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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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Public Perceptions of Opioid Use Following Orthopedic Surgery: A Survey

TL;DR: The survey found that some members of the general public reported expectations regarding postoperative opioid prescribing that could lead to decreased patient satisfaction, suggesting the need for further research on the value of preoperative patient education in pain management, on patient expectations of pain control after elective surgery, and on the use of opioids following orthopedic surgery.
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Development of Multi-Family Group and Mindfulness Treatment for Chronic Pain: Preliminary Outcomes

TL;DR: The findings of this treatment development study inform the development and implementation of a randomized clinical trial to evaluate changes observed in MFG-Mindfulness against nonspecific effects of treatment.
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Racial and Ethnic Disparities in Opioid Prescriptions in Benign and Malignant Pancreatic Disease in the United States

TL;DR: In this article, the authors examined racial-ethnic and sex differences in opioid prescriptions for ambulatory visits by adult pancreatic disease patients, and found no racial ethnic differences in Opioid prescriptions among pancreatic cancer patient visits.
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Adverse Drug Reactions Due to Opioid Use in Oldest-Old Patients Visiting the Emergency Unit of the Geneva Geriatric Hospital

TL;DR: One-third of opioid users visiting a geriatric EU consulted for a problem related to its use mainly adverse drug-related reaction (22%) followed by insufficient pain relief (12%).
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?
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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.
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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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