Osteoarthritis & Opioids: Minimizing Risk while Managing Pain
The use of opioids for pain management more than doubled in the decade between 2001-2003 and 2011-2013. Among people with osteoarthritis (OA), a study earlier this year found that 17% were prescribed an opioid for OA pain management. Prescription patterns show wide geographic differences that cannot be explained by the health status of the population, indicating lack of consensus by clinicians about the best practices for prescribing opioids.
New CDC Guidelines
In August 2017, the CDC released Guidelines for Prescribing Opioids for Chronic Pain, a resource for primary care clinicians that provides recommendations on prescribing opioids for non-cancer chronic pain like osteoarthritis. The guidelines discussed when to initiate opioids, selecting opioids, and assessing risk and addressing harms. Key recommendations included:
Opioids should not be first-line or routine therapy for chronic pain
Use immediate-release opioids when starting, rather than extended-release or long-acting
Risk factors for opioid-related harms should be evaluated before beginning opioid therapy and again periodically during ongoing opioid therapy
New Research in Osteoarthritis
With opioid addiction now a top priority in public health and OA among the leading causes of chronic pain in the country, several 2017 journal articles have examined the relationship between opioids and OA.
This newsletter shares the latest Osteoarthritis Action Alliance news, and OA-related resources, publications, achievements, events, opportunities from or for our member organizations. Have something you would like to share with us? Please email us at firstname.lastname@example.org and we will promote it on our Twitter and Facebook sites and in our upcoming Bi-Weekly digest.
Osteoarthritis Action Alliance News
Come and Walk With A Doc at UNC Wellness Center- Meadowmont, 100 Sprunt Street, Chapel Hill. Rain or shine. Saturday, December 16, 10AM with Dr. Amanda Nelson from the Thurston Arthritis Research Center in Chapel Hill, NC!
NEW! State Public Health Approaches to Addressing Arthritis (CDC Grant) – Soliciting applicants to implement state-based approaches to increase self-management behaviors and improve the quality of life of adults with arthritis. Applications should sustainability disseminate arthritis-appropriate interventions and promote health provider counseling and referral to physical activity interventions. Five-year grants up to $500,000 will be awarded. Estimated application due date April 2, 2018.