The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.
No Shortcuts to Safer Opioid Prescribing
Open accessAbstract
No Shortcuts to Safer Opioid Prescribing The CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain has largely been embraced by the medical and health policy communities. Unfortunately, some policies and practices purportedly derived from the guideline have been inconsistent with its recommendations.
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“Clinicians should also be aware of unintended conse quences of tapering opioids - including acute opioid withdrawal, uncontrolled pain, and even suicide - and balance the risks and benefits of continued opioid use 303 .”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [303]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“In order for the process to be successful, patients require a clear commitment to stop opioids and need considerable support; 5 incautious tapering can do harm, shaking patient confidence and reducing the chance of successful deprescribing and should not be imposed.12,13”
From Tapering and withdrawing opioids: guidance informed by fundamental principles to minimise withdrawal symptoms (2025) · cites this paper as [13]
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In the citing paper
“There is also consensus on the observation that the time taken for patients to taper off opioids is highly variable, with some patients requiring months or years to successfully stop opioids, especially when use has been prolonged.5,13”
From Tapering and withdrawing opioids: guidance informed by fundamental principles to minimise withdrawal symptoms (2025) · cites this paper as [13]
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In the citing paper
“There is also consensus on the observation that the time taken for patients to taper off opioids is highly variable, with some patients requiring months or years to successfully stop opioids, especially when use has been prolonged.5,13”
From Tapering and withdrawing opioids: guidance informed by fundamental principles to minimise withdrawal symptoms (2025) · cites this paper as [13]
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In the citing paper
“In 2019, Dowel et al published a commentary that re-emphasized that the CDC guideline calls for maximizing use of physical, psychological, and multimodal pain treatments, which have not been available, used, or reimbursed sufficiently. 7”
From Overview and Feasibility of a Novel Transdisciplinary Integrative Approach to High Impact Chronic Pain in Vermont (2024) · cites this paper as [7]
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“The PATH program maximizes the use of physical, psychological, and integrative pain treatments within a transdisciplinary model accessible to patients and is consistent with the CDC 2019 statement and call to action. 7”
From Overview and Feasibility of a Novel Transdisciplinary Integrative Approach to High Impact Chronic Pain in Vermont (2024) · cites this paper as [7]
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Citations
Cites
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
Dowell, D., Haegerich, T. M., & Chou, R. (2016) · JAMA · doi:10.1001/jama.2016.1464 · Cited by 5,161
Self-citationCDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
Dowell, D., Haegerich, T. M., & Chou, R. (2016) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr6501e1 · Cited by 2,697
Self-citationBohnert, A. S. B., Guy, G. P., & Losby, J. L. (2018) · Annals of Internal Medicine · doi:10.7326/m18-1243 · Cited by 420
Kroenke, K., Alford, D. P., Argoff, C. E., Canlas, B. R., Covington, E. C., Frank, J. W., Haake, K. J., Hanling, S. R., Hooten, W. M., Kertesz, S. G., et al. (2018) · Pain Medicine · doi:10.1093/pm/pny307 · Cited by 221
Changing the Conversation About Opioid Tapering
Dowell, D., & Haegerich, T. M. (2017) · Annals of Internal Medicine · doi:10.7326/m17-1402 · Cited by 29
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CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022
Dowell, D., Ragan, K. R., Jones, C. M., Baldwin, G. T., & Chou, R. (2022) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr7103a1 · Cited by 1,886
Self-citationVolkow, N. D., & Blanco, C. (2023) · World psychiatry · doi:10.1002/wps.21073 · Cited by 503
Stigma as a fundamental hindrance to the United States opioid overdose crisis response
Tsai, A. C., Kiang, M. V., Barnett, M. L., Beletsky, L. A., Keyes, K. M., McGinty, E. E., Smith, L. R., Strathdee, S. A., Wakeman, S. E., & Venkataramani, A. S. (2019) · PLoS Medicine · doi:10.1371/journal.pmed.1002969 · Cited by 460
Cohen, S. P., Bhaskar, A., Bhatia, A., Buvanendran, A., Deer, T. R., Garg, S., Hooten, W. M., Hurley, R. W., Kennedy, D. J. “. J. ”., McLean, B. C., et al. (2020) · Regional Anesthesia & Pain Medicine · doi:10.1136/rapm-2019-101243 · Cited by 372
Altekruse, S. F., Cosgrove, C. M., Altekruse, W. C., Jenkins, R. A., & Blanco, C. (2020) · PLoS ONE · doi:10.1371/journal.pone.0227966 · Cited by 308
Metadata
- Authors
- Dowell, D., Haegerich, T., & Chou, R.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2019-06-13
- Volume
- 380
- Issue
- 24
- Pages
- 2285-2287
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC6573011
- OpenAlex
- W2941323238
- Cited by
- 408
- References
- 5
- Citations by year
- 2026: 18 · 2025: 31 · 2024: 31 · 2023: 52 · 2022: 54 · 2021: 71 · 2020: 113 · 2019: 38
- FWCI
- 63.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (CC999999)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Keywords
- opioid prescribing, chronic pain, guideline implementation, opioid safety, prescription drug monitoring programs
- MeSH terms
- Analgesics, Opioid, Centers for Disease Control and Prevention, U.S., Consensus Statements as Topic, Humans, Opioid-Related Disorders, Practice Patterns, Physicians', United States, Practice Guidelines as Topic, Pain Management
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