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The U.S. Centers for Disease Control and Prevention recently released a major clinical practice guideline for using opioids in patients with chronic pain; however, it specifically excluded patients with cancer (NEJM JW Gen Med Dec 15 2022 and MMWR Recomm Rep 2022; 71:1). Now, a new guideline from ASCO addresses opioid use in patients with cancer. An expert panel used data from systematic reviews and randomized trials to make 13 recommendations for opioid use. Only 3 were evidence-based, and 10 were developed by expert consensus; 3 other topics were identified but had insufficient evidence to make a recommendation.
No specific opioids are rec…