Utah Clinical Guidelines on Prescribing Opioids

Guideline Development

Guideline Evidence Review
The steering committee of the Utah Department of Health’s Prescription Pain Medication Program developed the key questions, scope, and inclusion criteria used to guide the evidence review process. The process began with a literature review to identify existing guidelines on pain, chronic pain, opioids, pain management, and related topics. Guidelines were identified through electronic databases, reference lists from evaluated guidelines, and recommendations from experts. Electronic databases that were searched include: PubMed, Medline, CINAHL, and the National Guideline Clearinghouse. Investigators identified and evaluated 40 individual guidelines.

reference Guidelines:
1. ACOEM Guidelines Chapter 6

2. VA/DoD Clinical Practice Guidelines for the Management of Opioid Therapy for Chronic Pain

3. ASIPP's Opioid Guidelines in the Management of Chronic Non-Cancer Pain

4. Ontario's Evidence-Based Recommendations for Medical Management of Chronic Non-Malignant Pain: Reference Guide for Clinicians
--the complete guidelines were given to panel members in print form (only an abbreviated version is available online)

5. APS-AAPM Clinical Guidelines for the Use of Opioids for Chronic Non-Cancer Pain

6. Washington State Guidelines
--the expert panel voted to include these guidelines during the second meeting

7. Federation State Medical Boards Model Guidelines for the Use of Controlled Substances for the Treatment of Pain
--the expert panel voted to include these guidelines during the second meeting

Matrix and Rating Scale:
Matrix of All Reviewed Guidelines

Matrix of Top Guidelines (Score 7 and Above)
Rating Scale

brainstorm of what utah guidelines should contain :
Table of Contents (Steering Committee Final Draft)

Using Google Docs

Guidelines Expert Panel

April 15, 2008, 4:00-7:00 Rm 125 Cannon Health Building
April 29, 2008, 4:00-8:00 Rm 125
May 20, 2008, 4:00-8:00--work time
June 23, 2008, 4:30-6:30 Rm 125 For final acceptance of guidelines

Panel Members:
Names and Contact Info


April 15 April 29

June 23

Presentations to panel members:
Christy Porucznik's Research (meeting 1)

Guideline Implementation and Tools Panel

Panel Members:
Names and Contact Info

The Guideline Implementation and Tools Panel were asked to grade a Tool Workbook that included all tools that were identified in the forty (40) guidelines. Sample tools were solicited from panel members as well. In total, the workbook contained forty-seven (47) tools. In between the first and second meeting, panel members reviewed and graded each tool according to usefulness and whether or not it should be included in the guidelines. Votes and rating were tallied prior to the second meeting. Tools that received an average rating of below two (2) were eliminated. At the second meeting, the remaining tools were discussed and it was determined which of the remaining tools should be included, modified, or eliminated.