Ambulatory diagnosis and treatment of nonmalignant pain in the united states, 2000-2010
Matthew Daubresse,Hsien Yen Chang,Yuping Yu,Shilpa Viswanathan,Nilay Shah,Randall S. Stafford,Stefan P. Kruszewski,G. Caleb Alexander +7 more
TLDR
Increased opioid prescribing has not been accompanied by similar increases in nonopioid analgesics or the proportion of ambulatory pain patients receiving pharmacologic treatment, suggesting clinical alternatives to prescription opioids may be underutilized as a means of treating ambulatory nonmalignant pain.Abstract:
Background:Escalating rates of prescription opioid use and abuse have occurred in the context of efforts to improve the treatment of nonmalignant pain.Objective:The aim of the study was to characterize the diagnosis and management of nonmalignant pain in ambulatory, office-based settings in the Unitread more
Citations
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Journal ArticleDOI
Nonpharmacologic and Pharmacologic Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians.
Amir Qaseem,Robert M McLean,David T. O'Gurek,Pelin Batur,Kenneth W. Lin,Devan Kansagara,Thomas G. Cooney,Mary Ann Forciea,Carolyn J. Crandall,Nick Fitterman,Lauri A. Hicks,Carrie Horwitch,Michael Maroto,Reem A. Mustafa,Janice Tufte,Sandeep Vijan,John W Williams +16 more
TL;DR: This guideline is based on a systematic evidence review on the comparative efficacy and safety of nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults in the outpatient setting and a systematic review of the predictors of prolonged opioid use.
Journal ArticleDOI
Sex and race or ethnicity disparities in opioid prescriptions for dental diagnoses among patients receiving Medicaid
Chandrashekar Janakiram,Natalia I. Chalmers,Paul Fontelo,Vojtech Huser,Gabriela Lopez Mitnik,Timothy Iafolla,Avery R. Brow,Bruce A. Dye +7 more
TL;DR: Opioid prescribing patterns differ depending on patient race or ethnicity, sex, and health care provider source in patients with a dental diagnosis in the United States, and dentists should continue with conservative prescribing practices as recommended.
Journal ArticleDOI
Interstate data sharing of prescription drug monitoring programs and associated opioid prescriptions among patients with non-cancer chronic pain
TL;DR: Current practice of interstate PDMP data sharing with bordering states was not associated with patients' being prescribed opioids for non-cancer chronic pain treatment, and future studies and policy efforts that unravel technological, legal, and political barriers should be warranted to inform PDMP redesign.
Journal ArticleDOI
The Association Between Local Economic Conditions and Opioid Prescriptions Among Disabled Medicare Beneficiaries.
TL;DR: Lower county median household income, higher unemployment rates, and less income inequality were consistently associated with more and higher MME opioid prescriptions among disabled Medicare beneficiaries, and it was found that the urban-rural divide was not gradual and that beneficiaries in large central metro counties were less likely to have an opioid prescription than those living in other areas.
Journal ArticleDOI
Associations of Opioid Prescriptions with Death and Hospitalization across the Spectrum of Estimated GFR
Tessa K. Novick,Aditya Surapaneni,Jung Im Shin,G. Caleb Alexander,Lesley A. Inker,Eric A. Wright,Alex R. Chang,Morgan E. Grams +7 more
TL;DR: The receipt of prescription opioids was associated with a higher risk of death and hospitalization compared with other pain medications, particularly with higher doses and at lower eGFR.
References
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Vital Signs: Overdoses of Prescription Opioid Pain Relievers - United States, 1999-2008
TL;DR: Wide variation among states in the nonmedical use of OPR and overdose rates cannot be explained by underlying demographic differences in state populations but is related to wide variations in OPR prescribing.
Journal ArticleDOI
Opioids for chronic noncancer pain: a meta-analysis of effectiveness and side effects
TL;DR: Weak and strong opioids outperformed placebo for pain and function in all types of CNCP and were significantly superior to naproxen and nortriptyline, and only for pain relief.
Journal ArticleDOI
Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction.
Bridget Martell,Patrick G. O'Connor,Robert D. Kerns,William C. Becker,Knashawn H. Morales,Thomas R. Kosten,David A. Fiellin +6 more
TL;DR: This systematic review and meta-analysis addresses the following questions: Are opioid medications effective in treating chronic back pain?
Journal ArticleDOI
Treatment of chronic non-cancer pain
TL;DR: A general overview of empirical evidence for the most commonly used interventions in the management of chronic non-cancer pain, including pharmacological, interventional, physical, psychological, rehabilitative, and alternative modalities is provided.
Journal ArticleDOI
Therapeutic opioids: a ten-year perspective on the complexities and complications of the escalating use, abuse, and nonmedical use of opioids.
TL;DR: Therapeutic opioid use has increased substantially, specifically of Schedule II drugs, and patients on long-term opioid use have been shown to increase the overall cost of healthcare, disability, rates of surgery, and late opioid use.
Related Papers (5)
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
Roger Chou,Gilbert J. Fanciullo,Perry G. Fine,Jeremy A Adler,Jane C. Ballantyne,Pamela Stitzlein Davies,Marilee I. Donovan,David A. Fishbain,Kathy M. Foley,Jeffrey Fudin,Aaron M. Gilson,Alexander Kelter,Alexander Mauskop,Patrick G. O'Connor,Steven D. Passik,Gavril W. Pasternak,Russell K. Portenoy,Ben A. Rich,Richard G. Roberts,Knox H. Todd,Christine Miaskowski +20 more