March 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 March 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.

AMA Addresses Elements of Team-Based Care Model

TUESDAY, March 29, 2016 (HealthDay News) -- The elements of a team-based care model are described in a report published by the American Medical Association (AMA).

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How Can We Fix the Wage Gap Among Female Physicians?

MONDAY, March 28, 2016 (HealthDay News) -- Women doctors can address the gender wage disparity by understanding the reasons why they earn less, according to a report published in Medical Economics.

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Many Doctors Prescribe Opioids for Longer Than CDC Advises

FRIDAY, March 25, 2016 (HealthDay News) -- When doctors in the United States prescribe opioids for their patients, 99 percent of them hand out prescriptions that exceed the federally recommended three-day dosage limit, new research suggests.

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FDA Wants Generic Opioids to Be Abuse-Deterrent

FRIDAY, March 25, 2016 (HealthDay News) -- Continuing their push to combat the nation's epidemic of opioid abuse, U.S. officials on Thursday urged generic drug makers to take steps to redesign drugs such as hydrocodone and oxycodone to make them harder to abuse.

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FDA Orders Enhanced Warning Labels on Opioid Pain Medications

TUESDAY, March 22, 2016 (HealthDay News) -- The U.S. Food and Drug Administration has announced that immediate-release opioid pain medications will get new boxed warnings about the dangers of misuse.

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Mindful Meditation Technique May Help Ease Chronic Low Back Pain

TUESDAY, March 22, 2016 (HealthDay News) -- Mindfulness-based stress reduction (MBSR) may be more effective than standard medical care for managing low back pain, according to a study published in the March 22/29 issue of the Journal of the American Medical Association.

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FDA: Most Powdered Medical Gloves Should Be Banned in U.S.

MONDAY, March 21, 2016 (HealthDay News) -- The U.S. Food and Drug Administration wants to ban most powdered medical gloves, saying they pose serious health risks to patients and health care providers alike.

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Physicians Respond to New CDC Opioid Guidelines

MONDAY, March 21, 2016 (HealthDay News) -- Physicians have responded to the new U.S. Centers for Disease Control and Prevention's clinical guidelines for prescribing opioids, according to a report published by the American Medical Association (AMA).

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Acetaminophen May Not Be the Best Choice for Arthritis Pain

FRIDAY, March 18, 2016 (HealthDay News) -- Acetaminophen isn't an effective choice for osteoarthritis pain in the hip or knee, or for improving joint function, according to a report published online March 17 in The Lancet.

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Case Before Supreme Court May Expose Doctors to Large Fines

FRIDAY, March 18, 2016 (HealthDay News) -- A case before a state supreme court could potentially expose physicians to large fines based on a legal technicality relating to what they should have known, rather than what they knew, according to the American Medical Association (AMA).

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Some Similarities in Expectations for Pain Patients, Physicians

THURSDAY, March 17, 2016 (HealthDay News) -- There are some similarities in expectations and goals for pain patients and physicians, according to a study published online March 15 in Pain Practice.

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Meditation-Induced Analgesia Not Mediated by Endogenous Opioids

THURSDAY, March 17, 2016 (HealthDay News) -- Mindfulness meditation-induced analgesia does not rely on opioidergic mechanisms, according to a study published in the March 16 issue of the Journal of Neuroscience.

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Spending on Prescription Meds Up About 5 Percent in 2015

THURSDAY, March 17, 2016 (HealthDay News) -- Spending on prescription medications for insured Americans increased about 5 percent in 2015, with the increase half of that seen in 2014, the Associated Press reported.

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Patient-Controlled Analgesia Non-Inferior After C-Section

WEDNESDAY, March 16, 2016 (HealthDay News) -- Early patient-controlled oral analgesia is non-inferior to standard parenteral analgesia for pain management after elective cesarean section, according to a study published online March 2 in Anaesthesia.

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Disruptive Patients Distract Docs, May Receive Compromised Care

WEDNESDAY, March 16, 2016 (HealthDay News) -- Disruptive patients may get worse care from physicians, according to a study published online March 7 in BMJ Quality & Safety. The findings aren't definitive because the researchers tested how physicians responded in fictional vignettes, instead of real-life encounters. Still, the results suggest that such patients distract physicians from doing their jobs.

