Proposed 2016 Guideline for Prescribing Opioids for Chronic Pain, 77351-77352 [2015-31375]

Download as PDF 77351 Federal Register / Vol. 80, No. 239 / Monday, December 14, 2015 / Notices ESTIMATED ANNUALIZED BURDEN HOURS—Continued Number of respondents Number of responses per respondent Average burden per response (in hours) Total burden (in hours) Type of respondents Form name Mine Worker ...................................... 50 1 12/60 10 ...................................... ...................................... ...................................... ...................................... Informed consent form (Longitudinal boot outsole study). Preliminary survey ............................ On-going survey ............................... Final Survey ..................................... Talent and consent waiver ............... 150 50 50 150 1 52 1 1 15/60 12/60 6/60 6/60 38 520 5 15 Total ........................................... ........................................................... ........................ ........................ ........................ 643 Mine Mine Mine Mine Worker Worker Worker Worker Leroy A. Richardson, Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2015–31344 Filed 12–11–15; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention [Docket No. CDC–2015–0112] Proposed 2016 Guideline for Prescribing Opioids for Chronic Pain Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice with comment period. AGENCY: The Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain public comment on the draft CDC Guideline for Prescribing Opioids for Chronic Pain (Guideline). The Guideline provides recommendations regarding initiation or continuation of opioids for chronic pain; opioid selection, dosage, duration, follow-up, and discontinuation; and assessment of risk and addressing harms of opioid use. The Guideline is intended to be used by primary care providers (e.g., family physicians or internists) who are treating patients with chronic pain (i.e., pain lasting longer than 3 months or past the time of normal tissue healing) in outpatient settings. The draft Guideline is intended to apply to patients aged 18 years of age or older with chronic pain outside of palliative and end-of-life care. The Guideline is not intended to apply to patients in treatment for active cancer. The Guideline is not a federal regulation; adherence to the Guideline will be voluntary. mstockstill on DSK4VPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:36 Dec 11, 2015 Jkt 238001 Written comments must be received on or before January 13, 2016. ADDRESSES: You may submit comments, identified by Docket No. CDC–2015– 0112 by any of the following methods: • Federal eRulemaking Portal: https:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE., Mailstop F–63, Atlanta, GA 30341, Attn: Docket CDC– 2015–0112. Instructions: All submissions received must include the agency name and Docket Number. All relevant comments received will be posted without change to https://regulations.gov, including any personal information provided. For access to the docket to read background documents or comments received, go to https://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Arlene I. Greenspan, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE., Mailstop F– 63, Atlanta, GA 30341; Telephone: 770– 488–4696. SUPPLEMENTARY INFORMATION: DATES: Background CDC developed the draft Guideline to provide recommendations about opioid prescribing for primary care providers who are treating adult patients with chronic pain in outpatient settings, outside of active cancer treatment, palliative care, and end-of-life care. The draft Guideline summarizes scientific knowledge about the effectiveness and risks of long-term opioid therapy, and provides recommendations for when to initiate or continue opioids for chronic pain; opioid selection, dosage, duration, follow-up, and discontinuation; and assessing risk and addressing harms of opioid use. The draft Guideline identifies important gaps in the literature where further research is needed. PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 To develop the recommendations, CDC conducted a systematic review on benefits and harms of opioids and developed the draft Guideline using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework. CDC drafted recommendations and consulted with experts on the evidence to inform the recommendations. CDC hosted webinars in September 2015 and also provided opportunities for stakeholder and peer review of the draft Guideline. The Guideline is not a federal regulation; adherence to the Guideline will be voluntary. For additional information on prescription drug overdose, please visit https://www.cdc. gov/drugoverdose/prescribing/ guideline.html. Supporting and Related Material in the Docket The docket contains the following supporting and related materials to help inform public comment: The Guideline; the Clinical Evidence Review Appendix; the Contextual Evidence Review Appendix; and three documents that comprise the Comment Summaries and CDC Responses (Constituent Comment Summary, Peer Review Summary, and Stakeholder Review Group Summary). The Clinical Evidence Review Appendix and the Contextual Evidence Review Appendix