• Joseph W Frank, Matthew J Bair, William C Becker, Erin E Krebs, Jane M Liebschutz, and Daniel P Alford.
• Denver VA Medical Center, Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
• Pain Med. 2014 Mar 1;15(3):425-31.

ObjectiveThis manuscript reviews peer-reviewed literature published from 2010-2012 relevant to the management of chronic pain in the primary care setting.DesignNarrative review of peer-reviewed literature.MethodsWe searched MEDLINE, PubMed, and reference lists and queried expert contacts for English-language studies related to the management of chronic noncancer pain in adult patients in primary care settings. One investigator reviewed all eligible studies for relevance, and 47 studies were reviewed by all authors and rated according to their impact on 1) primary care clinical practice, 2) policy, 3) research, and 4) quality of study methods. Through iterative discussion, nine articles were selected for detailed review and discussion.ResultsWe present articles in six topic areas: interventional pain management; opioid dose and risk of overdose death; neuropathic pain; yoga for chronic low back pain; cognitive behavioral therapy; and systematic approaches to treating back pain. We discuss implications for pain management in primary care.ConclusionsThere is growing evidence for the risks, benefits, and limitations of the multiple modalities available to primary care providers for the management of chronic pain. The dissemination and implementation of the evidence from these studies as well as novel system-level interventions warrant additional study and support from clinicians, educators, and policy makers.Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

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