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Ambulatory diagnosis and treatment of nonmalignant pain in the united states, 2000-2010

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 Unit

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Journal ArticleDOI

Cannabis Legalization Does Not Influence Patient Compliance with Opioid Therapy.

TL;DR: The results of this study suggest that legalization of recreational cannabis does not affect compliance rate in patients treated with opioid therapy for chronic pain.
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Postoperative Analgesia in the Chronic Pain Patient

TL;DR: An increasing number of chronic pain patients presenting for surgery are chronic opioid users, and identifying opioid-tolerant patients and developing a perioperative pain management plan are important components of a patient's overall recovery after any surgical procedure.
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Pain relief after musculoskeletal trauma.

TL;DR: Evaluated the differences in pain management after extremity fractures in the Netherlands and the USA, test if current analgesic prescription management in fracture patients is suitable and find factors associated with continued use of opioids after surgery for musculoskeletal trauma in the USA.
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The opioid prescribing practices of surgeons: A comprehensive review of the 2015 claims to Medicare Part D.

TL;DR: All health professionals with opiate prescribing privileges are entrusted with and responsible for the use of these medications; therefore, physicians have a crucial role in ensuring safe and effective use of this treatment option and the deterrence of its abuse.
Journal ArticleDOI

Medical Devices to Prevent Opioid Use Disorder: Innovative Approaches to Addressing the Opioid Crisis.

TL;DR: The need to treat pain effectively with opioids must be balanced by a sensitivity to an increased risk of OUD, and ways in which “medical devices” could be used to prevent OUD are discussed.
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.
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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.

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.
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