Here are what the editors at HealthDay consider to be the most important developments in Pain Management for May 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.
More Opioids Given Than Prescribed in Emergency Department
FRIDAY, May 31, 2019 (HealthDay News) — The rate of emergency department visits with opioids only given during the visit is higher than the rate for visits with opioids only prescribed at discharge and for visits with opioids given and prescribed, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
U.S. Dentists Prescribe Opioids More Often Than U.K. Dentists
THURSDAY, May 30, 2019 (HealthDay News) — The proportion of prescriptions for opioids written by dentists in the United States was 37 times greater than the proportion of opioid prescriptions written by English dentists in 2016, according to a study published online May 24 in JAMA Network Open.
High Costs Associated With Physician Burnout in U.S.
THURSDAY, May 30, 2019 (HealthDay News) — High costs are associated with physician turnover and reduced clinical hours attributed to burnout, according to a study published online May 28 in the Annals of Internal Medicine.
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Reading Visit Notes May Improve Medication Management
WEDNESDAY, May 29, 2019 (HealthDay News) — Reading clinical notes can help patients to understand why medications are prescribed and improves medication adherence for some patients, according to a brief research report published online May 28 in the Annals of Internal Medicine.
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Global Burden of Serious Health-Related Suffering to Double by 2060
WEDNESDAY, May 29, 2019 (HealthDay News) — The global burden of serious health-related suffering is set to increase 47 percent by 2060, according to a study published online May 22 in The Lancet Global Health.
Rate of Opioid Prescribing High for Teens, Young Adults in ED
TUESDAY, May 28, 2019 (HealthDay News) — For adolescents and young adults, the rate of opioid prescribing in emergency departments is high, according to a study published online May 28 in Pediatrics.
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Migraines in Pregnancy Tied to Worse Outcomes for Mother, Baby
FRIDAY, May 24, 2019 (HealthDay News) — Migraines in pregnant women are associated with an increased risk for pregnancy-associated hypertension disorders as well as an increased risk for a variety of adverse outcomes in the newborn, according to a study published online May 8 in Headache.
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U.S. Lawmakers Say WHO Opioid Guidelines Too Lax
THURSDAY, May 23, 2019 (HealthDay News) — The World Health Organization’s pain care guidelines contain false claims about the safety of prescription opioid painkillers and should be withdrawn, two U.S. lawmakers say.
Non-Rx Fentanyl Up in Urine Tests Positive for Other Drugs
TUESDAY, May 21, 2019 (HealthDay News) — An increasing number of urine drug test (UDT) results positive for cocaine or methamphetamine are also positive for nonprescribed fentanyl, according to a study recently published in JAMA Network Open.
Clinical Drug Diversion Costly to Health Care Organizations
TUESDAY, May 21, 2019 (HealthDay News) — U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018, according to the 2019 Drug Diversion Digest, released by Protenus Inc.
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Private Insurers Pay 241 Percent of What Medicare Would Pay
FRIDAY, May 17, 2019 (HealthDay News) — Prices paid to hospitals for privately insured patients in 2017 averaged 241 percent of what Medicare would have paid, with wide variation in prices among states, according to a report published by the RAND Corporation.
Many Lives Could Be Saved if All Hospitals Had Grade A Rating
FRIDAY, May 17, 2019 (HealthDay News) — More than 50,000 lives could be saved if all hospitals had an avoidable death rate equivalent to “A” grade hospitals, according to an updated report prepared for The Leapfrog Institute.
Global Burden of Musculoskeletal Diseases on the Rise
FRIDAY, May 17, 2019 (HealthDay News) — The burden of musculoskeletal (MSK) diseases increased significantly worldwide between 2000 and 2015, according to a study published in the June issue of Annals of the Rheumatic Diseases.
