Pain can be a symptom of disease, but it becomes a disease in some cases, said Dr. Elliot Krane, chief of pain management at the Packard Children's Hospital and professor of anesthesiology at Stanford University Medical Center. About 10% of the time, Krane said, patients recover but pain persists, often for years, and when that happens, "it is its own disease."
Researchers reviewed 12 years of data on people ages 51 and older found socioeconomic factors such as poverty and education can affect the risk of chronic and severe pain. The study in the journal Pain also found an increasing chronic pain burden in the US.
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The American College of Physicians issued new guidelines calling for people with low back pain to try drug-free treatments, such as physical therapy or heat wraps, before using medication. The report, published in the Annals of Internal Medicine, called for opioid use to be a last resort in cases of long-lasting pain and for people to start medication therapy with nonsteroidal anti-inflammatory drugs.
A study published in the Journal of Clinical Pharmacology found intravenous lidocaine may safely reduce pain in ICU patients with organ dysfunction. Researchers said IV lidocaine may be an adjunct pain relief option for ICU patients with difficult-to-treat pain or in cases where opioid-induced respiratory depression is a risk.
A study in the Journal of General Internal Medicine found patients with opioid addiction were more likely to refrain from using the drug for two months if they received buprenorphine with a brief interview in the emergency department compared with patients who received a referral or an interview discussing treatment alone. The findings were based on follow-up data for 290 patients in a clinical trial.
A study in JAMA Internal Medicine showed the use of opioid painkillers, tranquilizers, antidepressants and antipsychotic drugs increased more than twofold among individuals older than 60 years from 2004 to 2013, with a more than threefold increase seen for those in rural areas. The findings, based on CDC data, showed an estimated 3.7 million provider visits annually by seniors who used three or more of these brain-affecting drugs.
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. A goal is to foster new levels of multidisciplinary integration in the care and treatment of the patient in pain. Learn more.
Science continues to progress at a tremendous pace with new tools, approaches, and terminology in use daily. Keeping up with this progress is difficult, even for those fully immersed in the process, but is essential for the effective translation of information from the bench to the bedside. This preconference is for clinicians and non-scientists who may require or desire a better understanding of the terminology and techniques used in basic pain research to better understand and apply educational material from the Annual Scientific Meeting. Learn more.
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