October 2019 Briefing - Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for October 2019. 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.

Maltreatment in Childhood Ups Risk for Physical Pain in Young Women

WEDNESDAY, Oct. 30, 2019 (HealthDay News) -- Young adult women who experienced child maltreatment are at higher risk for pain, according to a study published online Oct. 5 in PAIN.

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CDC: U.S. Life Expectancy Up Slightly, Mortality Lower in 2017

WEDNESDAY, Oct. 30, 2019 (HealthDay News) -- Life expectancy has increased slightly in the United States, and mortality is lower than in 2007, according to a report published Oct. 30 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

Health, United States, 2018

Facebook Launches Preventive Health Tool

TUESDAY, Oct. 29, 2019 (HealthDay News) -- A new tool designed to help guide preventive care for heart disease, cancer, and seasonal flu was launched in the United States Monday by Facebook.

CNN Article

Prevalence of Pain Higher in Children With Autism

MONDAY, Oct. 28, 2019 (HealthDay News) -- Children with autism spectrum disorder (ASD) have an elevated prevalence of pain compared with children without ASD, according to a research letter published online Oct. 28 in JAMA Pediatrics.

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Outcomes Poor With Medical Care From Fraud, Abuse Perpetrators

MONDAY, Oct. 28, 2019 (HealthDay News) -- Receiving medical care from fraud and abuse perpetrators (FAPs), subsequently excluded from Medicare, is associated with higher rates of all-cause mortality and emergency hospitalization, according to a study published online Oct. 28 in JAMA Internal Medicine.

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CDC: Drugs Involved in Overdose Deaths Varied Regionally in 2017

FRIDAY, Oct. 25, 2019 (HealthDay News) -- The drugs most frequently involved in drug overdose deaths in 2017 varied regionally in the United States, according to a study published online Oct. 25 in the National Health Statistics Reports, a publication from the U.S. Centers for Disease Control and Prevention.

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Google Searches for CBD Up Substantially

THURSDAY, Oct. 24, 2019 (HealthDay News) -- Interest in cannabidiol (CBD) across the United States has increased considerably and is accelerating, according to a research letter published online Oct. 23 in JAMA Network Open.

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Knee, Hip Arthritis Increase Risk for Social Isolation in Elderly

THURSDAY, Oct. 24, 2019 (HealthDay News) -- Osteoarthritis of the hip and/or knee increases the risk for social isolation in older, community-dwelling individuals, according to a study recently published in the Journal of the American Geriatrics Society.

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One in Five Receive Opioid Rx After Cardiac Implant Procedure

THURSDAY, Oct. 24, 2019 (HealthDay News) -- One in five patients received opioid prescriptions for management of pain following cardiac implantable electronic device (CIED) procedures, according to a study published online Oct. 20 in HeartRhythm.

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Early Access to Chiropractors, PTs Tied to Decreased Long-Term Opioid Use

TUESDAY, Oct. 22, 2019 (HealthDay News) -- Patients who initially see a physical therapist or chiropractor for low back pain rather than a primary care physician are much less likely to be prescribed opioids, according to a study recently published in BMJ Open.

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$260 Million Deal Averts First Federal Trial Over Opioids

TUESDAY, Oct. 22, 2019 (HealthDay News) -- A $260 million settlement in an opioid lawsuit was reached between two Ohio counties and four drug companies on Monday, just hours before opening arguments were to begin in a landmark federal trial over responsibility for the U.S. opioid crisis.

Washington Post Article
AP News Article

More Choices, Lower Premiums for ACA Consumers Next Year

TUESDAY, Oct. 22, 2019 (HealthDay News) -- There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act, according to the Trump administration.

AP News Article

Physical Therapy, Lifestyle Advice Underused in Knee OA

FRIDAY, Oct. 18, 2019 (HealthDay News) -- For patients with knee osteoarthritis (KOA), physical therapy (PT) and lifestyle counseling seem to be underutilized, while medication use has increased, according to a study published online Oct. 8 in Arthritis Care & Research.

