Guidelines for prescribing opioids for chronic non-cancer pain in Korea: can you overcome “opiophobia”?
- Ji Seok Baik
- The Korean journal of pain
A collection of Practice Guidelines published in AFP is available at http:// www.aafp.org/afp/ practguide. Opioids have increasingly been offered to patients in an effort to minimize the substantial impact chronic pain has on daily function. The prevalence of chronic pain among adults in the United States is estimated at approximately 11%, with one report suggesting that the percentage of adults who experience daily pain may be as high as 43%. Since 2007, an upward trend in the number of opioid prescriptions written by primary care physicians has been noted, whereas consensus regarding optimal strategies for treating chronic pain with these potentially harmful medications has remained largely absent. A recently released guideline aims to establish patient-centered approaches to initiating, managing, and discontinuing opioid use. The recommendations from the Centers for Disease Control and Prevention (CDC) emphasize the serious risks and harms associated with opioids. Long-term studies have not provided rigorous evidence on the effects of long-term opioid use in adults with noncancer pain of at least three months’ duration.