Foundations of Opioid Risk Management
- 1 February 2007
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in The Clinical Journal of Pain
- Vol. 23 (2), 103-118
- https://doi.org/10.1097/01.ajp.0000210953.86255.8f
Abstract
Increased abuse and diversion of prescription opioids has been a consequence of the increased availability of opioids to address the widespread problem of undertreated pain. Opioid risk management refers to the effort to minimize harms associated with opioid therapy while maintaining appropriate access to therapy. Management of these linked public health issues requires a coordinated and balanced effort among a disparate group of stakeholders at the federal, state, industry, practitioner, and patient levels. This paper reviews the principles of opioid risk management by examining the epidemiology of prescription opioid abuse in the United States; identifying key stakeholders involved in opioid risk management and their responsibilities for managing or monitoring opioid abuse and diversion; and summarizing the mechanisms currently used to monitor and address prescription opioid abuse. Limitations of current approaches, and emerging directions in opioid risk management, are also presented.Keywords
This publication has 39 references indexed in Scilit:
- Direct Costs of Opioid Abuse in an Insured Population in the United StatesJournal of Managed Care Pharmacy, 2005
- Efficacy and Safety of Opioid Agonists in the Treatment of Neuropathic Pain of Nonmalignant OriginJAMA, 2005
- Opioids in chronic non-cancer pain: systematic review of efficacy and safetyPain, 2004
- A reassessment of trends in the medical use and abuse of opioid analgesics and implications for diversion control: 1997–2002Journal of Pain and Symptom Management, 2004
- Exploring Physicians' Comfort Level with Opioids for Chronic Noncancer PainPain Research and Management, 2004
- Definitions related to the medical use of opioids: Evolution towards universal agreementJournal of Pain and Symptom Management, 2003
- Challenges in the Federal Regulation of Pain Management TechnologiesThe Journal of Law, Medicine & Ethics, 2003
- The Impact of Pain Management on Quality of LifeJournal of Pain and Symptom Management, 2002
- Opioid Therapy for Chronic Nonmalignant Pain: Clinicians' PerspectiveThe Journal of Law, Medicine & Ethics, 1996
- Chronic use of opioid analgesics in non-malignant pain: Report of 38 casesPain, 1986