Choosing Wisely:

Avoid opioid misuse in patients with chronic pelvic pain without compromising care through education, responsible opioid prescribing, and advocacy.

Rationale and Comments: Patients have a right to appropriate assessment and management of pain; however, opioid misuse has become a public health crisis. It is essential that providers become familiar with published U.S. Food and Drug Administration and CDC plans and guidelines. Providers must also educate and screen for risk factors for opioid misuse and follow patients on chronic opioid therapy for any signs of misuse.
Sponsoring Organizations:
  • American Association of Gynecologic Laparoscopists
  • Sources:
  • Centers for Disease Control and Prevention
  • Disciplines:
  • Gynecologic
  • Neurologic
  • References: • Phillips DM. JCAHO pain management standards are unveiled. JAMA 2000;284:428-429.
    • Dowell, T.M. Haegerich, R. Chou, CDC guideline for prescribing opioids for chronic pain – United States, 2016, MMWR Recomm. Rep. 65 (1) (2016).

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