Title: Background information

Context:
A paradigm shift in the use of OT for chronic non-terminal pain has paralleled this transformation in pain  care. Prior to the 1980s, OT was rarely used outside of severe acute injury or post-surgical pain, primarily due to concern for tolerance, physical dependence, and addiction. As the hospice and palliative care  movement began defining end-of-life care in the U.S. during the 1980s and emphasizing the importance of  pain relief, OT increasingly became a mainstay for cancer and end-of-life pain. Efforts to destigmatize the use of prescription opioids for chronic non-terminal pain encompassed primary care providers and the  public. The efforts led to an unprecedented increase in opioid prescribing for chronic non-terminal pain.  Chronic pain management became synonymous with LOT in the 1990s and the first decade of the 2000s  with significant numbers of patients in pain clinics receiving LOT. Despite the absence of long-term safety or efficacy data, OT for chronic non-terminal pain became a mainstay of therapy. However, as observational and epidemiologic data of harm from LOT accumulated, a much more cautious approach to  OT for chronic non-terminal pain has emerged in the decade of the 2010s.

Question: When did a more cautious approach to OT for chronic non-terminal pain emerge?

Answer: in the decade of the 2010s