Guideline Synopsis | The use of opioids in the management of chronic pain

Summary: The VA/DoD guideline for chronic pain management recommends non-opioid treatments, such as cognitive-behavioral and physical therapy, with opioid use reserved for specific circumstances. Mental health evaluations are emphasized, along with regular treatment reassessments. Opioid use is not recommended due to small benefits outweighed by risks, but if used, buprenorphine is suggested due to a lower risk profile. Screening for mood disorders and traumatic brain injury is also advised, although evidence for risk mitigation strategies is lacking.*

Article: The Use of Opioids in the Management of Chronic Pain: Synopsis of the 2022 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline – Annals of Internal Medicine

News Release: Summary of VA/DoD guidelines for management of chronic pain provides new recommendations on opioid use and mental health evaluations – American College of Physicians

Summary for patients: The Use of Opioids in the Management of Chronic Pain: Synopsis of the 2022 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline – Annals of Internal Medicine

Commentary: Initiation of Opioids Not Recommended for Chronic Pain – HealthDay

*Note: This summary was created through the collaboration of a medical editor and ChatGPT.