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Guideline

Guideline for opioid therapy and chronic noncancer pain

Jason W. Busse, Samantha Craigie, David N. Juurlink, D. Norman Buckley, Li Wang, Rachel J. Couban, Thomas Agoritsas, Elie A. Akl, Alonso Carrasco-Labra, Lynn Cooper, Chris Cull, Bruno R. da Costa, Joseph W. Frank, Gus Grant, Alfonso Iorio, Navindra Persaud, Sol Stern, Peter Tugwell, Per Olav Vandvik and Gordon H. Guyatt
CMAJ May 08, 2017 189 (18) E659-E666; DOI: https://doi.org/10.1503/cmaj.170363
Jason W. Busse
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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  • For correspondence: bussejw@mcmaster.ca
Samantha Craigie
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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David N. Juurlink
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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D. Norman Buckley
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Li Wang
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Rachel J. Couban
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Thomas Agoritsas
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Elie A. Akl
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Alonso Carrasco-Labra
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Lynn Cooper
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Chris Cull
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Bruno R. da Costa
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Joseph W. Frank
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Gus Grant
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Alfonso Iorio
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Navindra Persaud
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Sol Stern
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Peter Tugwell
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Per Olav Vandvik
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Gordon H. Guyatt
The Michael G. DeGroote Institute for Pain Research and Care (Busse, Buckley, Couban, Craigie and Wang), Department of Anesthesia (Busse and Buckley), Department of Health Research Methods, Evidence, and Impact (Busse, Carrasco-Labra, Iorio and Guyatt), McMaster University, Hamilton, Ont.; University Hospitals of Geneva (Agoritsas), Geneva, Switzerland; American University of Beirut (Akl), Beirut, Lebanon; Canadian Pain Coalition (Cooper), Oshawa, Ont.; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry (Carrasco-Labra), University of Chile, Santiago, Chile; Inspire by Example, Canada (Cull); Institute of Primary Health Care (da Costa), University of Bern, Bern, Switzerland; VA Eastern Colorado Health Care System (Frank), Denver, Colo. and University of Colorado School of Medicine (Frank), Aurora, Colo.; College of Physicians and Surgeons of Nova Scotia (Grant), Halifax, NS; Departments of Medicine and Pediatrics (Juurlink), University of Toronto, Toronto, Ont.; Li Ka Shing Knowledge Institute (Persaud), St. Michael’s Hospital, Toronto, Ont.; Argus Medical Centre (Stern), Oakville, Ont.; Department of Medicine (Tugwell), University of Ottawa, Ottawa, Ont.; Innlandet Hospital Trust-Division Gjøvik (Vandvik), Norway
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Online Appendices

  • Appendix 1: The 2017 Canadian Guideline for Opioids for Chronic Non-Cancer Pain
  • Appendix 2: Guideline Panel Values & Preferences Statement
  • Appendix 3: Supplementary Tables 3a-3f
  • Appendix 4: Additional recent guidelines providing recommendations for opioids and chronic noncancer pain

  View article

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