-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-d-opioid-chronic-pain-surveillance-report-3.xlsx
September 30, 2015 - Pain > 3 months, currently prescribed opioids
Exclusion: cancer and end-of-life treatment A. … Weak opioids; investigators prescribed most suitable drug and daily dose, and would switch to another … 12 month followup Inclusion: Patients with chronic opioid therapy (≥84 consecutive days of available opioids … of opioids (n=6,480)
D: Stable or increasing dose of opioid (n=2,277) Age
0-29: 3%
30-39: 12%
40-49: … based on age and time of cohort entry
Dose: Long-acting, short-acting, and short- and long-acting opioids
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/surveillance-report-1-treatments-for-acute-pain.pdf
January 01, 2022 - Key Question 5: Postoperative pain
Opioids vs. … Key Question 6: Dental pain
Opioids vs. … Opioids and NSAIDs were more effective than
acetaminophen for surgical dental pain, but opioids were … Transdermal patches,
topical opioids
f. … Opioid analgesics and persistent pain after
an acute pain emergency department visit:
evidence from
-
effectivehealthcare.ahrq.gov/products/diabetic-neuropathy/research-2017
March 24, 2017 - pregabalin and oxcarbazepine (low SOE), the drug classes of tricyclic antidepressants (low SOE) and atypical opioids … of evidence was serotonin-noradrenaline reuptake inhibitors; pregabalin and oxcarbazepine, atypical opioids … bias, we could not draw conclusions for quality of life, all oral drugs had significant side effects, opioids
-
effectivehealthcare.ahrq.gov/products/migraine-emergency/research
November 27, 2012 - Metoclopramide monotherapy, opioids, and nonsteroidal anti-inflammatories (NSAIDs) were the next most … Few side effects were reported for NSAIDS or opioids.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/nonopioid-pharm-chronic-pain-protocol.pdf
February 01, 2019 - The most common forms of pharmacologic treatment for pain include opioids, nonsteroidal anti-
inflammatory … Nationally, a concern regarding appropriate use, misuse, and diversion of opioids for treatment
of chronic … The 2016 CDC Guideline for Prescribing Opioids for Chronic
Pain recommends that nonopioid therapy is … Concerns regarding the use of opioids for management of chronic pain
are outlined in both the IOM report … CDC Guideline for Prescribing Opioids for Chronic Pain--United
States, 2016.
-
effectivehealthcare.ahrq.gov/products/nonopioid-chronic-pain/protocol
March 01, 2019 - The most common forms of pharmacologic treatment for pain include opioids, nonsteroidal anti-inflammatory … Nationally, a concern regarding appropriate use, misuse, and diversion of opioids for treatment of chronic … The 2016 CDC Guideline for Prescribing Opioids for Chronic Pain recommends that nonopioid therapy is … Concerns regarding the use of opioids for management of chronic pain are outlined in both the IOM report … CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/pbt-lsr-draft-ets-obs.xlsx
March 15, 2022 - discontinuation
49.3% (2650/5373) vs. 72.3% (3887/5373) p<0.001
Estimates of the odds ratio to cease opioids … B
Between-cohort differences in discontinuation of strong opioid analgesics: 71.6% vs. 33.8%, p<0.001 … Between-cohort differences in stopping of mild opioids: 82.4% vs.
27.3%, p<0.001
Between-cohort differences … in stopping of strong opioids: 75.9% vs. 46.4%, p<0.001
Discontinuation of all rescue analgesics: 75.6%
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/migraine-emergency_executive.pdf
November 01, 2012 - Opioids are often used to treat acute migraine,
despite their recognized ability to cause dependence … Opioids
were more effective than placebo for pain relief (moderate
SOE). … Results were mixed for opioids compared with
other active agents for pain relief. … Single trials compared
opioids with other opioids (e.g., nalbuphine, meperidine),
hydroxyzine, methotrimeprazine … Few short-term side
effects were reported for opioids.
-
effectivehealthcare.ahrq.gov/products/acute-pain-treatment/technical-brief
October 22, 2019 - Acute pain is a common ailment in the U.S. often treated with opioids. … Comparisons addressed by many systematic reviews often included opioids.
Discussion.
