100 pages. Includes bibliography.  MMWR V71(3), November 4, 2022. MMWR (Morbidity and Mortality Weekly Report).  The Centers for Disease Control and Prevention (CDC) released updated recommendations for clinicians providing pain care for adult outpatients with short- and long-term pain to ensure the safest and most effective pain care is provided. The publication replaces the CDC Guideline for Prescribing Opioids for Chronic Pain released in 2016.

The 2022 Clinical Practice Guideline addresses the following areas:

1. Determining whether to initiate opioids for pain
2. Selecting opioids and determining opioid dosages
3. Deciding duration of initial opioid prescription and conducting follow-up
4. Assessing risk and addressing potential harms of opioid use

The guideline is a clinical tool to improve communication between clinicians and patients and empower them to make informed decisions about safe and effective pain care. The recommendations provide flexibility to clinicians and patients to support individualized, patient-centered care and should not be used as a one-size-fits-all policy or law or applied as a rigid standard of care or to replace clinical judgement about personalized treatment. A central tenet of this clinical practice guideline is that acute, subacute, and chronic pain needs to be appropriately and effectively treated regardless of whether opioids are part of a treatment regimen.

The expanded guideline aims to ensure equitable access to effective, informed, individualized, and safe pain care.

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