November 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 November 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.

Rising Rx, ER Prices Pushing U.S. Health Care Spending Up

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Privately insured Americans spent nearly 5 percent more on health care last year than in 2014; this increase was significantly more than that seen in previous years and reflects higher costs for prescription drugs, emergency department visits, and hospitalizations, according to a report published Nov. 22 by the Health Care Cost Institute.

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Discussing Opioid Risks With Patients Reduces Misuse

TUESDAY, Nov. 22, 2016 (HealthDay News) -- Discussing the risk of long-term opioid use disorder with patients is associated with reduced misuse of opioids, according to research published in the November/December issue of the Annals of Family Medicine.

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Barriers Identified in Current Knee Osteoarthritis Care

FRIDAY, Nov. 18, 2016 (HealthDay News) -- In current knee osteoarthritis care, both personal factors and factors related to health care professionals play a role in treatment nonadherence, according to a study published online Nov. 14 in the Journal of Evaluation in Clinical Practice.

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Vitamin D Replacement Improves Chronic Widespread Pain

WEDNESDAY, Nov. 16, 2016 (HealthDay News) -- For patients with nonspecific chronic widespread musculoskeletal pain (CWP) and vitamin D deficiency, treatment with vitamin D replacement results in improvements in symptoms, according to a study published online Nov. 11 in the International Journal of Rheumatic Diseases.

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Spinal Manipulation Tx Benefits Older Adults With Neck Pain

MONDAY, Nov. 14, 2016 (HealthDay News) -- For older adults with chronic mechanical neck pain, spinal manipulative therapy (SMT) plus home exercise and advice (HEA) results in better clinical outcomes and lower costs versus supervised rehabilitative exercise (SRE) plus HEA, according to a study published in the November issue of The Spine Journal.

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HR Capabilities Positively Linked to Quality of Patient Care

FRIDAY, Nov. 11, 2016 (HealthDay News) -- Human resource (HR) capabilities are positively associated with quality of patient care, with the relationship mediated by proactive work, according to a study published recently in Human Resource Management.

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RA Disease Activity Score Most Influential in Patient Reports

THURSDAY, Nov. 10, 2016 (HealthDay News) -- Higher disease activity score (DAS) is one of the most influential factors for poor patient-reported outcomes (PROs) in rheumatoid arthritis (RA), according to a study published online Nov. 5 in the International Journal of Rheumatic Diseases.

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High-Frequency Spine Stimulation Offers Superior Pain Relief

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- High-frequency electrical stimulation of the spinal cord may relieve severe chronic back pain more effectively than conventional low-frequency stimulation, according to research published in the November issue of Neurosurgery.

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Meta-Analysis Links Increased BMI, Hand Osteoarthritis

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- Increased body mass index may have a moderate effect on hand arthritis, according to a meta-analysis published recently in the International Journal of Rheumatic Diseases.

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Naproxen Sodium Doesn't Reduce Pain With IUD Insertion

WEDNESDAY, Nov. 9, 2016 (HealthDay News) -- For patients undergoing intrauterine device (IUD) insertion, oral naproxen sodium does not reduce pain on insertion, but does reduce pain after insertion, according to a study published in the December issue of Obstetrics & Gynecology.

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AMA Highlights Role of Patient Shame in Opioid Disorders

TUESDAY, Nov. 8, 2016 (HealthDay News) -- Supported by the American Medical Association (AMA), the Providers' Clinical Support System for Opioid Therapies (PCSS-O) has released a collection of resources from a national training and mentoring project developed by physicians to promote the role of self-education and help curb the opioid epidemic.

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Five Strategies Can Reduce Risk of Medical Lawsuits

MONDAY, Nov. 7, 2016 (HealthDay News) -- Five strategies can be employed by physicians in order to help reduce the risk of lawsuits, according to an article published in Medical Economics.

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New QI Intervention Aids Pain Management for Seniors in the ER

MONDAY, Nov. 7, 2016 (HealthDay News) -- The Improving Pain Relief in Elder Patients (I-PREP) quality improvement (QI) intervention improves pain management in older adults in the emergency department, according to a study published online Nov. 2 in the Journal of the American Geriatrics Society.

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Severe Neurologic Disorder With Administration of BIA 10-2474

THURSDAY, Nov. 3, 2016 (HealthDay News) -- Healthy participants receiving the orally administered reversible fatty acid amide hydrolase inhibitor, BIA 10-2474, can experience a severe neurologic disorder, according to research published in the Nov. 3 issue of the New England Journal of Medicine.

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ASCO Updates Guidelines on Integration of Palliative Care

WEDNESDAY, Nov. 2, 2016 (HealthDay News) -- The American Society of Clinical Oncology Clinical Practice Guideline on the integration of palliative care into standard oncology care has been updated. The update was published online Oct. 28 in the Journal of Clinical Oncology.

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