February 2015 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 February 2015. 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: Key Steps for Minimizing Liability Risk in Telemedicine

FRIDAY, Feb. 27, 2015 (HealthDay News) -- Key steps should be taken to minimize the potential risk of liability resulting from use of telemedicine, according to an article published by the American Medical Association (AMA).

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Use of Injected Opioid Tied to HIV Outbreak in Indiana

THURSDAY, Feb. 26, 2015 (HealthDay News) -- Addicts' use of a powerful painkiller is driving a large HIV outbreak in Indiana, according to health officials.

Health Highlights: Feb. 26, 2015

Knee OA One Year Post-ACL Reconstruction Common

WEDNESDAY, Feb. 25, 2015 (HealthDay News) -- At one year post-anterior cruciate ligament reconstruction (ACLR), knee osteoarthritis (OA) is evident among a substantial proportion of patients, according to a study published online Feb. 18 in Arthritis & Rheumatology.

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Even Short Term Use of NSAID With Anticoagulant Ill Advised

TUESDAY, Feb. 24, 2015 (HealthDay News) -- Use of nonsteroidal anti-inflammatories (NSAIDs) may raise the risk for myocardial infarction (MI), stroke, and/or serious bleeding among MI survivors taking prescription anticoagulants, with no safe window period, according to new research. Bleeding risk rose even within the first three days of NSAID use, the team noted in a study published in the Feb. 24 issue of the Journal of the American Medical Association.

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Chikungunya Virus Infection Can Mimic Rheumatoid Arthritis

MONDAY, Feb. 23, 2015 (HealthDay News) -- The mosquito-borne chikungunya virus causes joint pain and swelling similar to rheumatoid arthritis, which can make diagnosis difficult, according to research published online Jan. 20 in Arthritis & Rheumatology.

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Noncancer Pain Patients Commonly Use Benzodiazepines

MONDAY, Feb. 23, 2015 (HealthDay News) -- Chronic noncancer pain (CNCP) patients who use benzodiazepines (BZDs) daily frequently have multiple comorbid mental health conditions and higher rates of emergency health care use, according to a study published in the February issue of Pain Medicine.

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Patients Say Cost Matters Greatly in Choosing Doctor

FRIDAY, Feb. 20, 2015 (HealthDay News) -- The number one determining factor for selecting a doctor is whether the physician is in-network, according to a report published by Vitals.

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Doctors, Pharmacists Least Likely Health Pros to Divorce

THURSDAY, Feb. 19, 2015 (HealthDay News) -- Doctors appear less likely to get divorced than most other health care professionals, according to research published online Feb. 18 in The BMJ.

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Fear of Discrimination Keeps Many LGBT Med Students Silent

THURSDAY, Feb. 19, 2015 (HealthDay News) -- Fear of discrimination is a major reason why about one-third of lesbian, gay, bisexual, and transgender (LGBT) medical students stay "in the closet," new research finds. The study was published online Feb. 16 in Academic Medicine.

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Varicella Zoster Linked to Giant Cell Arteritis

THURSDAY, Feb. 19, 2015 (HealthDay News) -- New research links the varicella zoster virus to giant cell arteritis. The study was published online Feb. 18 in Neurology.

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Fatigue, Distraction Play Role in Risk of Low Back Pain

WEDNESDAY, Feb. 18, 2015 (HealthDay News) -- Significant risk factors for low back pain include fatigue, manual labor involving awkward positions, and being distracted during an activity, according to research findings reported online Feb. 9 in Arthritis Care & Research.

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Article Emphasizes Importance of Apology in Medical Error

WEDNESDAY, Feb. 18, 2015 (HealthDay News) -- Apology laws, which prohibit certain statements or expressions of sympathy by a physician from being admissible in a lawsuit, are unnecessary if physicians understand the importance of saying sorry and offering accountability after an error, according to an article published Feb. 4 in Medical Economics.

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Manual-Thrust Manipulation Boosts Short-Term Benefit in LBP

WEDNESDAY, Feb. 18, 2015 (HealthDay News) -- For patients with low back pain (LBP), manual-thrust manipulation (MTM) is associated with greater short-term reductions in disability and pain than mechanical-assisted manipulation (MAM) or usual medical care (UMC), according to a study published in the Feb. 15 issue of Spine.

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Rates of Injury From Chiropractic Care Assessed in Older Adults

TUESDAY, Feb. 17, 2015 (HealthDay News) -- For older Medicare beneficiaries with a neuromusculoskeletal complaint, the risk of injury is lower after an office visit for chiropractic spinal manipulation versus evaluation by a primary care physician, according to a study published in the Feb. 15 issue of Spine.

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High Deductible Plans Factor Into Physician-Patient Relationship

MONDAY, Feb. 16, 2015 (HealthDay News) -- In an environment where patients are increasingly aware of the costs of health care, physicians need to be prepared to address these issues with their patients, according to an article published Feb. 4 in Medical Economics.

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Use of Nondrug, Nonsurgical Options Low in Hip, Knee OA

MONDAY, Feb. 16, 2015 (HealthDay News) -- Usage of nondrug, nonoperative interventions in community-dwelling individuals with hip and knee osteoarthritis (OA) is low, according to research published in the February issue of Arthritis Care & Research.

