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
Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000–2015
Jakob D. Allen,Marcel J. Casavant,Marcel J. Casavant,Henry A. Spiller,Thiphalak Chounthirath,Nichole L. Hodges,Gary A. Smith,Gary A. Smith +7 more
TL;DR: Prescription opioid–related HCF admissions and serious medical outcomes were higher among teenagers, and exposures to buprenorphine have increased in recent years; children aged 0 to 5 years accounted for almost 90% of bupenorphine exposures.
Journal ArticleDOI
An epidemic of the use, misuse and overdose of opioids and deaths due to overdose, in the United States and Canada: is Europe next?
TL;DR: Evidence is mounting that the best pain relief is obtained through resilience, and opioids are often prescribed when treatments to increase resilience would be more effective.
Journal ArticleDOI
Patterns of Opioid Use and Risk of Opioid Overdose Death Among Medicaid Patients.
TL;DR: The findings support Federal guideline-recommended dosing thresholds in opioid prescribing and suggest concurrent sedative-hypnotic use even at low opioid doses poses substantially greater risk of opioid overdose.
Journal ArticleDOI
Impact of prescription drug monitoring programs and pill mill laws on high-risk opioid prescribers: A comparative interrupted time series analysis.
Hsien Yen Chang,Tatyana Lyapustina,Lainie Rutkow,Matthew Daubresse,Matt Richey,Mark Faul,Elizabeth A. Stuart,G. Caleb Alexander +7 more
TL;DR: High-risk prescribers are disproportionately responsive to state policies, however, opioids-prescribing remains highly concentrated among high-risk providers, and policy effects on clinical practices and monthly prescribing measures for low-risk/high-risk doctors are evaluated.
Journal ArticleDOI
Trends in opioid prescribing and co-prescribing of sedative hypnotics for acute and chronic musculoskeletal pain: 2001-2010.
TL;DR: Characterize trends in opioid prescribing and co‐prescribing of sedative hypnotics at acute and chronic musculoskeletal pain visits from 2001 to 2010.
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