include primary evidence, studies, and data tables that were used by CDC to develop the recommendations in the Guideline. The Constituent Comment Summary reflects input obtained in response to webinars hosted on September 16 and September 17, 2015, during which CDC shared an overview of the development process and draft recommendation statements. The Stakeholder Review Group Summary also reflects input obtained from stakeholders (comprised of professional and community organizations) following their review of a prior draft of the Guideline. Finally, the Peer Review Summary reflects input obtained from three scientific peer E:\FR\FM\14DEN1.SGM 14DEN1 77352 Federal Register / Vol. 80, No. 239 / Monday, December 14, 2015 / Notices reviewers following their review of a draft of the full Guideline, along with a summary of comments received and CDC responses. Dated: December 9, 2015. Veronica Kennedy, Acting Executive Secretary, Centers for Disease Control and Prevention. [FR Doc. 2015–31375 Filed 12–11–15; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention mstockstill on DSK4VPTVN1PROD with NOTICES Board of Scientific Counselors, National Center for Injury Prevention and Control, (BSC, NCIPC) In accordance with Section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), the Centers for Disease Control and Prevention (CDC) announces, the following meeting of the aforementioned committee: Time and Date: 9:00 a.m.–1:00 p.m., January 7, 2016 (OPEN). Place: Teleconference Dial-In Number: 1–888–395–7561, Participant Code: 3954121. Status: The meeting as designated above will be open to the public. Purpose: The Board will: (1) Conduct, encourage, cooperate with, and assist other appropriate public health authorities, scientific institutions, and scientists in the conduct of research, investigations, experiments, demonstrations, and studies relating to the causes, diagnosis, treatment, control, and prevention of physical and mental diseases, and other impairments; (2) assist States and their political subdivisions in preventing and suppressing communicable and noncommunicable diseases and other preventable conditions and in promoting health and well-being; and (3) conduct and assist in research and control activities related to injury. The Board of Scientific Counselors makes recommendations regarding policies, strategies, objectives, and priorities; and reviews progress toward injury prevention goals and provides evidence in injury prevention-related research and programs. The Board also provides advice on the appropriate balance of intramural and extramural research, the structure, progress and performance of intramural programs. The Board is designed to provide guidance on extramural scientific program matters, including the: (1) Review of extramural research concepts for funding opportunity VerDate Sep<11>2014 17:36 Dec 11, 2015 Jkt 238001 announcements; (2) conduct of Secondary Peer Review of extramural research grants, cooperative agreements, and contracts applications received in response to the funding opportunity announcements as it relates to the Center’s programmatic balance and mission; (3) submission of secondary review recommendations to the Center Director of applications to be considered for funding support; (4) review of research portfolios, and (5) review of program proposals. Matters for Discussion: The Board of Scientific Counselors will discuss the background for development of the CDC Guideline for Prescribing Opioids for Chronic Pain (Guideline) and the formation of the Prescribing Opioids for Chronic Pain Workgroup (Opioid Guideline Workgroup). We will be accepting public comments only related to the formation of the Opioid Guideline Workgroup. There will be 30 minutes allotted for public comments at the end of the session. All public comments will be limited to two-minutes per speaker. CDC is also publishing a related notice in today’s Federal Register announcing the opening of a public comment period on the Guideline itself. Individuals are given 30 days to provide comments on the Guideline. Please see instructions in that notice about providing comment. Agenda items are subject to change as priorities dictate. Contact Person for More Information: Arlene Greenspan, Dr. P.H, M.P.H., P.T., Associate Director for Science, NCIPC, CDC, 4770 Buford Highway NE., Mailstop F–63, Atlanta, Georgia 30341, Telephone (770) 488–4696. The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Elaine L. Baker, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. 2015–31367 Filed 12–11–15; 8:45 am] BILLING CODE 4163–18–P PO 00000 Frm 00039 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–R–282 and CMS–10597] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, HHS. ACTION: Notice. AGENCY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS’ intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency’s functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. SUMMARY: Comments must be received by February 12, 2016. ADDRESSES: When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to https:// www.regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) that are accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number ___, Room C4–26–05, DATES: E:\FR\FM\14DEN1.SGM 14DEN1

