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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The impact of a curriculum on postoperative opioid prescribing for novice surgical trainees.
TL;DR: Education on postoperative analgesia targeting interns can be effective in preparing trainees in effective and judicious analgesic prescribing.
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Relationship between high-risk patients receiving prescription opioids and high-volume opioid prescribers.
TL;DR: In the United States, high-risk patients obtain a substantial proportion of prescription opioids from low-volume prescribers, and the differences in prescribing patterns between high- and low- volumes suggest the importance of interventions targeting prescriber behaviors.
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High-Risk Prescription Opioid Use Among People Living With HIV.
Chelsea E. Canan,Geetanjali Chander,Anne K. Monroe,Kelly A. Gebo,Richard D. Moore,Allison L. Agwu,G. Caleb Alexander,Bryan Lau +7 more
TL;DR: A large proportion of PLWH received opioid prescriptions, and among these opioid recipients, high-risk opioid use was common, suggesting this is a critical time for intervention.
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The Opioid Epidemic: Postoperative Pain Management Strategies in Orthopaedics
Joseph T. Labrum,Asif M. Ilyas +1 more
TL;DR: Pain inherent in many orthopaedic surgical interventions, current limitations in effective analgesic treatment modalities, and growing awareness of the extensive adverse effects and nontherapeutic uses of opioids make strategies for postoperative pain control a highly complex problem that requires physicians to adopt patient and/or technique-specific approaches.
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Randomized program evaluation of the Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM): A research and clinical operations partnership to examine effectiveness.
Taeko Minegishi,Taeko Minegishi,Austin B. Frakt,Austin B. Frakt,Austin B. Frakt,Melissa M. Garrido,Melissa M. Garrido,Melissa M. Garrido,Walid F. Gellad,Leslie R. M. Hausmann,Eleanor T. Lewis,Steven D. Pizer,Steven D. Pizer,Jodie A. Trafton,Jodie A. Trafton,Elizabeth M. Oliva +15 more
TL;DR: A randomized evaluation of a policy approach to mandating case reviews of very-high-risk patients identified by STORM and the impacts of patient inclusion versus exclusion in mandated STORM case reviews using a stepped-wedge design will yield critical insights for VHA leadership to refine opioid prescribing-related policy and practice.
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