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Experimental Growth Factor May Aid Knee Osteoarthritis

THURSDAY, Oct. 17, 2019 (HealthDay News) -- An experimental growth factor therapy, sprifermin, may prevent a worsening of osteoarthritis by increasing the thickness of cartilage in the knee, according to a study published in the Oct. 8 issue of the Journal of the American Medical Association.

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Opioid Crisis Cost United States $631 Billion Over Four Years

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- The U.S. opioid epidemic cost the nation's economy $631 billion from 2015 through 2018, a new study says.

AP News Article
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Postop Opioid Rx Sevenfold Higher in U.S., Canada Versus Sweden

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- Patients in the United States and Canada receive prescription opioids after surgeries at a rate that is approximately seven times higher than the rate in Sweden, according to a study published online Sept. 4 in JAMA Network Open.

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Opioids May Not Be Needed for Acute Pain Control After Vasectomy

WEDNESDAY, Oct. 16, 2019 (HealthDay News) -- Opioids do not provide improved pain control following a vasectomy and may be tied to a higher risk for persistent use, according to a study published in the October issue of The Journal of Urology.

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Caution Urged When Taking Patients Off Opioid Painkillers

FRIDAY, Oct. 11, 2019 (HealthDay News) -- Doctors should be more cautious when taking chronic pain patients off opioid painkillers, according to a new U.S. Department of Health and Human Services guidance released Thursday.

The New York Times Article
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Effects on Quality of Life Mixed for Tx of Multiple Myeloma

FRIDAY, Oct. 11, 2019 (HealthDay News) -- Most dimensions of quality of life (QoL) are impaired in patients with relapsed/refractory multiple myeloma, and treatment may have mixed effects on QoL, according to a study published online Sept. 26 in Leukemia & Lymphoma.

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Medicare Fraud-Prevention Rules to Be Revised

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Revision of decades-old Medicare rules meant to prevent fraud has been proposed by the Trump administration.

AP News Article

2000 to 2015 Saw Increase in Medicare GME Payments

WEDNESDAY, Oct. 9, 2019 (HealthDay News) -- Medicare graduate medical education (GME) payments increased significantly from 2000 to 2015, according to a study published online Oct. 7 in JAMA Internal Medicine.

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Cost of Waste in U.S. Health System Estimated

TUESDAY, Oct. 8, 2019 (HealthDay News) -- The estimated cost of waste in the U.S. health care system varies from $760 to $935 billion, according to a special communication published online Oct. 7 in the Journal of the American Medical Association.

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Burnout Linked to Poor Quality Care in Published Literature

TUESDAY, Oct. 8, 2019 (HealthDay News) -- In the published literature, burnout in health care professionals is frequently associated with poor-quality care, but the effect size may be smaller than reported, according to data from a systematic review published online Oct. 8 in the Annals of Internal Medicine.

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Primary Care Appointment Time Impacts Prescribing of Opioids

TUESDAY, Oct. 8, 2019 (HealthDay News) -- Even within an individual physician's schedule, physician behavior for opioid prescribing varies by the appointment timing, according to a study recently published online in JAMA Network Open.

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eGFR Affects Risk for Opioid-Related Death, Hospitalization

FRIDAY, Oct. 4, 2019 (HealthDay News) -- Receipt of prescription opioids is associated with an increased risk for death and hospitalization, especially in patients with lower estimated glomerular filtration rates (eGFRs), according to a study published online Oct. 3 in the Clinical Journal of the American Society of Nephrology.

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Johnson & Johnson Settles Opioid Suit With Two Ohio Counties

WEDNESDAY, Oct. 2, 2019 (HealthDay News) -- With a federal trial pending, the pharmaceutical giant Johnson & Johnson agreed Wednesday to pay two Ohio counties more than $20 million for its role in the ongoing opioid crisis.

AP News Article

Few Critical Care Nurses Feel Competent in Providing Palliative Care

WEDNESDAY, Oct. 2, 2019 (HealthDay News) -- Most critical care nurses feel inadequately prepared to provide palliative care, according to a study published in the October issue of Critical Care Nurse.

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