Recs Updated for TB Screening, Treatment in Health Care Workers
THURSDAY, May 16, 2019 (HealthDay News) — Guidelines have been updated for screening and treatment for tuberculosis (TB) infection among health care personnel, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Cannabis Legalization Not Tied to Higher Health Care Utilization
THURSDAY, May 16, 2019 (HealthDay News) — Legalization of recreational cannabis is not associated with changes in health care utilization, as measured by length of stay or health care costs, according to a study published in the May issue of BMJ Open.
Risk for Prolonged Opioid Use Up in Patients Receiving Tramadol
WEDNESDAY, May 15, 2019 (HealthDay News) — Receipt of tramadol alone after surgery is associated with an increased risk for prolonged opioid use, similar to that seen with other short-acting opioids, according to a study published online May 14 in The BMJ.
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Prevalence of Low Back Pain About 26.4 Percent in U.S. Workers
MONDAY, May 13, 2019 (HealthDay News) — The overall prevalence of low back pain (LBP) among U.S. workers is about 26.4 percent, according to a research letter published online May 14 in the Annals of Internal Medicine.
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Patients Find Note Reading Important for Health Management
MONDAY, May 13, 2019 (HealthDay News) — Patients find note reading important for their health management and are rarely troubled by what they read, according to a study published in the May issue of the Journal of Medical Internet Research.
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Health Professionals Supportive of Medicinal Cannabis
FRIDAY, May 10, 2019 (HealthDay News) — Health professionals are generally supportive of medicinal cannabis use but report a lack of knowledge about its use, according to a review published online May 6 in PLOS ONE.
Doctors Aware of Patient Difficulties Affording Medical Care
FRIDAY, May 10, 2019 (HealthDay News) — Physicians are aware of patients’ difficulty with affording medical care and consider out-of-pocket costs in their decision making, according to an article published in a supplement to the May 7 issue of the Annals of Internal Medicine.
2018 Saw More Employed Physicians Than Self-Employed
THURSDAY, May 9, 2019 (HealthDay News) — In 2018, employed physicians outnumbered self-employed physicians, according to a report from the American Medical Association (AMA).
CDC: Uninsurance Levels Did Not Change Significantly in 2018
THURSDAY, May 9, 2019 (HealthDay News) — In 2018, the percentage of U.S. individuals who were uninsured was not significantly different from the numbers in 2017, although uninsurance increased among adults aged 45 to 64 years, according to a report published online May 9 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.
Prices Will Soon Be Included in TV Drug Ads
WEDNESDAY, May 8, 2019 (HealthDay News) — In response to public demands for action to control drug costs, the top U.S. health official says TV advertisements for prescription drugs will soon have to include prices.
In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs
WEDNESDAY, May 8, 2019 (HealthDay News) — In 2015 to 2016, 45.8 percent of the U.S. population used prescription drugs within the past 30 days, according to a May data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics (NCHS).
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CDC: Prevalence of Arthritis 22.8 Percent in U.S. Adults in 2017
WEDNESDAY, May 8, 2019 (HealthDay News) — The prevalence of arthritis was 22.8 percent in U.S. adults in 2017, with statewide variation in prevalence and in the prevalence of severe joint pain and physical inactivity among those with arthritis, according to research published in the May 3 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
External Reference Pricing Could Cut Drug Costs in U.S.
TUESDAY, May 7, 2019 (HealthDay News) — The average price for single-source brand-name drugs is higher in the United States than in other countries, indicating that external reference pricing could reduce costs, according to a study published in the May issue of Health Affairs.
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Efforts Needed to Ensure Publication of All Trials
TUESDAY, May 7, 2019 (HealthDay News) — Efforts are needed to ensure all completed large trials are reported, according to a research letter published online May 7 in the Annals of Internal Medicine.
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More Than Half of U.S. Adults Have Medical Financial Hardship
FRIDAY, May 3, 2019 (HealthDay News) — Medical financial hardship affects more than half of adults in the United States, according to a study published online May 1 in the Journal of General Internal Medicine.
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