Author Affiliations: Los Angeles County Department of Health Services, Los Angeles, California.
Pain is common in the adult population, with 20% to 40% of adults reporting chronic pain.1 In primary care settings, up to 20% of visits generate an opioid prescription,1 and in the United States overall, 4 million adults are prescribed a long-acting opioid each year.2 As these prescriptions have increased, so have consequences, such as impairment, overdose, diversion, and dependence.2
Berkowitz SA, Katz MH. Thinking Our Way to Better Treatments of Chronic Pain. Arch Intern Med. 2012;172(1):10-11. doi:10.1001/archinternmed.2011.547