Search results for "Opioid Prescribing"
Use of chiropractors and occupational, physical therapy for low back pain uncommon, despite guidelines
While clinical practice guidelines encourage nonpharmacologic treatments as first-line therapy for low back pain, fewer than a third of patients used chiropractic care or occupational or physical therapy for this problem in 2002 to 2018.
https://immattersacp.org/weekly/archives/2023/10/31/4.htm
31 Oct 2023
No easy ‘off switch’ for low back pain
There's no easy way to cure low back pain, but recommending a mix of therapies along with a dose of reassurance can often provide patients a measure of relief.
https://immattersacp.org/archives/2022/11/no-easy-off-switch-for-low-back-pain.htm
1 Nov 2022
Efforts to stop coprescribing of opioids, benzodiazepines helped, but problem ongoing
Two recent studies examined national trends in opioid and benzodiazepine prescribing, one finding that prescribing of these drugs together and separately dropped nationally, while another showing that opioid prescribing for patients with alcohol use disorder (AUD) decreased in New York.
https://immattersacp.org/weekly/archives/2022/06/07/4.htm
7 Jun 2022
Few internal medicine residency programs provide clinical opioid-related training
A 2019 survey of members of the Association of Program Directors in Internal Medicine found that while 82% of programs required some training in safe opioid prescribing and opioid use disorder treatment, few programs required clinical experiences.
https://immattersacp.org/weekly/archives/2021/11/09/5.htm
9 Nov 2021
Limits on opioid prescribing didn't change overdoses, but did reduce adverse effects
A study of primary care patients analyzed the effects of a Vermont policy that limited the dose and duration of opioid prescriptions based on pain severity and required prescription drug monitoring program checks.
https://immattersacp.org/weekly/archives/2021/05/11/2.htm
11 May 2021
High-dose opioid use dropping in the VA, but opioids frequently discontinued involuntarily, studies find
Recent studies from the Veterans Health Administration looked at voluntary and involuntary opioid reduction; high-dose, long-term opioid therapy; and quality improvement efforts for opioid use disorder treatment.
https://immattersacp.org/weekly/archives/2020/11/10/2.htm
10 Nov 2020
MKSAP Quiz: 10-year history of chronic pain
A 51-year-old woman is referred for evaluation. She has a 10-year history of chronic pain that she describes as head-to-toe aching, twisting, and sometimes burning that involves several large muscle groups. The pain is constant, and she rates the severity as a 6 on a 10-point scale. Following a physical exam, what is the most appropriate next step in treatment?
https://immattersacp.org/weekly/archives/2020/07/21/4.htm
21 Jul 2020
Calls to poison control centers for gabapentin, baclofen increased in recent years
The increase in exposures to and misuse of these medications in the U.S. may represent an unintended consequence of recent reductions in opioid prescribing for pain management, study authors said.
https://immattersacp.org/weekly/archives/2019/12/10/5.htm
10 Dec 2019
Changes made to opioid prescribing information
This column reviews details on recent recalls, warnings, and approvals.
https://immattersacp.org/archives/2019/06/changes-made-to-opioid-prescribing-information.htm
1 Jun 2019
Influence, interactions, and ethical dilemmas
Advances in technology, genetics, and evolving financial reimbursement models continue to create new ethical conundrums or add layers or twists to age-old debates.
https://immattersacp.org/archives/2019/05/influence-interactions-and-ethical-dilemmas.htm
1 May 2019