More Nonopioid Medications Prescribed for Pain Relief since CDC Released Chronic Pain Guidelines

PainRelief.com Interview with:

JASON GOLDSTICK
Dr. Goldstick

Jason E. Goldstick, PhD
Injury Prevention Center
Department of Emergency Medicine
University of Michigan, Ann Arbor

PainRelief.com:  What is the background for this study?  What are the main findings?

Response: In 2016, the CDC released the Guideline for Prescribing Opioids for Chronic Pain. A primary goal of this voluntary guideline is that individuals should receive pain management care that provides the greatest overall benefit. Among other things, this may entail beginning opioid treatment only when the clinician determines that the expected benefits outweigh the risks.

Other research has shown reductions in opioid prescribing as reduced since the guideline release; this report examines whether there were changes in nonopioid pain medication prescribing.

Our overall findings were that nonopioid prescribing increased nationally following the guideline release, above and beyond what would’ve been predicted based on the pre-guideline trends, and this finding was generally consistent across patient subpopulations (e.g., those with vs. without prior opioid exposure).

PainRelief.com: What should readers take away from your report?

Response: The 2016 CDC Guideline may be associated with increases in nonopioid pain medication prescribing.

PainRelief.com: What recommendations do you have for future research as a result of this work?

Response: Additional research is required to examine changes in the use of non-pharmacological pain treatment following the 2016 CDC Guideline release.

We do not have any disclosures to report

Citation:

Goldstick JE, Guy GP, Losby JL, Baldwin GT, Myers MG, Bohnert ASB. Patterns in Nonopioid Pain Medication Prescribing After the Release of the 2016 Guideline for Prescribing Opioids for Chronic Pain. JAMA Netw Open. 2022;5(6):e2216475. doi:10.1001/jamanetworkopen.2022.16475

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