-
effectivehealthcare.ahrq.gov/products/interventional-treatments-pain/protocol
December 17, 2020 - The 2016 CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations for primary … It recommends non-opioid therapy as preferred for treatment of chronic pain, 13 - 15 though opioids … Opioid analgesics--risky drugs, not risky patients. … CDC Guideline for Prescribing Opioids for Chronic Pain--United States, 2016. … CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. 1057-5987.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-executive-summary-2023-update.pdf
January 01, 2023 - placebo,2 and two new observational studies,
one of plant-based comparable THC to CBD versus long-acting opioids … gabapentin
+ nabilone
(1)
Active comparator;
oral mucosal spray
vs. dronabinol
Long-acting
opioids … Nabiximols
sublingual
oromucosal spray,
2.7 mg THC/2.5
mg CBD per 100
mcl
Oral long-acting
opioids … Effectiveness, Safety, and Tolerability of
Nabiximols Oromucosal Spray vs Typical
Oral Long-Acting Opioid … Analgesics in
Patients with Severe Neuropathic Back Pain:
Analysis of 6-Month Real-World Data from
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-rept-1-acute-pain.pdf
May 01, 2022 - Opioids and NSAIDs were more effective than
acetaminophen for surgical dental pain, but opioids were … Any systemic opioid, including agonists,
partial agonists, and mixed mechanism opioids.
f. … Transdermal patches,
topical opioids
f. … Can we eliminate opioids after anterior
cruciate ligament reconstruction? … Opioid analgesics and persistent pain after
an acute pain emergency department visit:
evidence from
-
effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/main-apps-surv-rept-1-acute-pain.pdf
February 01, 2022 - Opioids and NSAIDs were more effective than
acetaminophen for surgical dental pain, but opioids were … Any systemic opioid, including agonists,
partial agonists, and mixed mechanism opioids.
f. … Transdermal patches,
topical opioids
f. … Can we eliminate opioids after anterior
cruciate ligament reconstruction? … Opioid analgesics and persistent pain after
an acute pain emergency department visit:
evidence from
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/plant-based-chronic-pain-review-jan-2020.pdf
January 01, 2020 - CDC
Guideline for Prescribing Opioids for
Chronic Pain– United States, 2016. … CDC
Guideline for Prescribing Opioids for
Chronic Pain - United States, 2016. … Efficacy of opioids
for chronic pain: a review of the evidence. … Critical
issues on opioids in chronic non-cancer
pain: an epidemiological study. … Opioids for Chronic Noncancer Pain: A
Systematic Review and Meta-analysis.
-
effectivehealthcare.ahrq.gov/sites/default/files/hip-fracture-pain.ppt
May 01, 2011 - Systemic opioid analgesics present complications that include alterations in mental status, nausea and … All interventions were examined in the context of usual care for pain (e.g., NSAIDs and opioids). … 11-EHC022-EF
http://effectivehealthcare.ahrq.gov/hippain.cfm
Systemic Analgesia
Both narcotic (opioids … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hip-fracture-pain.ppt
May 01, 2011 - Systemic opioid analgesics present complications that include alterations in mental status, nausea and … All interventions were examined in the context of usual care for pain (e.g., NSAIDs and opioids). … 11-EHC022-EF
http://effectivehealthcare.ahrq.gov/hippain.cfm
Systemic Analgesia
Both narcotic (opioids … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection … For all other comparisons of doses, modes of administration, and the addition of opioids to the injection
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/migraine-emergency_disposition-comments.pdf
November 27, 2012 - Opioids do not ‘cause ‘ relapse; rather they
are associated with a higher risk of relapse. … For example, the routes of administration of
opioids DHE not always clear in the text. … We summarize the results for opioids in the
discussion section. … that opioids were compared with various other
agents including other opioids. … The specific
opioids are listed in the table.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-250-cannabis-table-e5-2022-update_0.xlsx
January 01, 2022 - discontinuation
49.3% (2650/5373) vs. 72.3% (3887/5373) p<0.001
Estimates of the odds ratio to cease opioids … B
Between-cohort differences in discontinuation of strong opioid analgesics: 71.6% vs. 33.8%, p<0.001 … Between-cohort differences in stopping of mild opioids: 82.4% vs.
27.3%, p<0.001
Between-cohort differences … in stopping of strong opioids: 75.9% vs. 46.4%, p<0.001
Discontinuation of all rescue analgesics: 75.6%
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-227-noninvasive-nonpharm-chronic-pain-comments.pdf
April 16, 2020 - Patients are
usually presented with a single copay for a month’s supply of
opioids versus a copay for … No RCTs that compared such
interventions to opioids were identified. … There are two concurrent reviews, one on opioids
and the other on non-opioid pharmacologic
treatments … Given that studies did not directly
compare the nonpharmacologic interventios to
opioids, extensive … Our concurrent reviews on opioids and nonopioid
pharmacologic treatments address the effectiveness
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/main-apps-surv-report-2-acute-pain.pdf
May 01, 2022 - Preoperative education included information on the opioid epidemic, risks of opioids, safe use of
opioids … pain, but opioids
were less effective than acetaminophen for kidney stone pain. … Transdermal patches,
topical opioids
f. … Can we eliminate opioids after anterior
cruciate ligament reconstruction? … Opioid analgesics and persistent pain after
an acute pain emergency department visit:
evidence from