The evidence for the management of noncancer pain among adults with acute and chronic pain conditions has evolved rapidly in recent years. Earlier recommendations and approaches resulted in more routine use of opioid analgesics.1 As a result, it has been estimated that almost 40% of US civilian, noninstitutionalized adults used prescription opioids in 2015, and prescription opioid misuse and opioid use disorder have become common.2 Coinciding with increased opioid prescribing has been a resurgence in illicit heroin use and, more recently, illicitly manufactured fentanyl. Through these combined effects, the number of estimated opioid-involved overdose deaths in the United States increased 90%, from 25 052 in 2013 to 47 600 in 2017.3
Wood E, Simel DL, Klimas J. Pain Management With Opioids in 2019-2020. JAMA. Published online October 10, 2019. doi:https://doi.org/10.1001/jama.2019.15802
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