@article {2804,
	title = {A Research Agenda for Enhancing Appropriate Opioid Prescribing in Primary Care.},
	journal = {Journal of general internal medicine},
	year = {2013},
	month = {2013 Apr 9},
	abstract = {The challenges facing patients and providers in managing ongoing opioid analgesic therapy for chronic pain are complex. Benefit of long-term opioid therapy, for which there are scant data, must be balanced against myriad potential undesired outcomes, including safety problems, ranging from mild toxicities to overdose and death; inadequate efficacy, which may mean continued patient suffering and unwarranted exposure to toxicities; and misuse of these potent medications. To help patients and providers navigate these challenges and optimize therapy, we present a research agenda in which we first characterize appropriate ongoing opioid prescribing and then describe three areas where quality improvement work is needed: 1) developing brief validated measures of patient-reported safety, efficacy, and misuse that improve outcomes; 2) designing evidence-based algorithms to guide changes in therapy when issues related to safety, efficacy or misuse are identified; and 3) promoting use of patient-centered, multi-modal treatment plans.},
	issn = {1525-1497},
	doi = {10.1089/apc.2012.0404},
	author = {Becker, William C and Fraenkel, Liana and Kerns, Robert D and Fiellin, David A}
}
