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
Opioid prescription practice behavior among medical and surgical specialty physicians
TL;DR: In this paper, the authors evaluate the opioid prescription practice behavio- fication behavior and find that the overprescribing of opioids is growing and prescribing rates are highest among pain medicine and surgical specialties.
Journal ArticleDOI
Study protocol for evaluating Six Building Blocks for opioid management implementation in primary care practices
Sarah Shoemaker-Hunt,Leigh Evans,Holly Swan,Olivia Bacon,Brooke Ike,Laura-Mae Baldwin,Michael L. Parchman +6 more
TL;DR: This mixed-method study seeks to assess practices’ use of the implementation guide to implement the 6BBs and the effectiveness of 6 BBs implementation on opioid management processes of care among practices using the Implementation guide.
Book ChapterDOI
Uses and issues
TL;DR: In this article , the safe use of opioids in chronic pain and opioid agonist treatment for opioid dependence are promoted as countermeasures to counter the nonmedical use of prescription and illicit opioids continues to be a major problem globally.
Journal ArticleDOI
High touch, high trust: Using community health advocates and lawyers to address ED high utilizers.
Kalpana N. Shankar,Julianne Dugas,JoHanna Flacks,Megan Cole Brahim,Samantha Morton,Thea James,Patricia Mitchell +6 more
TL;DR: In this article , the authors used social determinants of heath (SDOH) and medical questionnaires to evaluate patients' social, medical and legal needs in the emergency department of a hospital.
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