, Volume 15, Issue 2, pp 88-90
Date: 28 Jan 2011

Chronic Opioid Therapy for Chronic Pain: An e-Learning Program to Develop Shared Decision-making and Communication Skills

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Sullivan MD, Gaster B, Russo J, et al.: Randomized trial of web-based training about opioid therapy for chronic pain. Clin J Pain 2010, 26:512–517.

Rating: •• Of significant importance.

Introduction: Professional efforts to promote evaluation of pain in conjunction with the marketing of sustained-release opioid analgesics for the treatment of chronic noncancer pain (CNCP) likely have contributed to increased rates of opioid abuse. From 1997 to 2002, there was a marked increase in the medical use of commonly prescribed opioids, including oxycodone (403%) [1]. The abuse of prescription opioids has become widely prevalent [2]. In the past decade, a more than a twofold increase in lifetime abuse and a nearly threefold increase in past-month abuse of prescription opioids occurred in the United States (https://nsduhweb.rti.org/). Hydrocodone has become the most widely prescribed opioid with the highest rate of nonmedical use in the general population [3].

Formal assessments of physicians about ...