June 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 June 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.

Pharmacy Programs to ID Opioid Abuse Effective, but Underused

WEDNESDAY, June 29, 2016 (HealthDay News) -- Pharmacy programs to reduce opioid abuse are effective but underused, according to a new study published in the July issue of the Journal of Studies on Alcohol and Drugs.

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Electronic Record Demands Are Overwhelming Many Physicians

WEDNESDAY, June 29, 2016 (HealthDay News) -- Physicians using electronic practice tools report higher rates of burnout and increased frustration with the amount of computerized paperwork, according to research published online June 27 in the Mayo Clinic Proceedings.

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End-of-Life Care Received Varies Based on Type of Disease

TUESDAY, June 28, 2016 (HealthDay News) -- Family-reported quality of end-of-life care is significantly better for patients with cancer or dementia than for patients with other chronic conditions, according to research published online June 26 in JAMA Internal Medicine to coincide with presentation at AcademyHealth's Annual Research Meeting, held from June 26 to 28 in Boston.

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Coprescribing Naloxone to Opioid Users Helps Reduce ER Visits

TUESDAY, June 28, 2016 (HealthDay News) -- Patients on long-term opioid therapy who receive prescriptions for naloxone are less likely to return for emergency care related to opioid use, according to a study published online June 28 in the Annals of Internal Medicine.

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Guidance Updated for Sedation of Pediatric Patients

TUESDAY, June 28, 2016 (HealthDay News) -- Guidelines have been updated for monitoring and management of pediatric patients before, during, and after sedation, according to a clinical report published online June 27 in Pediatrics.

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Patients Face High Hospital Bills Despite Having Insurance

MONDAY, June 27, 2016 (HealthDay News) -- Costs of hospitalization for privately insured adults rose more than 37 percent over five years, with patients paying more than $1,000 on average by 2013, according to research published online June 27 in JAMA Internal Medicine.

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Autologous Adipose-Derived Stromal Cells May Ease Knee OA

MONDAY, June 27, 2016 (HealthDay News) -- For patients with knee osteoarthritis, a single intra-articular injection of autologous adipose-derived stromal cells (ASCs) can reduce pain and inflammation, according to research published online May 23 in Stem Cells Translational Medicine.

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Misuse of Opioids Doubled in the United States Over a Decade

FRIDAY, June 24, 2016 (HealthDay News) -- Misuse of opioids by American adults more than doubled from the early 2000s to 2013, according to the U.S. National Institute on Alcohol Abuse and Alcoholism (NIAAA). The study was published online June 22 in the Journal of Clinical Psychiatry.

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2017 Will Bring Premium Rate Increases Under ACA

FRIDAY, June 24, 2016 (HealthDay News) -- Health insurance premiums under the Affordable Care Act will rise in 2017, analysts and insurance brokers say.

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Superior Hypogastric Plexus Block Beneficial After Hysterectomy

THURSDAY, June 23, 2016 (HealthDay News) -- For women undergoing abdominal hysterectomy, superior hypogastric plexus block with ropivacaine is associated with reduced opioid consumption, according to a study published online June 12 in BJOG: An International Journal of Obstetrics and Gynaecology.

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CDC: Alternative Medicine a Booming Business in U.S.

WEDNESDAY, June 22, 2016 (HealthDay News) -- Americans spent more than $30 billion out of pocket in 2012 on chiropractors and other complementary health practitioners, as well as supplements and other forms of alternative medicine, according to research published online June 22 in the U.S. Centers for Disease Control and Prevention's National Health Statistics Reports.

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APCs, Doctors Order Low-Value Services With Similar Frequency

WEDNESDAY, June 22, 2016 (HealthDay News) -- Advanced practice clinicians (APCs) and physicians order low-value health services with similar frequency, according to a study published online June 20 in the Annals of Internal Medicine.

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Tips Provided for Leveraging Social Media

TUESDAY, June 21, 2016 (HealthDay News) -- During a presentation at the 2016 American Medical Association Annual Meeting, Kevin Pho, M.D., founder and editor of the popular physician blog KevinMD, shared insights into making a difference in health care through use of social media.

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Reset Room Can Help Address Physician Burnout

MONDAY, June 20, 2016 (HealthDay News) -- The creation of a reset room is one of several solutions that can help physicians and medical providers address burnout, according to a report published by the American Medical Association.

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IV Lidocaine Has No Meaningful Impact in Fibromyalgia

MONDAY, June 20, 2016 (HealthDay News) -- For patients with fibromyalgia, use of intravenous lidocaine has no meaningful impact, according to a study published online June 16 in the International Journal of Rheumatic Diseases.

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Strategy Needed to Address Impending Physician Shortage

FRIDAY, June 17, 2016 (HealthDay News) -- Steps should be taken to combat the impending physician shortage of between 61,700 and 94,700 doctors that the United States is expected to face over the next decade, according to an article published in Medical Economics.

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Review IDs Gut Microbiota Changes in Irritable Bowel

FRIDAY, June 17, 2016 (HealthDay News) -- Patients with irritable bowel syndrome (IBS) have alterations in their gut microbiota, with distinct alterations for Chinese patients, according to a review and meta-analysis published online June 14 in the Journal of Gastroenterology and Hepatology.

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Potential Impact of Single-Payer Health Care Discussed

THURSDAY, June 16, 2016 (HealthDay News) -- Democratic presidential candidate Bernie Sanders is promoting his version of single-payer health care, although the actual impact of such a system is unclear, according to a report published in Medical Economics.

