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
How Reliable is Pain as the Fifth Vital Sign
Karl A. Lorenz,Cathy D. Sherbourne,Lisa R. Shugarman,Lisa V. Rubenstein,Li Wen,Angela Cohen,Joy R. Goebel,Emily Hagenmeier,Barbara Simon,Andy B. Lanto,Steven M. Asch +10 more
TL;DR: Though moderately accurate, the outpatient “5th vital sign” is less accurate than under ideal circumstances and may affect the performance of research tools such as the NRS adopted for routine use.
Journal ArticleDOI
Aspirin Use Is Low Among United States Outpatients With Coronary Artery Disease
TL;DR: Although aspirin use in patients with coronary artery disease has increased dramatically, it remains suboptimum, and low rates of aspirin use and variations in use suggest a need to better translate clinical recommendations into practice.
Journal ArticleDOI
Kindness Kills: The Negative Impact of Pain as the Fifth Vital Sign
TL;DR: The current assessment of pain by computer-stored pain scales is in a state of imbalance, with excessive emphasis on undermedication at the same time ignoring overmedication, which is a preventable cause of death and disability in trauma patients and also occurring in noninjured patients.
Journal ArticleDOI
Rethinking opioid prescribing to protect patient safety and public health.
TL;DR: To curtail the current epidemic of opioid abuse, overdoses, and related deaths, regulatory and enforcement measures to prevent nonmedical use and diversion should be complemented by changes to clinical guidelines to treat chronic pain that are less reliant on opioids.
Journal ArticleDOI
Triage pain scores and the desire for and use of analgesics.
TL;DR: It is hypothesize that many ED patients in pain do not desire analgesics and that most who want them receive them, whereas pain scores and desiring analgesics were significant predictors of receiving analgesics.
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CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
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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