TY - JOUR KW - Abuse resistance opioids KW - Analgesics, Opioid/therapeutic use KW - Child KW - Child Abuse/prevention & control KW - chronic opioid therapy KW - Chronic Pain/drug therapy KW - Drug Overdose/drug therapy KW - Humans KW - opioid abuse KW - Opioid adverse consequences KW - Opioid deaths KW - Opioid overdoses KW - Opioid-Related Disorders/drug therapy/prevention & control KW - Prescription drug monitoring programs (PDMPs) KW - Treatment Outcome AU - L. Manchikanti AU - A. M. Kaye AU - A. D. Kaye A1 - AB - Currently, there is growing tension between the twin challenges of opioid therapy for chronic pain and adverse consequences of abuse, leading to multiple complications including respiratory failure and death. The recent data from Centers for Disease Control and Prevention (CDC) have shown continued escalation of prescription opioid use with opioid overdose deaths topping all previous estimations. Numerous policy initiatives, advisories, and guidelines have been advanced through the years to control the opioid epidemic. The strategies to prevent opioid abuse and to maintain opioid therapy when medically necessary fall into primary and secondary prevention categories. The primary prevention category is extremely crucial, since it involves education of primary care providers and patients at the starting point of opioid therapy. The education of surgeons and other prescribers is as crucial as the education of primary care physicians. BT - Current pain and headache reports C5 - Opioids & Substance Use CP - 5 CY - United States DO - 10.1007/s11916-016-0564-x IS - 5 JF - Current pain and headache reports N2 - Currently, there is growing tension between the twin challenges of opioid therapy for chronic pain and adverse consequences of abuse, leading to multiple complications including respiratory failure and death. The recent data from Centers for Disease Control and Prevention (CDC) have shown continued escalation of prescription opioid use with opioid overdose deaths topping all previous estimations. Numerous policy initiatives, advisories, and guidelines have been advanced through the years to control the opioid epidemic. The strategies to prevent opioid abuse and to maintain opioid therapy when medically necessary fall into primary and secondary prevention categories. The primary prevention category is extremely crucial, since it involves education of primary care providers and patients at the starting point of opioid therapy. The education of surgeons and other prescribers is as crucial as the education of primary care physicians. PP - United States PY - 2016 SN - 1534-3081; 1534-3081 SP - 34 T1 - Current State of Opioid Therapy and Abuse T2 - Current pain and headache reports TI - Current State of Opioid Therapy and Abuse U1 - Opioids & Substance Use U2 - 27048483 U3 - 10.1007/s11916-016-0564-x VL - 20 VO - 1534-3081; 1534-3081 Y1 - 2016 ER -