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Prices for Care Rise Significantly As Multi-Hospital Systems Emerge

THURSDAY, June 16, 2016 (HealthDay News) -- Hospital prices in California increased substantially from 2004 to 2013, with a larger increase in hospitals that are members of multi-hospital systems, according to a study published online June 9 in Inquiry.

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Four-Step Strategy Suggested for Boosting Practice Quality of Care

WEDNESDAY, June 15, 2016 (HealthDay News) -- Four steps can help doctors improve patient care and office efficiency, according to a report published by the American Medical Association (AMA).

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Long-Acting Opioids May Increase Risk of All-Cause Mortality

TUESDAY, June 14, 2016 (HealthDay News) -- Opioid use may significantly increase mortality risk, according to a study published in the June 14 issue of the Journal of the American Medical Association.

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Sales of Zecuity Migraine Skin Patches Halted

TUESDAY, June 14, 2016 (HealthDay News) -- Sales of the migraine treatment skin patch Zecuity (sumatriptan iontophoretic transdermal system) have been halted after patients reported suffering burns and scars where the patches were applied, Teva Pharmaceutical says.

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Many Patients Prescribed Opioids Sharing Leftover Pills

MONDAY, June 13, 2016 (HealthDay News) -- More than half of patients prescribed opioids receive more than they need, and many share the drugs or fail to store them securely, according to research published online June 13 in JAMA Internal Medicine.

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California's Right-to-Die Law Now in Effect

THURSDAY, June 9, 2016 (HealthDay News) -- California on Thursday becomes the fifth and largest state in the country to allow terminally ill patients to end their own lives.

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Faster Results for Experimental Rx in Chronic Migraine

THURSDAY, June 9, 2016 (HealthDay News) -- An experimental drug -- TEV-48125 -- brings fast relief to patients with debilitating chronic migraines, according to a new study published online June 8 in Neurology.

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Prescription Drug Monitoring Programs Cut Opioid Use

WEDNESDAY, June 8, 2016 (HealthDay News) -- Implementation of prescription drug monitoring programs can reduce the prescribing of Schedule II opioids, according to a study published in the June issue of Health Affairs.

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Electroacupuncture May Benefit Carpal Tunnel Syndrome

WEDNESDAY, June 8, 2016 (HealthDay News) -- Electroacupuncture may be a beneficial treatment option for carpal tunnel syndrome, according to a study published online June 6 in CMAJ, the journal of the Canadian Medical Association.

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New Synthetic Drug Linked to Dozens of Deaths Across U.S.

WEDNESDAY, June 8, 2016 (HealthDay News) -- A new synthetic drug called U-47700 has been linked with at least 50 deaths across the United States, and several states are trying to halt the spread of the drug, which can be bought online.

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Good Agreement for Doctor, Patient Criteria for Fibromyalgia

TUESDAY, June 7, 2016 (HealthDay News) -- There is good agreement in physician-based (MD) and patient-based (PT) criteria for fibromyalgia diagnosis, according to a study published in the May issue of Arthritis Care & Research.

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Hip Arthroscopy Often Not the Best Option for Older Patients

MONDAY, June 6, 2016 (HealthDay News) -- Many patients in their 60s who have hip arthroscopy need total hip arthroplasty (THA) within two years, according to research published in the April issue of Arthroscopy: The Journal of Arthroscopic and Related Surgery.

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Possible Benefit for Cannabinoids in Rheumatic Conditions

MONDAY, June 6, 2016 (HealthDay News) -- Cannabinoids may have limited benefits in rheumatic conditions, with some potential benefit in terms of pain relief and effect on sleep, according to a review published in the May issue of Arthritis Care & Research.

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Many Still on Opioids Six Months After Total Joint Arthroplasty

FRIDAY, June 3, 2016 (HealthDay News) -- A significant number of patients continue to take prescription opioids many months after joint replacement surgery, according to a study published in the June issue of Pain.

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Meds to Treat Opioid Addiction Significantly Underused

FRIDAY, June 3, 2016 (HealthDay News) -- Too few patients are being prescribed any of the three available medications used to treat opioid use disorder in the 30 days after hospital discharge, according to a study published online June 1 in Psychiatric Services.

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Spironolactone No Benefit for Knee OA in Older Adults

FRIDAY, June 3, 2016 (HealthDay News) -- For older adults with knee osteoarthritis (OA), spironolactone is not associated with improvements in symptoms, physical function, or health-related quality-of-life, according to a study published in the May issue of Arthritis Care & Research.

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AMA Module Promotes Training of Medical Assistants

THURSDAY, June 2, 2016 (HealthDay News) -- A new training module can improve training for medical assistants (MAs), according to a report from the American Medical Association (AMA).

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Low Glycemic Index Diet Linked to Drop in Uric Acid Levels

THURSDAY, June 2, 2016 (HealthDay News) -- Reducing the dietary glycemic index is associated with a reduction in uric acid levels among overweight and obese adults, according to a study published in the May issue of Arthritis & Rheumatology.

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Patients Like to See Physicians Wearing White Coats

THURSDAY, June 2, 2016 (HealthDay News) -- Most patients prefer that physicians wear white coats, according to research published online June 1 in JAMA Dermatology.

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Premenstrual Estrogen Levels Drop More Rapidly in Migraineurs

THURSDAY, June 2, 2016 (HealthDay News) -- In women who get migraines, levels of estrogen drop more rapidly in the days before menstruation, compared to that seen in women without migraines, according to a study published online June 1 in Neurology.

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CVD Risk Appears to Be Increased in Women With Migraine

WEDNESDAY, June 1, 2016 (HealthDay News) -- Women who suffer from migraine headaches may have a slightly increased risk of heart disease or stroke, according to a study published online May 31 in The BMJ.

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