Agencies

[Federal Register Volume 80, Number 239 (Monday, December 14, 2015)]
[Notices]
[Pages 77351-77352]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31375]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[Docket No. CDC-2015-0112]


Proposed 2016 Guideline for Prescribing Opioids for Chronic Pain

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: The Centers for Disease Control and Prevention (CDC) in the 
Department of Health and Human Services (HHS) announces the opening of 
a docket to obtain public comment on the draft CDC Guideline for 
Prescribing Opioids for Chronic Pain (Guideline). The Guideline 
provides recommendations regarding initiation or continuation of 
opioids for chronic pain; opioid selection, dosage, duration, follow-
up, and discontinuation; and assessment of risk and addressing harms of 
opioid use. The Guideline is intended to be used by primary care 
providers (e.g., family physicians or internists) who are treating 
patients with chronic pain (i.e., pain lasting longer than 3 months or 
past the time of normal tissue healing) in outpatient settings. The 
draft Guideline is intended to apply to patients aged 18 years of age 
or older with chronic pain outside of palliative and end-of-life care. 
The Guideline is not intended to apply to patients in treatment for 
active cancer. The Guideline is not a federal regulation; adherence to 
the Guideline will be voluntary.

DATES: Written comments must be received on or before January 13, 2016.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0112 by any of the following methods:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail: National Center for Injury Prevention and Control, 
Centers for Disease Control and Prevention, 4770 Buford Highway NE., 
Mailstop F-63, Atlanta, GA 30341, Attn: Docket CDC-2015-0112.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to https://regulations.gov, including any personal 
information provided. For access to the docket to read background 
documents or comments received, go to https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Arlene I. Greenspan, National Center 
for Injury Prevention and Control, Centers for Disease Control and 
Prevention, 4770 Buford Highway NE., Mailstop F-63, Atlanta, GA 30341; 
Telephone: 770-488-4696.

SUPPLEMENTARY INFORMATION:

Background

    CDC developed the draft Guideline to provide recommendations about 
opioid prescribing for primary care providers who are treating adult 
patients with chronic pain in outpatient settings, outside of active 
cancer treatment, palliative care, and end-of-life care. The draft 
Guideline summarizes scientific knowledge about the effectiveness and 
risks of long-term opioid therapy, and provides recommendations for 
when to initiate or continue opioids for chronic pain; opioid 
selection, dosage, duration, follow-up, and discontinuation; and 
assessing risk and addressing harms of opioid use. The draft Guideline 
identifies important gaps in the literature where further research is 
needed.
    To develop the recommendations, CDC conducted a systematic review 
on benefits and harms of opioids and developed the draft Guideline 
using the Grading of Recommendations Assessment, Development, and 
Evaluation (GRADE) framework. CDC drafted recommendations and consulted 
with experts on the evidence to inform the recommendations. CDC hosted 
webinars in September 2015 and also provided opportunities for 
stakeholder and peer review of the draft Guideline. The Guideline is 
not a federal regulation; adherence to the Guideline will be voluntary. 
For additional information on prescription drug overdose, please visit 
https://www.cdc.gov/drugoverdose/prescribing/guideline.html.

Supporting and Related Material in the Docket

    The docket contains the following supporting and related materials 
to help inform public comment: The Guideline; the Clinical Evidence 
Review Appendix; the Contextual Evidence Review Appendix; and three 
documents that comprise the Comment Summaries and CDC Responses 
(Constituent Comment Summary, Peer Review Summary, and Stakeholder 
Review Group Summary). The Clinical Evidence Review Appendix and the 
Contextual Evidence Review Appendix include primary evidence, studies, 
and data tables that were used by CDC to develop the recommendations in 
the Guideline. The Constituent Comment Summary reflects input obtained 
in response to webinars hosted on September 16 and September 17, 2015, 
during which CDC shared an overview of the development process and 
draft recommendation statements. The Stakeholder Review Group Summary 
also reflects input obtained from stakeholders (comprised of 
professional and community organizations) following their review of a 
prior draft of the Guideline. Finally, the Peer Review Summary reflects 
input obtained from three scientific peer

[[Page 77352]]

reviewers following their review of a draft of the full Guideline, 
along with a summary of comments received and CDC responses.

    Dated: December 9, 2015.
Veronica Kennedy,
Acting Executive Secretary, Centers for Disease Control and Prevention.
[FR Doc. 2015-31375 Filed 12-11-15; 8:45 am]
 BILLING CODE 4163-18-P
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