Opioid Prescribing
Authors: Teryl J. Nuckols, Roger Chou
Journal: Annals of Internal Medicine (2014)

Letters20 May 2014Opioid PrescribingTeryl J. Nuckols, MD, MSHS and Roger Chou, MDTeryl J. Nuckols, MD, MSHSFrom David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California; and Oregon Health & Science University, Portland, Oregon. and Roger Chou, MDFrom David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California; and Oregon Health & Science University, Portland, Oregon.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L14-5010-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate Dr. Manchikanti and colleagues' interest but would like to correct some factual inaccuracies in their comment. First, we applied well-established, prespecified selection and evaluation criteria consistently across all guidelines. Criteria did not include whether guidelines were "restrictive" in the use of opioids. The Appraisal of Guidelines for Research and Evaluation II instrument and A Measurement Tool to Assess Systematic Reviews address potential conflicts of interest and funding (1).In terms of updating, we used a cutoff of 5 years based on a study that found that about one half of 17 guidelines were out of date ...References1. Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, et al; AGREE Next Steps Consortium. AGREE II: advancing guideline development, reporting and evaluation in health care. CMAJ. 2010;182:E839-42. [PMID: 20603348] CrossrefMedlineGoogle Scholar2. Shekelle PG, Ortiz E, Rhodes S, Morton SC, Eccles MP, Grimshaw JM, et al. Validity of the Agency for Healthcare Research and Quality clinical practice guidelines: how quickly do guidelines become outdated? JAMA. 2001;286:1461-7. [PMID: 11572738] CrossrefMedlineGoogle Scholar3. Institute of Medicine. Clinical Practice Guidelines We Can Trust. Washington, DC: National Academies Pr; 2011. Google Scholar4. Shea BJ, Hamel C, Wells GA, Bouter LM, Kristjansson E, Grimshaw J, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol. 2009;62:1013-20. [PMID: 19230606] CrossrefMedlineGoogle Scholar5. Manchikanti L, Abdi S, Atluri S, Balog CC, Benyamin RM, Boswell MV, et al; American Society of Interventional Pain Physicians. American Society of Interventional Pain Physicians (ASIPP) guidelines for responsible opioid prescribing in chronic non-cancer pain: part 2—guidance. Pain Physician. 2012;15:S67-116. [PMID: 22786449] MedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Teryl J. Nuckols, MD, MSHS; Roger Chou, MDAffiliations: From David Geffen School of Medicine at University of California, Los Angeles, Los Angeles, California; and Oregon Health & Science University, Portland, Oregon.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-1193. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoOpioid Prescribing: A Systematic Review and Critical Appraisal of Guidelines for Chronic Pain Teryl K. Nuckols , Laura Anderson , Ioana Popescu , Allison L. Diamant , Brian Doyle , Paul Di Capua , and Roger Chou Opioid Prescribing Laxmaiah Manchikanti , Frank J.E. Falco , and Joshua A. Hirsch Opioid Prescribing Laxmaiah Manchikanti , Frank J.E. Falco , and Joshua A. Hirsch Metrics Cited byComprehensive pain management as a frontline treatment to address the opioid crisis 20 May 2014Volume 160, Issue 10Page: 737-738KeywordsConflicts of interestDisclosureHealth care qualityHealth services researchOpioidsResearch quality assessmentResearch reporting guidelinesSafetySystematic reviews ePublished: 20 May 2014 Issue Published: 20 May 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...