July 2016 Briefing - Pain Management

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Here are what the editors at HealthDay consider to be the most important developments in Pain Management for July 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Pre-Op Fat Fractions in Rotator Cuff Muscles ID Post-Op Retear

WEDNESDAY, July 27, 2016 (HealthDay News) -- Magnetic resonance (MR) imaging of preoperative fat fractions within the rotator cuff muscles may be able to help predict postoperative retear, according to a study published in the August issue of Radiology.

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Variation in Risk of Adverse Outcomes With Metamizole

WEDNESDAY, July 27, 2016 (HealthDay News) -- The magnitude of the risk of adverse outcomes associated with metamizole use varies in different studies, according to a review published online July 15 in the Journal of Clinical Pharmacy and Therapeutics.

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Review: Biofeedback Seems Effective for Pediatric Migraine

WEDNESDAY, July 27, 2016 (HealthDay News) -- For pediatric patients with migraine, biofeedback seems to be an effective intervention, according to a review published online July 26 in Pediatrics.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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Teen Athletes at Low Risk for Opioid Addiction

TUESDAY, July 26, 2016 (HealthDay News) -- Teenage athletes are less likely to abuse opioids than adolescents who don't play sports or exercise, according to research published online July 25 in Pediatrics.

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Guidelines Developed for Pain Management in Cancer Survivors

TUESDAY, July 26, 2016 (HealthDay News) -- Guidelines have been developed for chronic pain management in adult cancer survivors. The American Society of Clinical Oncology Clinical Practice Guideline was published online July 25 in the Journal of Clinical Oncology.

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Total Drug Expenditures Projected to Increase in 2016

MONDAY, July 25, 2016 (HealthDay News) -- Total drug expenditures are expected to increase by 11 to 13 percent in 2016, according to a study published online in the American Journal of Health-System Pharmacy.

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Gut Microbiome Diversity Lower in Chronic Pelvic Pain Syndrome

MONDAY, July 25, 2016 (HealthDay News) -- Gut microbiome diversity is significantly lower in patients with chronic pelvic pain syndrome, with wider clustering, according to a study published in the August issue of The Journal of Urology.

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Meds Up Hospitalization for Dehydration, Heat-Linked Illness

MONDAY, July 25, 2016 (HealthDay News) -- Among veterans, initiation of many commonly-used medications is associated with increased risk of hospitalization for dehydration or heat-related illness, according to research published online July 4 in the Journal of Clinical Pharmacy and Therapeutics.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Ultrasound-Guided Treatment Feasible for Trigger Finger

FRIDAY, July 22, 2016 (HealthDay News) -- An ultrasonographically (US)-guided percutaneous treatment using a 21-gauge needle is efficacious for trigger finger, according to a study published in the August issue of Radiology.

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Surgery Not Always Necessary for Meniscal Tears

THURSDAY, July 21, 2016 (HealthDay News) -- In many cases of meniscal tear, exercise may work just as well as surgery in middle-aged patients, according to a study published online July 20 in The BMJ.

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Rapid HIV Transmission Seen in Injection Drug Users in Rural U.S.

THURSDAY, July 21, 2016 (HealthDay News) -- The U.S. prescription drug abuse epidemic has increased the risk of HIV outbreaks in rural and suburban communities, where up to now the virus has posed little threat, according to a report published in the July 21 issue of the New England Journal of Medicine.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Buprenorphine-Naloxone Use in Medicare Patients Low

THURSDAY, July 21, 2016 (HealthDay News) -- Doctors aren't using one of the most effective weapons at their disposal in battling opioid addiction -- buprenorphine-naloxone (Suboxone), according to a research letter published online July 20 in JAMA Psychiatry.

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Buprenorphine May Be Helpful in Peripheral Neuropathic Pain

THURSDAY, July 21, 2016 (HealthDay News) -- For patients with moderate to severe diabetic peripheral neuropathic pain (DPNP), transdermal buprenorphine is effective for reducing pain, but is associated with adverse events, according to a study published online June 16 in Diabetes Care.

