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
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
TL;DR: This guideline is intended to improve communication about benefits and risks of opioids for chronic pain, improve safety and effectiveness of pain treatment, and reduce risks associated with long-term opioid therapy.
Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.
TL;DR: This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death.
Journal ArticleDOI
The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction
Andrew Kolodny,David T. Courtwright,Catherine S. Hwang,Peter Kreiner,John L. Eadie,Thomas W. Clark,G. Caleb Alexander +6 more
TL;DR: The scope of this public health crisis, its historical context, contributing factors, and lines of evidence indicating the role of addiction in exacerbating morbidity and mortality, are described, and a framework for interventions to address the epidemic of opioid addiction is provided.
Journal ArticleDOI
Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015.
Gery P. Guy,Kun Zhang,Michele K. Bohm,Jan L. Losby,Brian Lewis,Randall Young,Louise B. Murphy,Deborah Dowell +7 more
TL;DR: Despite reductions in opioid prescribing in some parts of the country, the amount of opioids prescribed remains high relative to 1999 levels and varies substantially at the county-level, and health care providers should carefully weigh the benefits and risks when prescribing opioids.
References
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Journal ArticleDOI
Acute Pain Management: Operative or Medical Procedures and Trauma:
TL;DR: In addition to reviewing the pain guideline, this article includes updated information on ketorolac tromethamine, tramadol, local anesthetics, sedation, regional anesthetic techniques, and the management of opioid adverse effects.
Journal ArticleDOI
Therapeutic use, abuse, and nonmedical use of opioids: a ten-year perspective
TL;DR: An updated 10-year perspective on therapeutic use, abuse, and non-medical use of opioids and their consequences is provided.
Journal Article
Drug poisoning deaths in the United States, 1980-2008
TL;DR: A comprehensive approach, including improvements in the safety of vehicles; improvements in roadways; increased use of restraint systems, such as seat belts and child safety seats; reductions in speed; and also efforts to reduce driving under the influence of alcohol and drugs, contributed to the decline in motor vehicle related deaths.
Journal ArticleDOI
Opioids in chronic pain
TL;DR: The advance in the understanding of the biogenesis of various endogenous opioid peptides, their anatomical distribution, and the characteristics of the multiple receptors with which they interact open a new avenue for understanding the role of opioid peptide systems in chronic pain.
Journal ArticleDOI
Office visits and analgesic prescriptions for musculoskeletal pain in US: 1980 vs. 2000.
Margaret A Caudill-Slosberg,Lisa M. Schwartz,Lisa M. Schwartz,Steven Woloshin,Steven Woloshin +4 more
TL;DR: In spite of the increased attention to pain treatment, there has not been an increase in office visits for musculoskeletal pain complaints and the threshold for prescribing NSAIDS and opioids, however, has dropped.
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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