title: How Would You Manage Opioid Use in These Three Patients?: Grand Rounds Discussion From Beth Israel Deaconess Medical Center.
abstract: The increase in overdose deaths from prescription opioids and heroin in the United States over the past 20 years is believed to have resulted from increases in prescription of opioids for management of acute and chronic pain. Managing chronic pain is challenging for primary care clinicians for many reasons, including the lack of evidence to guide practice. The Centers for Disease Control and Prevention published a comprehensive guideline in 2016 to help clinicians with opioid prescribing for chronic pain. In this Grand Rounds, the guideline is reviewed and an expert discusses its application to 3 patients prescribed opioids to treat chronic pain.
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Alford
authors.forename: Marc L
authors.initials: ML
authors.lastname: Cohen
authors.forename: Eileen E
authors.initials: EE
authors.lastname: Reynolds
mesh_terms: D000368:Aged; D000701:Analgesics, Opioid / Q000009:adverse effects / Q000627:therapeutic use*; D059350:Chronic Pain / Q000188:drug therapy* / Q000523:psychology; D003142:Communication; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D063487:Prescription Drug Misuse / Q000517:prevention & control
chemical_list: D000701:Analgesics, Opioid