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Progress for Lab-Grown Cartilage As Hip Replacement Option

WEDNESDAY, July 20, 2016 (HealthDay News) -- Progress has been made toward developing lab-grown cartilage that could postpone or possibly eliminate the need for hip replacement surgery in younger arthritis patients, according to research published online July 18 in the Proceedings of the National Academy of Sciences.

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Implant Non-Inferior to Daily Pill for Opioid Dependence

WEDNESDAY, July 20, 2016 (HealthDay News) -- Patients addicted to opioids are more likely to overcome their dependence if they receive a new long-acting implant rather than a daily treatment pill, according to a study published in the July 19 issue of the Journal of the American Medical Association.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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Stellate Ganglion Block Beneficial in Postherpetic Neuralgia

MONDAY, July 18, 2016 (HealthDay News) -- The therapeutic benefit of stellate ganglion block for debilitating photophobia secondary to trigeminal postherpetic neuralgia has been described in a case report published online July 5 in Pain Practice.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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Increase in Acute Synthetic Cannabinoid Poisonings

FRIDAY, July 15, 2016 (HealthDay News) -- Synthetic cannabinoids are sending increasing numbers of U.S. users to hospitals, according to research published in the July 15 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Supreme Court Ruling Could Impact Med School Admissions

THURSDAY, July 14, 2016 (HealthDay News) -- The U.S. Supreme Court's ruling upholding the University of Texas at Austin's consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).

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Lidocaine/Prilocaine Optimal for Deeper Dermal Laser Procedures

THURSDAY, July 14, 2016 (HealthDay News) -- For patients undergoing deeper dermal laser treatments of acne keloidalis nuchae (AKN) and tattoos, lidocaine/prilocaine cream is better for reducing pain than lidocaine/tetracaine cream, according to a study published online July 5 in the British Journal of Dermatology.

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Metamizole Could Be Alternative to Classical NSAIDs

THURSDAY, July 14, 2016 (HealthDay News) -- Metamizole seems to be safer than other nonsteroidal anti-inflammatory drugs (NSAIDs) and causes fewer gastric and duodenal ulcers in postoperative pain management, according to a review published online June 27 in Pain Practice.

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Differences in Salary for Male, Female Faculty Physicians

WEDNESDAY, July 13, 2016 (HealthDay News) -- For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.

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One Week of Bed Rest Lowers Muscle Mass, Insulin Sensitivity

WEDNESDAY, July 13, 2016 (HealthDay News) -- One week of bed rest is associated with a substantial reduction in skeletal muscle mass and decreased whole-body insulin sensitivity, according to a study published online June 29 in Diabetes.

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Vagus Nerve Stimulation May Ease RA Symptoms

TUESDAY, July 12, 2016 (HealthDay News) -- Electronic stimulation of the vagus nerve may help ease symptoms of rheumatoid arthritis (RA), according to a study published online July 5 in the Proceedings of the National Academy of Sciences.

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Triple Therapy Rarely Used for Rheumatoid Arthritis Patients

MONDAY, July 11, 2016 (HealthDay News) -- Patients with rheumatoid arthritis (RA) rarely use triple therapy (methotrexate, sulfasalazine, and hydroxychloroquine), according to a study published in the July issue of Arthritis & Rheumatology.

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Medication Organization Devices Tied to Adverse Effects

MONDAY, July 11, 2016 (HealthDay News) -- Medication organization devices (MODs) may cause medication-related adverse events in unintentionally nonadherent older people, according to a study published online July 5 in Health Technology Assessment.

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VA Appealing to Physicians to Join Agency

FRIDAY, July 6, 2016 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.

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Medical Marijuana Laws Affect Medicare Part D Spending

FRIDAY, July 8, 2016 (HealthDay News) -- Legalization of medical marijuana and its associated availability have affected prescribing patterns and spending in Medicare Part D, according to a study published online July 6 in Health Affairs.

