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Opioids Are Not Better than Non-opioid Pain Medications for Chronic Back, Hip, or Knee Pain

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WHY IS THIS IMPORTANT? More than one in ten adults in the USA report chronic pain, and a high proportion of primary care visits involve the management of chronic pain.… Click to show full abstract

WHY IS THIS IMPORTANT? More than one in ten adults in the USA report chronic pain, and a high proportion of primary care visits involve the management of chronic pain. Primary care providers frequently prescribe opioids for treatment of chronic pain despite safety concerns and minimal evidence for efficacy. Safety concerns surrounding opioid therapy include the development of opioid use disorder and overdose. While current guidelines discourage opioid prescribing for chronic pain, randomized trials of opioid therapy reporting long-term pain and function outcomes were lacking. Highquality evidence was needed to prepare providers for discussions with patients regarding chronic pain treatment options.

Keywords: better non; opioids better; opioid pain; chronic pain; pain; non opioid

Journal Title: Journal of General Internal Medicine
Year Published: 2019

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