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
More filters
Journal ArticleDOI
Mental health conditions and the risk of chronic opioid therapy among patients with rheumatoid arthritis: a retrospective veterans affairs cohort study
Justin S. Liberman,Justin S. Liberman,Lucy D'Agostino McGowan,Robert A. Greevy,Robert A. Greevy,James A. Morrow,Marie R. Griffin,Marie R. Griffin,Christianne L. Roumie,Christianne L. Roumie,Carlos G. Grijalva,Carlos G. Grijalva +11 more
TL;DR: History of mental health conditions and duration of the initial opioid prescription were associated with an increased risk of chronic opioid therapy among patients with RA, providing insight in an underrepresented population of mainly male patients withRA.
Journal ArticleDOI
"It's like she's talking about me" - Exploring the value and potential impact of a YouTube film presenting a qualitative evidence synthesis about chronic pain: An analysis of online comments.
TL;DR: Watching the YouTube film Struggling to Be Me has potential value and impact, giving voice to suffering and making people feel that they are not alone, according to findings.
Journal ArticleDOI
Percutaneous adhesiolysis procedures in the medicare population: analysis of utilization and growth patterns from 2000 to 2011.
TL;DR: Percutaneous adhesiolysis utilization increased moderately in Medicare beneficiaries from 2000 to 2011 and growth rates are significantly lower than the growth rates for sacroiliac joint injections, facet joint interventions, and epidural injections, but substantially lower than lumbar transforaminal injections and lumbr facet joint neurolysis.
Journal ArticleDOI
Anxiety, depression, and opioid misuse among adults with chronic pain: the role of emotion dysregulation
Andrew H. Rogers,Michael F. Orr,Justin M. Shepherd,Jafar Bakhshaie,Joseph W. Ditre,Julia D. Buckner,Michael J. Zvolensky,Michael J. Zvolensky +7 more
TL;DR: Examination of the cross-sectional relationship between anxiety and depression problems and current opioid misuse and severity of opioid dependence among 431 adults with chronic pain indicated that emotion dysregulation explained, in part, the relationship betweenxiety and depression symptoms and opioid-related problems.
Journal ArticleDOI
Improving Chronic Pain Management Processes in Primary Care Using Practice Facilitation and Quality Improvement: The Central Appalachia Inter-Professional Pain Education Collaborative.
Roberto Cardarelli,Sarah Weatherford,Jennifer Schilling,Dana King,Sue Workman,Wade Rankin,Juanita Hughes,Jonathan Piercy,Amy Conley-Sallaz,Melissa Zook,Kendra Unger,Emma White,Barbara Astuto,Bobbi Stover +13 more
TL;DR: Findings indicate that practice facilitation, standardization of workflows and formation of structured clinical teams can improve processes of care in chronic pain management and facilitate the use of interdisciplinary services.
References
More filters
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