
JJ
Hernández Castro
Instituto Nacional de Ciencias Médicas y Nutrición 'Salvador Zubirán', Mexico City, Mexico.
Andrés
A
Hernández Ortíz
Rehabilitation Residency Program, UCV, Unidad de Rehabilitación DM, Maracay, Venezuela.
Aziza
A
Jreige Iskandar
Orthopaedic Residency Program, UFFS-HSVP-IOT, Passo Fundo, Brazil.
Osvandré
O
Lech
Hospital 'Luis Vernaza', Universidad Católica Santiago de Guayaquil, Guayaquil, Ecuador.
Jacqueline
J
Macías Guerra
Hospital General San Juan de Dios, Universidad de San Carlos de Guatemala, HUMANA, Centro de Tratamiento e Investigación de Epilepsia en Guatemala.
Gerardo
G
Ramírez Samayoa
Physical Medicine & Rehabilitation, Panama.
Edwin
E
Rangel Morillo
Clínica Alemana, Universidad del Desarrollo, Santiago, Chile.
María Antonieta
MA
Rico Pazos
Pain Clinic, Hospital Metropolitano, Quito, Ecuador.
Manuel
M
Sempértegui Gallegos
D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy*; D006801:Humans; D007843:Latin America; D055118:Medication Adherence; D009293:Opioid-Related Disorders / Q000517:prevention & control; D059408:Pain Management; D011788:Quality of Life; D016896:Treatment Outcome
D000701:Analgesics, Opioid
Latin America; analgesics; guidelines; opioids; pain