Here are what the editors at HealthDay consider to be the most important developments in Pain Management for June 2018. 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.
Practice Management Can Improve Efficiency
FRIDAY, June 29, 2018 (HealthDay News) — Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.
AMA Calls for Electronic Health Record Training
FRIDAY, June 29, 2018 (HealthDay News) — The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.
New Rules May Constrain Docs’ Ability to Treat Chronic Pain
THURSDAY, June 28, 2018 (HealthDay News) — New laws and regulations designed to limit the use of prescription narcotics may further constrain doctors’ ability to treat patients, according to an article published online May 30 in Medical Economics.
Health Care Technology Impacts Younger Patient Satisfaction
THURSDAY, June 28, 2018 (HealthDay News) — Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.
Few Hemodialysis Patients on Medicare Enroll in Hospice
WEDNESDAY, June 27, 2018 (HealthDay News) — Among Medicare beneficiaries on hemodialysis, few patients are enrolled in hospice at the end of life, regardless of the spending trajectory during the last year of life, according to a study published in the June issue of Health Affairs.
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AMA Adopts Ethical Guidance on Medical Tourism
TUESDAY, June 26, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.
Cannabis Use Prevalence Up Across Adult Age Groups
TUESDAY, June 26, 2018 (HealthDay News) — Across adult age categories, there was an increase in the prevalence of daily cannabis use after 2007, according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.
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AMA: Docs Declare Drug Shortages Public Health Emergency
MONDAY, June 25, 2018 (HealthDay News) — At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.
Coverage Policies Compared for Back Pain Medications
MONDAY, June 25, 2018 (HealthDay News) — There are opportunities for recalibrating the role of opioids in pain care, including expanding access to opioid alternatives through coverage and reimbursement policies, according to a study published online June 22 in JAMA Network Open.
Risk of OD Highest for First Days of Opioid + Benzodiazepine Use
FRIDAY, June 22, 2018 (HealthDay News) — Concurrent benzodiazepine use is associated with increased risk of opioid-related overdose, with the risk highest on the first days of concurrent use, according to a study published online June 22 in JAMA Network Open.
More Cash-Pay Patients Means Docs Need Billing Strategies
THURSDAY, June 21, 2018 (HealthDay News) — More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.
Rate of Death Up in Year After Non-Fatal Opioid Overdose
THURSDAY, June 21, 2018 (HealthDay News) — There is a marked excess of deaths among U.S. adults who experience a non-fatal opioid overdose, according to a study published online June 20 in JAMA Psychiatry.
New Recommendations Guide Arthritis Pain Management
THURSDAY, June 21, 2018 (HealthDay News) — The European League Against Rheumatism has released recommendations — published in the June issue of the Annals of the Rheumatic Diseases — for health professionals to use in approaching pain management in inflammatory arthritis (IA) and osteoarthritis (OA).
NIH Initiative Aims to Address Opioid Misuse Over Long Term
WEDNESDAY, June 20, 2018 (HealthDay News) — A novel, innovative initiative is being developed to help end addiction over the long term, according to a viewpoint article published online June 12 in the Journal of the American Medical Association.
Various Factors Affect Progress in Back-Related Leg Pain, Sciatica
WEDNESDAY, June 20, 2018 (HealthDay News) — In back-related leg pain and sciatica patients, belief in a long recovery and the number of other symptoms attributed to the pain are independently negatively associated with improvement, according to a study published in the June issue of The Spine Journal.
Considerable Costs Associated With Switching EHR
TUESDAY, June 19, 2018 (HealthDay News) — Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.
AMA Vows to Improve Access for Docs Seeking Mental Health Care
MONDAY, June 18, 2018 (HealthDay News) — The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.
Meds for Opioid Use Disorder May Reduce Mortality in OD Survivors
MONDAY, June 18, 2018 (HealthDay News) — Use of medications for opioid use disorder (MOUD) is associated with a reduction in all-cause and opioid-related mortality after opioid overdose, according to a study published online June 19 in the Annals of Internal Medicine.
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Greater Weight Loss Linked to Superior Outcomes in Knee OA
MONDAY, June 18, 2018 (HealthDay News) — For overweight and obese older adults with knee osteoarthritis (OA), greater weight loss is associated with superior clinical and mechanistic outcomes, according to a study published online June 18 in Arthritis Care & Research.
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FDA Approves First Generic Under-the-Tongue Suboxone
FRIDAY, June 15, 2018 (HealthDay News) — The first generic version of an under-the-tongue film to treat opioid addiction has been approved by the U.S. Food and Drug Administration.
Illicit Opioid Trade Up With Restrictions on Hydrocodone
THURSDAY, June 14, 2018 (HealthDay News) — The U.S. Drug Enforcement Administration’s 2014 ruling to reschedule hydrocodone combination products coincided with an increase in illicit trading of opioids through online illicit markets (cryptomarkets), according to a study published online June 13 in The BMJ.
How Do Business Partner Data Breaches Affect Your Practice?
TUESDAY, June 12, 2018 (HealthDay News) — Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.
Older Age, ICU, Poor Renal Fcn Up Risk of Opioid OD in Hospital
TUESDAY, June 12, 2018 (HealthDay News) — Risk factors for opioid overdose among hospitalized patients include being age 65 years or older, being in an intensive care unit (ICU), and having renal impairment, according to a study published online May 23 in the Journal of Clinical Pharmacy and Therapeutics.
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CDC: Invasive MRSA More Likely Among Injection Drug Users
MONDAY, June 11, 2018 (HealthDay News) — Injection drug users are more than 16-fold more likely to develop invasive methicillin-resistant Staphylococcus aureus (MRSA) infections, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
FDA Warns Websites Marketing Unapproved Opioids
MONDAY, June 11, 2018 (HealthDay News) — Nine online networks, operating 53 websites, have been warned that they must stop illegally marketing potentially dangerous, unapproved, and misbranded versions of opioid medications, according to the U.S. Food and Drug Administration.
Factors ID’d for Persistent Opioid Use After Pediatric Surgery
THURSDAY, June 7, 2018 (HealthDay News) — Higher daily average inpatient pain scores and higher postoperative opioid consumption are associated with a subsequent persistent opioid use of up to six months among pediatric patients undergoing major oncologic surgery, according to a study published online April 17 in Pediatric Anesthesia.
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Online Consumer Ratings of Physicians Tend to Be Skewed
WEDNESDAY, June 6, 2018 (HealthDay News) — Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.
CDC: Prevalence of No Insurance Varies by Occupational Groups
WEDNESDAY, June 6, 2018 (HealthDay News) — The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report.
Benefit of Liposomal Bupivacaine for Pain in TKA Questioned
MONDAY, June 4, 2018 (HealthDay News) — Liposomal bupivacaine use in patients undergoing total knee arthroplasty is not associated with clinically meaningful reductions in inpatient opioid use, resource utilization, or opioid-related complications, according to a study published online May 21 in Anesthesiology.
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Studies ID Impact of U.S. Opioid-Related Mortality, Rx Patterns
FRIDAY, June 1, 2018 (HealthDay News) — From 2001 to 2016 there was an increase in the number and percentage of opioid-related deaths; in addition, most patients receiving opioids receive immediate-release (IR) formulations, according to two studies published online June 1 in JAMA Network Open.
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Multisensory Interventions Cut Pain in Preterm Infant Eye Exams
FRIDAY, June 1, 2018 (HealthDay News) — The addition of multisensory pain-reducing interventions to topical anesthetic (TA) reduces pain in eye examinations of preterm infants, according to research published online June 1 in Pediatrics.
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