CDC Concurs with Panel Led by Regenstrief Scientist on Misapplication of Opioid Guidelines
MAY 13, 2019
SOURCE: Click Here below
https://www.regenstrief.org/article/cdc ... escribing/
Photo of Dr. Kurt Kroenke with a quote from the article on opioid guidelines
The Centers for Disease Control and Prevention is clarifying its guidelines on opioid prescribing, citing the findings of a review panel led by Regenstrief Institute Research Scientist Kurt Kroenke, M.D. Dr. Kroenke and his colleagues found that many clinicians, policymakers and payers are misapplying the CDC’s guidelines, and those actions are negatively affecting patients.
The CDC issued the guidelines in 2016 in response to the increase in abuse of opioid medications. Those recommendations include trying other pain treatments first, limiting opioid doses and prescriptions, and discussing the risks of opioids with patients. The guidelines are not meant to be hard and fast rules.
Dr. Kroenke served as the chair of the American Academy of Pain Medicine Foundation consensus panel created to review the influence of these guidelines on pain management practices. The panel identified several implementation challenges which may be hurting patients.
The panel largely supported the guidelines, but they did find that some clinicians have gone too far in applying them. A number of clinicians and payers have been enforcing hard limits on opioid doses, regardless of the patient’s situation. Other patients have had their prescriptions abruptly tapered or even suddenly stopped, which can have negative consequences. In addition, the recommendations have been applied to patients outside the guideline’s scope, for example, people in active cancer treatment and those dealing with post-surgical pain. The authors also concluded that some policymaking and regulatory bodies have misapplied the guidelines without flexibility, and sometimes, without full awareness of what the guideline contains.
“There are some people suffering from chronic pain who can and do benefit from taking opioids,” said Dr. Kroenke, the first author on the panel’s paper.
“Doctors and clinicians need to be discussing treatment options with their patients and making the decision that is best for those individual patients in the context of safety and pain relief.”
Dr. Kroenke believes acknowledging the issue of misapplying the guidance is an important first step. “The intent of the CDC guidelines was to individualize treatment, but the overly restrictive prescribing policies created by legislatures and payers have led to unintended harm for some patients. Those policies will take time to roll back,” he continued. “In addition, burdens, fears and stigma related to opioid prescribing have been instilled in many clinicians, and that will be even more difficult to reverse.”
The panel developed recommendations to address issues with applying the guidelines. Some of those include producing validated tapering protocol and clarifying the appropriate clinical application of the recommended dosage thresholds based on the individual patient. The proposals are aimed at regulators, policymakers and payers.
The panel report, “Challenges with Implementing the Centers for Disease Control and Prevention Opioid Guideline: A Consensus Panel Report” was published in the April 2019 volume of the journal Pain Medicine. Dr. Kroenke, who is also a professor at the Indiana University School of Medicine, was one of 14 people on the panel.
The CDC’s new guidance was published in the New England Journal of Medicine. CDC officials say they continue to review the policy and its effects and will make changes as they get new information.
- Forced Tapering of Opioids - Suicides in Despair with Chronic and Intractable Pain Opioid Crisis The Media Stories Starting to Report The Truth
- Search
- Search
-
- It is currently Wed Feb 01, 2023 7:41 am
- All times are UTC
CDC Concurs with Panel Led by Scientist on Misapplication of Opioid Guidelines
Some Media outlets and reporters are trying to tell the truth. We can take good honest reporting regardless of the reason. People are dying and committing suicide because of the governments hysteria and fake news.
CDC Concurs with Panel Led by Scientist on Misapplication of Opioid Guidelines
Post by admin » Sun May 19, 2019 4:58 pm
Link: | |
BBcode: | |
HTML: | |
Hide post links |
Return to “The Media Stories Starting to Report The Truth”
Jump to
- Intractable Pain Explained
- Intractable Pain Act Being Repealed and Modified
- China's Covert War with Fentanyl and Carfentanil on the US Public
- The United Nations on the Overdose Crisis
- Stories of Chronic Pain
- CBD Products
- Opioid Crisis - Is the end Really Coming - Will There Be Justic For CPP'S
- AMA Opioid Task Force
- Investigations and Pain Management Denial Deaths
- Pain Management Clinics
- Hospitals Giving Tylenol After Major Surgery - Including Real Stories
- ↳ Pennsylvania Hospitals and Surgical Centers
- ↳ Commonwealth Health Wilkes-Barre General Hospital
- Medications and Drug Testing
- The Media's Intentional Fake News Narrative on the Opioid Crisis
- The Media Stories Starting to Report The Truth
- WHO, HRW, and UN - With The Lack of pain relief harm is being done.
- Carfentanil and its Fentanyl Analogs, not Prescription Fentanyl Killing Unsuspecting Drug Users.
- CDC Centers for Desiease Control Manipulation of the Intractable Pain Patients and Doctors
- Health and Human Services "HHS" Interfeering in Dr Patient Relationships leading to suicides
- National Institutes of Health nih.gov
- Medicare Is Cracking Down on Opioids
- THe DEA and it's involvement in Patient Abuse and Violation of Human Rights
- Government - Congress - House - New Laws
- Don't Punish Pain Rally Organization
- Pharmacies - Their Involvement and News of Help
- legal precedents used in the #Starburst complaint
- Opioid Crisis Govenment Hypocrisy
- Petitions & Letter to our Elected Officials (Important)
- Patient Abuse and Doctors Intentional Torture and Sufferin
- Veterans committing suicide over the VA's no Opioid policy
- Suffering without enough Pain Medications due to the DEA behavior
- The FDA the good bad and the ugly
- About Andrew Kolodny MD - Chair of Psychiatry & Self Proclaimed Opioid Expert
- YouTube & Media Videos Telling and Talking about the truth of the Opoid Crisis
- The Suicides Deaths have spiked as Forced Tapers continue
- CDC and FDA trying to explain their sadistic policies.
- Drug Abuse - Addiction v.s Dependance
- Chronic Illness Advocacy Awareness Group
- With the FDA & CDC in contradictions with the DEA Enforcers people are taking Desperate Measures
- What to know about Buprenorfine, Belbuca and the addiction drug Saboxone
- Doctors Making The Ultimate Sacrifice to help those in Chronic Pain
- State Programs - Tapering - Processes - Ruling - Started After The 90 MME
- National Council on Independent Living and others Supporters
- Support CPP's - Donate - Help The Cause