A study presented at the annual American Academy of Pain Medicine meeting found use of prescription opioids, such as fentanyl, codeine or morphine, in the 100 days prior to hospital admission was associated with a higher risk of hospital-acquired pneumonia, compared with no exposure to the drugs. The findings were based on 40,403 patients aged 18 to 70 years admitted to the Kaiser Permanente health system over four years.
CDC researchers reviewed data for nearly 1.3 million commercially insured adults without cancer and found that the probability of long-term opioid use sharply increased after five days of use, as well as after a second prescription and a 700 morphine-milligram-equivalent cumulative dose. The findings in the Morbidity and Mortality Weekly Report also showed that only 2.6% of patients continued opioid therapy for a year or more.
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The biopsychosocial model used by the Cleveland Clinic's interdisciplinary chronic pain rehabilitation program significantly improved patient pain scores measured by the Central Sensitization Inventory, researchers told the American Academy of Pain Medicine's annual meeting. Dr. Jordan Newmark of Stanford University said studies that show objective outcomes are important to gaining insurance reimbursement for pain rehab programs.
More patients with discopathy-related lower back pain reported relief from one intradiscal glucocorticoid injection at one month, compared with those who did not get an injection, but at one year there was no difference between the groups in pain intensity or other health outcomes, researchers said. The study in the Annals of Internal Medicine found both groups had similar rates of adverse events.
More than 188,000 opioid exposure calls for youths younger than 20 were received by US poison control centers from January 2000 through December 2015, with exposures increasing by 86% from 2000 to 2009 before declining from 2009 to 2015, researchers reported in Pediatrics. The report also showed that 60% of exposures were among children younger than 5, while intentional opioid consumption was more likely among teens.
Connecticut and Alaska are considering legislation to allow people to tell health care practitioners they do not want prescriptions for opioid medications. Massachusetts and Pennsylvania approved the creation of non-opioid voluntary directives last year.
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Advances in the management of people in pain are linked to advances in basic science and its translation to clinical care. The Fundamentals Course will provide a foundation for students, trainees and early career pain scientists and clinicians with a translational focus for each topic presented. This course provides both pre-work and live interactive participation. Attendees will experience new levels of interdisciplinary integration in the science and treatment of patients with pain. Learn more.
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