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Responsible,safe,and effective prescription of opioids for chronic non-cancer pain: American society of interventional pain physicians (ASIPP) guidelines
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نویسنده
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manchikanti l. ,kaye a.m. ,knezevic n.n. ,mcanally h. ,trescot a.m. ,blank s. ,pampati v. ,abdi s. ,grider j.s. ,kaye a.d. ,manchikanti k.n. ,cordner h.j. ,gharibo c.g. ,harned m.e. ,albers s.l. ,atluri s. ,aydin s.m. ,bakshi s. ,barkin r. ,benyamin r.m. ,boswell m.v. ,buenaventura r.m. ,calodney a.k. ,cedeno d.l. ,datta s. ,deer t.r. ,fellows b. ,galan v. ,grami v. ,hansen h. ,helm s. ,justiz r. ,koyyalagunta d. ,malla y. ,navani a. ,nouri k. ,pasupuleti r. ,sehgal n. ,silverman s.m. ,simopoulos t.t. ,singh v. ,slavin k.v. ,solanki d.r. ,staats p.s. ,vallejo r. ,wargo b.w. ,watanabe a. ,hirsch j.a.
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منبع
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pain physician - 2017 - دوره : 20 - شماره : 2 - صفحه:S3 -S92
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چکیده
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Background: opioid use,abuse,and adverse consequences,including death,have escalated at an alarming rate since the 1990s. in an attempt to control opioid abuse,numerous regulations and guidelines for responsible opioid prescribing have been developed by various organizations. however,the us opioid epidemic is continuing and drug dose deaths tripled during 1999 to 2015. recent data show a continuing increase in deaths due to natural and semisynthetic opioids,a decline in methadone deaths,and an explosive increase in the rates of deaths involving other opioids,specifically heroin and illicit synthetic fentanyl. contrary to scientific evidence of efficacy and negative recommendations,a significant proportion of physicians and patients (92%) believe that opioids reduce pain and a smaller proportion (57%) report better quality of life. in preparation of the current guidelines,we have focused on the means to reduce the abuse and diversion of opioids without jeopardizing access for those patients suffering from non-cancer pain who have an appropriate medical indication for opioid use. objectives: to provide guidance for the prescription of opioids for the management of chronic non-cancer pain,to develop a consistent philosophy among the many diverse groups with an interest in opioid use as to how appropriately prescribe opioids,to improve the treatment of chronic non-cancer pain and to reduce the likelihood of drug abuse and diversion. these guidelines are intended to provide a systematic and standardized approach to this complex and difficult arena of practice,while recognizing that every clinical situation is unique. methods: the methodology utilized included the development of objectives and key questions. the methodology also utilized trustworthy standards,appropriate disclosures of conflicts of interest,as well as a panel of experts from various specialties and groups. the literature pertaining to opioid use,abuse,effectiveness,and adverse consequences was reviewed,with a best evidence synthesis of the available literature,and utilized grading for recommendation as described by the agency for healthcare research and quality (ahrq). © 2017,american society of interventional pain physicians. all rights reserved.
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آدرس
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center of paducah,paducah,ky,united states,anesthesiology and perioperative medicine,university of louisville,louisville,ky, United States, thomas j. long school of pharmacy and health sciences,university of the pacific,stockton,ca, United States, advocate illinois masonic medical center,university of illinois,chicago,il, United States, northern anesthesia & pain medicine,llc,eagle river,ak, United States, the pain & headache center,wasilla,ak, United States, atlanta healing center atlanta healing center,llc,norcross,ga, United States, pain management center of paducah,paducah,ky, United States, department of pain medicine,university of texas,md anderson cancer center,houston,tx, United States, department of anesthesiology,university of kentucky college of medicine,lexington,ky, United States, department of anesthesia,department of pharmacology,lsu health science center,new orleans,la, United States, pain management center of paducah,paducah,ky, United States, florida state university college of medicine,tallahassee,fl, United States, department of anesthesiology,nyu langone-hospital for joint diseases,nyu school of medicine,new york,ny, United States, department of anesthesiology,division of pain medicine,division chief of interventional pain medicine at the university of kentucky college of medicine,lexington,ky, United States, radiology research and consultation,sacramento,ca, United States, tri-state spine care institute,cincinnati,oh, United States, physical medicine and rehabilitation and interventional pain management,manhattan spine and pain medicine,hofstra-north shore/lij school of medicine,new york,ny, United States, dr. bakshi is president of manhattan spine and pain medicine,new york,ny,united states,lenox hill hospital,new york,ny, United States, rush medical college: anesthesiology,family medicine,and pharmacology,department anesthesiology,pain centers,northshore university healthsystem evanstonil,united states,skokie hospitals,skokie,il, United States, millennium pain center,bloomington,il,united states,college of medicine,university of illinois,urbana-champaignil, United States, department of anesthesiology and perioperative medicine,university of louisville,louisville,ky, United States, pain relief of dayton,centerville,oh,united states,department of surgery,wright state university school of medicine,dayton, United States, precision spine care,texas spine and joint hospital,tyler,tx, United States, illinois state university,normal, United States, department of anesthesiology,mount sinai school of medicine,new york,ny, United States, west virginia university school of medicine,charleston,wv, United States, pain management center of paducah,paducah,ky, United States, georgia pain care,atlanta,ga, United States, geisinger medical center interventional pain center woodbine,danville,pa, United States, pain relief centers,conover,nc, United States, ii,the helm center for pain management,laguna woods,ca, United States, anesthesiology and pain medicine university of oklahoma health sciences center,oklahoma city,ok, United States, pain management center,university of texas,md anderson cancer center,dept. of anesthesiology & pain medicine,houston,tx, United States, pain management center of paducah,paducah,ky, United States, comprehensive spine & sports center,campbell,ca,united states,stanford university school of medicine,stanford,ca, United States, department of pain medicine,university of texas md anderson cancer center,houston, United States, center for pain management,bowling green,ky, United States, department of orthopedics and rehabilitation medicine,university of wisconsin school of medicine and public health,madison,wi, United States, pompano beach,fl, United States, department of anesthesia,critical care and pain medicine,beth israel deaconess medical center,harvard medical school,boston,ma, United States, spine pain diagnostics associates,niagara,wi, United States, stereotactic and functional neurosurgery,college of medicine,university of illinois at chicago,chicago,il, United States, university of texas medical branch,galveston,tx, United States, department of anesthesiology and critical care medicine,shrewsbury,nj,united states,department of oncology at johns hopkins university school of medicine,baltimore,md, United States, millennium pain center,bloomington,il,united states,illinois wesleyan university,bloomington,il, United States, mcfarland clinic,mary greeley medical center,ames,ia, United States, mt baker pain center,bellingham,wa, United States, massachusetts general hospital,harvard medical school,boston,ma, United States
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Authors
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