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Distal Symmetric Polyneuropathy Linked to MetS Components

WEDNESDAY, March 16, 2016 (HealthDay News) -- Distal symmetric polyneuropathy (DSP) prevalence increases with an increasing number of components of metabolic syndrome, according to a study published online March 10 in Diabetes Care.

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CDC Issues New Prescription Guidelines for Opioids

TUESDAY, March 15, 2016 (HealthDay News) -- A new advisory, from the U.S. Centers for Disease Control and Prevention, stresses that doctors -- especially primary care physicians -- should try to avoid prescription of opioids whenever possible. Two research letters published online March 15 in the Journal of the American Medical Association highlight the scope of the opioid issue.

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Mayo Clinic Has Established Model to Help Battle Burnout

TUESDAY, March 15, 2016 (HealthDay News) -- In an effort to reduce burnout among physicians, the Mayo Clinic is initiating a model to raise camaraderie and increase collaboration, according to a report published by the American Medical Association (AMA).

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Guidance Offered for Negotiating Higher Rates From Payers

MONDAY, March 14, 2016 (HealthDay News) -- Negotiations to increase payment from insurance companies can be extremely difficult, although it is possible to get a payment increase, according to a report published in Medical Economics.

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E-Consultations Can Improve Access to, Timeliness of Care

MONDAY, March 14, 2016 (HealthDay News) -- Electronic consultation (e-consultation), an asynchronous, non-face-to-face consultation between a primary care physician and a specialist, can improve access to care and reduce wait times, according to a study published in the March/April issue of the Annals of Family Medicine.

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Serotonin Directly Implicated in Rheumatoid Arthritis

MONDAY, March 14, 2016 (HealthDay News) -- Serotonin appears to be involved in autoimmune arthritis through Th17 immunity and bone resorption, according to an experimental study published online March 8 in The American Journal of Pathology.

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Analgesics Plus Exercise Therapy Feasible for Knee OA

FRIDAY, March 11, 2016 (HealthDay News) -- A combined intervention of optimized analgesic prescription and exercise therapy is feasible and associated with significant reductions in pain and activity limitation in patients with knee osteoarthritis (OA) and severe knee pain, according to a study published in the March issue of Arthritis Care & Research.

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Vitamin D Not Beneficial for Osteoarthritis of the Knee

WEDNESDAY, March 9, 2016 (HealthDay News) -- Vitamin D supplements don't appear to relieve pain or slow the progression of knee osteoarthritis in patients with low levels of the vitamin, according to a study published in the March 8 issue of the Journal of the American Medical Association.

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PTSD Symptomatology Linked to Increased Risk of RA

WEDNESDAY, March 9, 2016 (HealthDay News) -- Posttraumatic stress disorder (PTSD) symptomatology is associated with the risk of rheumatoid arthritis (RA) in women, according to a study published in the March issue of Arthritis Care & Research.

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Physicians' Contracts Can Affect Patients, Professionalism

WEDNESDAY, March 9, 2016 (HealthDay News) -- Problematic clauses in physicians' contracts can impact patient care and professionalism, according to an Ideas and Opinions piece published online March 8 in the Annals of Internal Medicine.

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SCOTUS: States Can't Force Health Care Data Release

WEDNESDAY, March 2, 2016 (HealthDay News) -- The Supreme Court has ruled against state efforts to collect health care data from insurance plans.

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Spouse Education Level May Impact Choice for Rural Practice

WEDNESDAY, March 2, 2016 (HealthDay News) -- Physicians who are married to a highly-educated spouse are less likely to work in rural underserved areas, according to a study published in the March 1 issue of the Journal of the American Medical Association.

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Pre-Op Stress Tied to Post-Op Pain, Anxiety in Scoliosis Patients

TUESDAY, March 1, 2016 (HealthDay News) -- Attention to preoperative stress in adolescents undergoing scoliosis surgery may reduce levels of postoperative pain as well as anxiety and social and attention problems in the recovery period, according to a study published online Feb. 22 in the Journal of Clinical Nursing.

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