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Various Strategies Used by Patients With HIV, Chronic Pain

MONDAY, Feb. 16, 2015 (HealthDay News) -- For individuals with HIV and chronic pain, various pain self-management strategies are employed, including physical activity, cognitive and spiritual strategies, and substance use, according to a study published online Feb. 3 in Pain Medicine.

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Patients Tend to Prefer Formal Physician Attire

FRIDAY, Feb. 13, 2015 (HealthDay News) -- Patients often prefer physicians with formal attire and white coats, according to a systematic review published online Jan. 19 in BMJ Open.

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Latino Physician Shortage Has Worsened Since 1980

FRIDAY, Feb. 13, 2015 (HealthDay News) -- From 1980 to 2010 the Latino physician shortage worsened, according to a study published online Jan. 27 in Academic Medicine.

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Prevalence of Fibromyalgia Varies With Criteria Applied

FRIDAY, Feb. 13, 2015 (HealthDay News) -- The prevalence of fibromyalgia varies with the different sets of the American College of Rheumatology (ACR) classification criteria, according to a study published in the February issue of Arthritis & Rheumatology.

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Specific NSAIDs Increase Nonfatal Ischemic Stroke Risk

THURSDAY, Feb. 12, 2015 (HealthDay News) -- Use of specific nonsteroidal anti-inflammatory drugs (NSAIDs), diclofenac and aceclofenac, is associated with increased risk of nonfatal ischemic stroke, according to a study published online Jan. 22 in the Journal of Thrombosis and Haemostasis.

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Seven Tips Help Doctors Prepare for Meaningful Use Audits

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- Given that physicians are chosen for meaningful use (MU) audits at random, the best way to prepare is for a physician to assume they will be audited, according to an article published Jan. 28 in Medical Economics.

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Americans' Complementary Health Approaches Changing

WEDNESDAY, Feb. 11, 2015 (HealthDay News) -- Yoga is increasingly popular among U.S. adults and children, two new government surveys reveal. Both surveys, which were published Feb. 10 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS), looked at the overall use of alternative or complementary medicine among Americans.

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Multidisciplinary Approach Successful in Chronic Back Pain

TUESDAY, Feb. 10, 2015 (HealthDay News) -- Medication combined with a multidisciplinary rehabilitation program can decrease disability and improve mental health in low back pain patients over several years, according to a study published online Dec. 26 in the International Journal of Rheumatic Diseases.

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Acupuncture Deemed Feasible for Vulvodynia

TUESDAY, Feb. 10, 2015 (HealthDay News) -- Acupuncture seems feasible for treatment of women with vulvodynia, according to a study published online Jan. 30 in The Journal of Sexual Medicine.

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Smoking Impairs Rx Response in Axial Spondyloarthritis

TUESDAY, Feb. 10, 2015 (HealthDay News) -- Smoking may hamper the effects of tumor necrosis factor (TNF) inhibitors used to treat axial spondyloarthritis (axSpA), according to a study published online Feb. 9 in the Annals of the Rheumatic Diseases.

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Research Misconduct ID'd by FDA Often Unreported in Literature

TUESDAY, Feb. 10, 2015 (HealthDay News) -- A review of U.S. Food and Drug Administration inspection reports between 1998 and 2013 revealed 57 clinical trials in which regulators had uncovered violations serious enough to earn the agency's most severe classification -- "official action indicated," or OAI. The findings were published online Feb. 9 in JAMA Internal Medicine.

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Confidence Not Accurate Measure of Prescribing Competence

MONDAY, Feb. 9, 2015 (HealthDay News) -- For medical students, self-reported confidence in prescribing only weakly correlates with actual competence, according to a study published online Feb. 4 in The Journal of Clinical Pharmacology.

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Motivational Interviewing Can Help Reach Nonadherent Patients

FRIDAY, Feb. 6, 2015 (HealthDay News) -- Motivational interviewing can be a useful approach for reaching noncompliant patients, according to an article published Jan. 22 in Medical Economics.

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Occupation, Work Hours Linked to Workers' Risk for Neck Pain

FRIDAY, Feb. 6, 2015 (HealthDay News) -- Occupation and work hours are associated with increased workers' risk for neck pain, according to a study published in the Feb. 1 issue of Spine.

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U.S. Lyme Disease Costs Could Exceed $1 Billion Annually

FRIDAY, Feb. 6, 2015 (HealthDay News) -- With an estimated 240,000 to 440,000 new cases of Lyme disease diagnosed every year, the illness costs the U.S. health care system between $712 million and $1.3 billion annually, according to a study published online Feb. 4 in PLOS ONE.

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Perspective on Dr. Davidson: 'Be Like Mike'

THURSDAY, Feb. 5, 2015 (HealthDay News) -- The tragic shooting of surgeon Michael Davidson can be used as an opportunity to find meaning in tragedy, according to a perspective piece published online Feb. 5 in the New England Journal of Medicine.

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Complication Rate Low for CNRA Lumbar Epidural Injections

THURSDAY, Feb. 5, 2015 (HealthDay News) -- Complication rates for fluoroscopic-guided lumbar epidural steroid injections (LESIs) performed by certified registered nurse anesthetists (CRNAs) are similar to physician rates cited in the literature, according to a study published online Jan. 27 in the Journal for Healthcare Quality.

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Patient Engagement Can Cut Costs, Improve Outcomes

MONDAY, Feb. 2, 2015 (HealthDay News) -- Patient engagement initiatives can decrease costs without sacrificing quality care, according to an article published Jan. 22 in Medical Economics.

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