Pros and Cons of CDC 2023 Guidelines for Safe Opioid Prescribing Exam

learning objectives - ANSWER-1) discuss the 12 recommendations of the CDC guidelines for safe opioid prescribing in chronic noncancer pain 2) assess the place of the guidelines in the treatment of CNCP 3) discern the quality of evidence used to develop the guidelines 4) discuss what the guidelines ARE and what they ARE NOT CDC guidelines - ANSWER-family care providers - family medicine, internal medicine - physicians, nurse practitioners, physician assistants treatment patients >18 years with chronic pain - pain longer than 3 months or past time of normal tissue healing outpatient setting - does not include active cancer treatment, palliative care, and end of life care CDC guidelines - grade method - ANSWER-- standard for guideline development - transparent approach for conducting systematic review, rating quality of evidence, and determining strength of recommendations - used by > 100 organizations (including Advisory Committee on Immunization Practices) - recommendations based on: quality of evidence, balance between benefits and harms, values and preferences, cost CDC guidelines - grade evidence types - ANSWER-type 1 - randomized controlled trials; overwhelming observational studies type 2: - RCTs (limitations); strong observational studies type 3: - RCTs (notable limitations); observational studies type 4: - RCTs (major limitations); observational (notable limitations), clinical experience CED guidelines - grade recommendation categories - ANSWER-category A: - applies to all patients - most patients should receive recommended course of action