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Medical Directions, Inc.

Products    Prescribing Opioids for Chronic Pain
Name Prescribing Opioids for Chronic Pain
Authors Thomas Elliott, M.D.
Length 1 CME credit
Funding Medical Directions, Inc.
Released December 15, 2009
Updated December 15, 2011
Publications None
CME Sponsor University of Arizona College of Medicine at the Arizona Health Sciences Center
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Description
Prescribing Opioids for Chronic Pain addresses the use of opioids in treating chronic back pain in adults. Physicians review basic background information and then practice their skills by managing a patient who presents with chronic back pain. Participants learn to recommend non-analgesic therapies for patients with chronic pain, select appropriate opioid therapy for chronic pain, and implement procedures that reduce the risk of abuse and diversion.
Experience
There is evidence that opioids are both overprescribed, leading to diversion (Gilson, 2009) and underused, leading to inadequate pain control (Rupp, 2004). Thus, there is an ongoing need for better physician education in pain management (Harris, 2008). There is also a recognized need for more physician education in the management of chronic back pain, including education about the use of a chronic disease model in treating back pain (Deyo, 2009). Lastly, substance use disorders are common in patients taking opioids for back pain, and aberrant medication-taking behaviors occur in up to 24% of cases (Martell, 2007). There is a need for more CME that specifically addresses the use of opioids in chronic back pain.

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