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Prescription Drug Abuse: Executive Summary of a Policy Position Paper From the American College of Physicians

2013; American College of Physicians; Volume: 160; Issue: 3 Linguagem: Inglês

10.7326/m13-2209

1539-3704

Neil Kirschner, Jack Ginsburg, Lois Snyder Sulmasy,

Pain Management and Opioid Use

Position Papers4 February 2014Prescription Drug Abuse: Executive Summary of a Policy Position Paper From the American College of PhysiciansNeil Kirschner, PhD, Jack Ginsburg, and Lois Snyder Sulmasy, JD, for the Health and Public Policy Committee of the American College of Physicians*Neil Kirschner, PhDFrom the American College of Physicians, Philadelphia, Pennsylvania., Jack GinsburgFrom the American College of Physicians, Philadelphia, Pennsylvania., and Lois Snyder Sulmasy, JDFrom the American College of Physicians, Philadelphia, Pennsylvania., for the Health and Public Policy Committee of the American College of Physicians*Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M13-2209 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The inappropriate use and abuse of prescription drugs is a serious public health problem. The Centers for Disease Control and Prevention (CDC) has declared that the United States is in the midst of an epidemic of deaths from prescription drug overdose (1). The CDC reports that drug overdose, particularly due to the increase in nonmedical use of prescription pain-relief drugs, is the second leading cause of deaths from unintentional injuries in the United States, exceeded only by motor vehicle fatalities (2). A recent analysis of preliminary CDC data suggests that drug overdose may now be the leading cause of such ...References1. Government Accountability Office. Prescription Pain Reliever Abuse. GAO-12-115, December 2011. Accessed at www.gao.gov/assets/590/587301.pdf on 31 May 2013. Google Scholar2. Centers for Disease Control and Prevention. Unintentional drug poisoning in the United States. July 2010. Accessed at www.cdc.gov/homeandrecreationalsafety/pdf/poison-issue-brief.pdf on 31 May 2013. Google Scholar3. Girion L, Glover S. 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Google Scholar Author, Article, and Disclosure InformationAuthors: Neil Kirschner, PhD; Jack Ginsburg; Lois Snyder Sulmasy, JDAffiliations: From the American College of Physicians, Philadelphia, Pennsylvania.Disclaimer: The authors of this article are responsible for its contents, including any clinical or treatment recommendations.Financial Support: Financial support for the development of this guideline comes exclusively from the ACP operating budget.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-2209.Corresponding Author: Neil Kirschner, PhD, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001; e-mail, [email protected]org.Current Author Addresses: Dr. Kirschner and Mr. Ginsburg: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.Ms. Snyder Sulmasy: Center for Ethics and Professionalism, American College of Physicians, 190 N. Independence Mall West, Philadelphia, PA 19106.Author Contributions: Conception and design: J. Ginsburg.Analysis and interpretation of the data: N. Kirschner, J. Ginsburg, L. Snyder Sulmasy.Drafting of the article: N. Kirschner, J. Ginsburg, L. Snyder Sulmasy.Critical revision of the article for important intellectual content: N. Kirschner, J. Ginsburg, L. Snyder Sulmasy.Final approval of the article: L. Snyder Sulmasy.Administrative, technical, or logistic support: N. Kirschner.Collection and assembly of data: N. Kirschner, J. Ginsburg.This article was published online first at www.annals.org on 10 December 2013.*This paper, written by Neil Kirschner, PhD; Jack Ginsburg; and Lois Snyder Sulmasy, JD, was developed for the Health and Public Policy Committee of the American College of Physicians. Individuals who served on the Health and Public Policy Committee at the time of the project's approval were: Thomas Tape, MD (Chair); Jacqueline W. Fincher, MD (Co-chair); Vineet Arora, MD; Ankit Bhatia; James F. Bush, MD; Douglas M. DeLong, MD; Susan Glennon, MD; Gregory A. Hood, MD; Mary Newman, MD; Kenneth E. Olive, MD; Shakaib U. Rehman, MD; Zoe Tseng, MD: and Jeffrey G. Wiese, MD. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Dueling Obligations of Opioid Stewardship Phillip Coffin and Caleb Banta-Green The Dueling Obligations of Opioid Stewardship Phillip Coffin and Caleb Banta-Green Prescription Drug Abuse Robert Newman Prescription Drug Abuse J. Walden Retan Prescription Drug Abuse Neil Kirschner and Thomas G. 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Walden Retan, MDPrescription Drug AbuseRobert Newman, MD, MPHOxycodone/Naloxone: Role in Chronic Pain Management, Opioid-Induced Constipation, and Abuse DeterrenceThe Dueling Obligations of Opioid StewardshipPhillip Coffin, MD, MIA and Caleb Banta-Green, PhD 4 February 2014Volume 160, Issue 3Page: 198-200KeywordsDrug abuseDrug regulationDrugsFood and Drug AdministrationMedicareOpioidsPain managementPatientsPrescription drug abuseTherapeutic drug monitoring ePublished: 4 February 2014 Issue Published: 4 February 2014 Copyright & PermissionsCopyright © 2014 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...