The opioid overdose epidemic combined with the need to reduce the burden of acute pain poses a public health challenge. To address how evidence-based clinical practice guidelines for prescribing opioids for acute pain might help meet this challenge, Framing Opioid Prescribing Guidelines for Acute Pain: Developing the Evidence develops a framework to evaluate existing clinical practice guidelines for prescribing opioids for acute pain indications, recommends indications for which new evidence-based guidelines should be developed, and recommends a future research agenda to inform and enable specialty organizations to develop and disseminate evidence-based clinical practice guidelines for prescribing opioids to treat acute pain indications. The recommendations of this study will assist professional societies, health care organizations, and local, state, and national agencies to develop clinical practice guidelines for opioid prescribing for acute pain. Such a framework could inform the development of opioid prescribing guidelines and ensure systematic and standardized methods for evaluating evidence, translating knowledge, and formulating recommendations for practice.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• COMMITTEE ON EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES FOR PRESCRIBING OPIOIDS FOR ACUTE PAIN
• Reviewers
• In Memoriam
• Preface
• Acronyms and Abbreviations
• Summary
  • COMMITTEE'S APPROACH
  • MANAGING ACUTE PAIN
  • THE USE AND DEVELOPMENT OF CLINICAL PRACTICE GUIDELINES
  • PRIORITIZING SURGICAL AND MEDICAL INDICATIONS FOR CLINICAL PRACTICE GUIDELINE DEVELOPMENT
  • EVALUATING SELECTED CLINICAL PRACTICE GUIDELINES
  • A RESEARCH AGENDA FOR OPIOID PRESCRIBING FOR ACUTE PAIN
• 1. Introduction
  • OPIOID PRESCRIBING PATTERNS
  • OPIOID-RELATED MORBIDITY AND MORTALITY
  • STANDARDIZING OPIOID PRESCRIBING PRACTICES
  • COMMITTEE'S CHARGE
  • COMMITTEE'S APPROACH
  • ORGANIZATION OF THE REPORT
  • REFERENCES
• 2. Managing Acute Pain
  • DEFINITIONS
  • PRESENTATION AND TREATMENT OF ACUTE PAIN
  • ACCESS TO APPROPRIATE ACUTE PAIN MANAGEMENT
  • REFERENCES
• 3. Development and Use of Clinical Practice Guidelines
  • PRINCIPLES OF CLINICAL PRACTICE GUIDELINE DEVELOPMENT
  • METHODOLOGIES FOR DEVELOPING CLINICAL PRACTICE GUIDELINES
  • EXAMPLES OF OPIOID PRESCRIBING GUIDELINES FOR ACUTE PAIN
  • REFERENCES
• 4. Framework for Developing Clinical Practice Guidelines
  • THE CLINICAL PRACTICE GUIDELINE DEVELOPMENT PROCESS
  • ESTABLISHING A GUIDELINE DEVELOPMENT GROUP
  • DETERMINING THE SCOPE OF THE GUIDELINE
  • ANALYTIC FRAMEWORK
  • LITERATURE SEARCH AND RETRIEVAL
  • EVIDENCE EVALUATION FRAMEWORK
  • FROM EVIDENCE TO RECOMMENDATIONS
  • IMPLEMENTATION
  • REFERENCES
• 5. Identifying and Prioritizing Indications for Clinical Practice Guidelines
  • METHODS FOR IDENTIFYING PRIORITY SURGICAL AND MEDICAL INDICATIONS FOR CLINICAL PRACTICE GUIDELINE DEVELOPMENT
  • SURGICAL INDICATIONS OVERVIEW
  • MEDICAL INDICATIONS OVERVIEW
  • EMERGENCY DEPARTMENT CONSIDERATIONS
  • CONCLUSIONS
  • REFERENCES
• 6. Evaluating Clinical Practice Guidelines for Prescribing Opioids for Acute Pain
  • APPLYING THE ANALYTIC FRAMEWORK TO SELECTED SURGICAL INDICATIONS
  • APPLYING THE ANALYTIC FRAMEWORK TO SELECTED MEDICAL INDICATIONS
  • REFERENCES
• 7. The Path Forward
  • ADDRESSING THE COMMITTEE'S TASKS
  • A FRAMEWORK FOR EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES
  • DEVELOPING CLINICAL PRACTICE GUIDELINES FOR OPIOIDS
  • DEVELOPING THE EVIDENCE BASE
  • PRIORITIZING INDICATIONS
  • A RESEARCH AGENDA FOR OPIOID PRESCRIBING FOR ACUTE PAIN
  • REFERENCES
• Appendixes
  • Appendix A. Committee Biographical Sketches
  • Appendix B. Literature Search Strategies
  • Appendix C. Public Session Agendas

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2020. Framing opioid prescribing guidelines for acute pain: Developing the evidence. Washington, DC: The National Academies Press. https://doi.org/10.17226/25555.

Digital Object Identifier: https://doi.org/10.17226/25555

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