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Reduced Microbiome Diversity in Myalgic Encephalopathy/CFS

FRIDAY, July 8, 2016 (HealthDay News) -- Patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) have reduced diversity and altered composition of the gut microbiome, according to a study published online June 23 in Microbiome.

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Psychosocial Factors Predict Functional Disability in RA

FRIDAY, July 8, 2016 (HealthDay News) -- Psychosocial factors may be more important than traditional clinical measures in predicting functional disability in the first year after a rheumatoid arthritis (RA) diagnosis, according to a study published online June 24 in Arthritis & Rheumatology.

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Arthritis, Arthritis-Attributable Activity Limitations Likely to Rise

THURSDAY, July 7, 2016 (HealthDay News) -- The prevalence of arthritis and arthritis-attributable activity limitation is projected to increase in U.S. adults by 2040, according to a study published online June 24 in Arthritis & Rheumatology.

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U.S. Medical Schools to Expand Training on Opioid Abuse

WEDNESDAY, July 6, 2016 (HealthDay News) -- U.S. medical schools are expanding training to address the increasing number of overdose deaths, according to a report published by The Associated Press.

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Several Factors Impact Parent Management of Child Postop Pain

WEDNESDAY, July 6, 2016 (HealthDay News) -- Several factors impact parents' management of their children's postoperative pain at home, according to a study published online June 27 in the Journal of Clinical Nursing.

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Teen Girls at Highest Risk of Schoolbag-Linked Back Pain

WEDNESDAY, July 6, 2016 (HealthDay News) -- Adolescent girls have the highest risk of suffering from intense back pain related to schoolbag use, according to a study published in the June issue of The Spine Journal.

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Euthanasia, Doc-Assisted Suicide Increasingly Being Legalized

WEDNESDAY, July 6, 2016 (HealthDay News) -- Euthanasia and physician-assisted suicide are increasingly being legalized, but their use remains rare, according to a special communication published online July 5 in the Journal of the American Medical Association.

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Diabetes Impacts QOL Outcome After Lumbar Decompression

WEDNESDAY, July 6, 2016 (HealthDay News) -- Diabetes predicts diminished quality of life (QOL) improvements after lumbar decompression surgery, according to a study published in the June issue of The Spine Journal.

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Many Clinical Trials Are Not Listed in Data-Sharing Repository

WEDNESDAY, July 6, 2016 (HealthDay News) -- Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.

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Considerable Increase in Chiropractic Service Use in VA

TUESDAY, July 5, 2016 (HealthDay News) -- In the past decade there has been a substantial increase in the use of chiropractic services among the Veterans Affairs' (VA) service, according to a study published in the June issue of the Journal of Manipulative and Physiological Therapeutics.

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Knowledge of CT Risks Varies Among Health Care Providers

FRIDAY, July 1, 2016 (HealthDay News) -- Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.

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U.S. Cancer Survivors Aging, Battling Other Chronic Disease

FRIDAY, July 1, 2016 (HealthDay News) -- In 2016, nearly 62 percent of almost 16 million cancer survivors are aged 65 or older; and, by 2040, an estimated 73 percent of 26 million cancer survivors will be 65 or older, according to a report published in the July 1 issue of Cancer Epidemiology, Biomarkers & Prevention.

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Hundreds of U.S. Clinics Sell Unapproved Stem Cell 'Therapies'

FRIDAY, July 1, 2016 (HealthDay News) -- Hundreds of clinics across the United States are marketing unapproved stem cell treatments for conditions ranging from aging skin to spinal cord injuries, according to a study published online June 30 in Cell Stem Cell.

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CDC Reports Jobs With the Highest Suicide Rates

FRIDAY, July 1, 2016 (HealthDay News) -- The odds of suicide are significantly higher among certain occupations, according to research published in the July 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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