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Research Letter| Volume 59, ISSUE 4, e175-e177, October 2020

Prevalence of Nonpharmacologic and Pharmacologic Therapies Among Noncancer Chronic Pain–Associated Ambulatory Care Visits, 2016

Published:August 22, 2020DOI:https://doi.org/10.1016/j.amepre.2020.04.021
Prevalence of Nonpharmacologic and Pharmacologic Therapies Among Noncancer Chronic Pain–Associated Ambulatory Care Visits, 2016
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      Approximately 20% of U.S. adults reported chronic pain in 2016.
      • Dahlhamer J
      • Lucas J
      • Zelaya C
      • et al.
      Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016.
      MMWR Morb Mortal Wkly Rep. 2018; 67: 1001-1006https://doi.org/10.15585/mmwr.mm6736a2
      Opioids are often prescribed for chronic pain, but evidence suggests that benefits may be limited and harms may include addiction, overdose, and death.
      • Busse JW
      • Wang L
      • Kamaleldin M
      • et al.
      Opioids for chronic noncancer pain: a systematic review and meta-analysis.
      JAMA. 2018; 320: 2448-2460https://doi.org/10.1001/jama.2018.18472
      ,
      • Dowell D
      • Haegerich TM
      • Chou R
      CDC guideline for prescribing opioids for chronic pain–United States, 2016.
      JAMA. 2016; 315: 1624-1645https://doi.org/10.1001/jama.2016.1464
      The 2016 CDC Guideline for Prescribing Opioids for Chronic Pain (CDC Guideline) recommends nonpharmacologic and nonopioid pharmacologic therapies as preferred therapies for chronic pain.
      • Dowell D
      • Haegerich TM
      • Chou R
      CDC guideline for prescribing opioids for chronic pain–United States, 2016.
      JAMA. 2016; 315: 1624-1645https://doi.org/10.1001/jama.2016.1464
      Prior research has examined opioid and nonopioid pharmacologic therapies
      • Miller GF
      • Guy GP
      • Zhang K
      • Mikosz CA
      • Xu L
      Prevalence of nonopioid and opioid prescriptions among commercially insured patients with chronic pain.
      Pain Med. 2019; 20: 1948-1954https://doi.org/10.1093/pm/pny247
      ; little is known about how nonpharmacologic therapies are utilized for chronic pain. This study examines the prevalence of nonpharmacologic and pharmacologic (opioid and nonopioid) therapies among ambulatory care visits with a noncancer chronic pain–associated primary diagnosis.
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      REFERENCES

        • Dahlhamer J
        • Lucas J
        • Zelaya C
        • et al.
        Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016.
        MMWR Morb Mortal Wkly Rep. 2018; 67: 1001-1006https://doi.org/10.15585/mmwr.mm6736a2
        View in Article
        • Busse JW
        • Wang L
        • Kamaleldin M
        • et al.
        Opioids for chronic noncancer pain: a systematic review and meta-analysis.
        JAMA. 2018; 320: 2448-2460https://doi.org/10.1001/jama.2018.18472
        View in Article
        • Dowell D
        • Haegerich TM
        • Chou R
        CDC guideline for prescribing opioids for chronic pain–United States, 2016.
        JAMA. 2016; 315: 1624-1645https://doi.org/10.1001/jama.2016.1464
        View in Article
        • Miller GF
        • Guy GP
        • Zhang K
        • Mikosz CA
        • Xu L
        Prevalence of nonopioid and opioid prescriptions among commercially insured patients with chronic pain.
        Pain Med. 2019; 20: 1948-1954https://doi.org/10.1093/pm/pny247
        View in Article
        • Ambulatory health care data
        National Center for Health Statistics.
        2020
        www.cdc.gov/nchs/ahcd/
        Date accessed: December 19, 2019
        (Updated June 4)
        View in Article
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        • Knell ME
        Determinants of opioid prescribing for nonmalignant chronic pain in U.S. outpatient settings.
        Pain Med. 2018; 19: 524-532https://doi.org/10.1093/pm/pnx025
        View in Article
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        View in Article

      Article info

      Publication history

      Published online: August 22, 2020

      Identification

      DOI: https://doi.org/10.1016/j.amepre.2020.04.021

      Copyright

      Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.

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