Video presentation by Stefan Kertesz, MD, at the recent WA Vancouver meeting.
“An opioid frameshift: “What would be good care? Why can’t we make it happen consistently?””
Kertesz focuses on “good care” versus “actual care” for long-term opioid therapy in chronic pain management. He reviews what the CDC guideline really says, and what has actually happened since their introduction in 2016. He mentions the H3P letter and the HRW report in 2018, and the FDA and CDC clarifications in early 2019.
Kertesz talks about CFIR for analyzing opioid policy, and how journalism and state/federal law get involved. And he states that there is no follow-up to see what the effects of policy are, in particular no info on patient outcomes. Kertesz recommends a “patient safety network” to track patient outcomes.
Kertesz reviews clinical evidence on opioid dose and risk, plus other risk factors. He also talks about his own work in clinic.