This voluntary clinical practice guideline provides recommendations and does not require mandatory compliance; and the clinical practice guideline is intended to be flexible so as to support, not supplant, clinical judgment and individualized, patient-centered decision-making.
https://www.cdc.gov/opioids/guideline-update/index.html
The update process uses multiple key sources of input.
The 2016 Guideline was developed using the best available scientific evidence and followed a rigorous scientific process. The update to the Guideline is following a similar process and includes several opportunities for community and partner engagement. CDC highly values public engagement and has ensured there are multiple opportunities to hear from and incorporate feedback from patients with pain, caregivers, clinicians, and partners.
https://www.regulations.gov/document/CDC-2022-0024-0001/comment
The above link will take you directly to the web page to post your comments. The verbiage from the CDC on this update to the opiate dosing guidelines first published in 04/2016 they have EMPHASIZED that NO ONE is MANDATED TO USE THEM. just like the first guidelines in 04/2016.
Which we all know, and many entities/groups have previously stated, they were egregiously mis-read and mis-applied to the determent of practitioners and those in chronic pain community. The new verbiage regarding these proposed updates are misrepresenting the quality of the data/studies used to develop those first guidelines… and “The update to the Guideline is following a similar process” after they were published, it was claimed that the majority of the studies used to come to the conclusions in the guidelines were based on a “quality” of “3” or “4”… on a scale where “1” is good/excellent and “4” is bad/crappy. Even though the CDC tried to keep the members of the first committee anonymous, it eventually leaked out that many on the committee were ‘opiophobic’ and/or primary area of medical practice was ADDICTION and/or members of one or more organizations that were well known for their opposition to the use of FDA approved opiates for long term use in treating chronic pain.
After the original guidelines were published, the Veteran Admin, DEA, many states codified them into state statues or various medical practice acts, along with large hospital corporation that encompasses untold number of office practices, as well as many insurance and PBM companies making them part of their policies and procedures.
Given that this revision, the CDC PLAINLY STATES – THEY ARE VOLUNTARY – meaning that no entity that has misapplied the original guidelines – need not make any changes to their current policies and procedures on the prescribing of opiates for the treatment of chronic pain.
That is why I chose the graphic of SMOKE & MIRRORS
link to the entire 212 page proposal
Filed under: General Problems
Six years after the cdc rolled out their baloney burgers, looks like once again ” Joe the plumber” and his colleagues were called in along with the usual ” addiction” specialists.
I will never waste precious time and endless hours writing to the cdc about anything ever again. They’ve taken any QOL I/we once had. I won’t waste precious time nor energy I do not have nor pen, paper, stamps, keyboards dealing with utter stupidity and ignorance.
” Stupid STILL can’t be fixed!”
they should be locked in a room,torched,then allowed to lay there with 3rd degree burns.I honestly wish it on them.How unChristian.
I am so angry! I SPOKE with the CDC two years ago, telling them how my QOL has taken a nosedive. They were all sweetness and light, sympathizing with me! Such governmental bullshit!!!
I just lost a dear friend ten days ago due to renal failure that I’m convinced was brought about by UNTREATED pain!!!
I would love for these sanctimonious idiots to TRY to walk in my shoes for just twelve hours… They’d be screaming for opioids!!!
Rest assured, if the shoes of horrid pain were on THEIR feet instead of ours, perhaps there would be someone with TWO actively firing neurons in their camaraderie and THEY would never know how it is to suffer. Every. Single. Day.
I don’t think intractable pain pt.’s can bear the pain of anymore ” help” from this Agency. I know I cannot take anymore of their ” help.” 5 long years soon to be with 100% UNTREATED intractable pain, all due to a well known to be rare and horribly painful genetic disease.
I did not choose my painful disease anymore than others in the same painful boat.