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Pain Management

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Improved prescribing practices could help reduce opioid abuse and overdose deaths from those drugs

CDC: Prescribing Practices Key to Curbing Rx Abuse

Small number of doctors write most opioid prescriptions, study finds
Complications from epidural and spinal anesthetic procedures during cesarean deliveries dropped 25 percent over a recent 10-year period

Epidural-Related Complications Down for C-Sections

Certain complications down 25 percent over decade
Significant decreases in low-value services were seen in accordance with two of seven early "Choosing Wisely" recommendations

Some Changes Seen in Line With ‘Choosing Wisely’ Initiative

Declines in two of seven recommendations: imaging for headache, cardiac imaging for low-risk patients
Trends in opioid use and treatment of opioid use disorder are described in two studies published online Oct. 13 in the Journal of the American Medical Association.

Prescription Opioid Use Disorders Up From 2003 to 2013

Second study shows no increase in treatment for individuals with opioid use disorders
For adults with low back pain fitting a decision rule

Early Physical Therapy Shows Limited Value in Low Back Pain

Significant improvement in disability; improvement modest and not seen at one-year follow-up
Patients who die at home experience more peace in their final days and hours than they would in a hospital

Dying at Home Brings More Peace Without More Pain

Patients and loved ones find greater comfort spending final days together in familiar place
When compared to 12 other industrialized nations

Americans Spend More on Health Care, but Fare Worse

Comparison with 12 industrialized nations shows more money spent, but life expectancy is lowest
A supervised exercise program does not confer additional benefits in activity limitation or quality of life compared with advice alone for patients with isolated and uncomplicated ankle fracture

Rehab Not Necessary for Uncomplicated Ankle Fracture

Australian research shows similar results for either rehab program or advice only
Cannabis appears mostly safe for treating chronic pain

Cannabis Appears to Be Safe for Chronic Pain Patients

Drug modestly reduces patients' pain scores
The Guidelines International Network has developed principles for disclosure and management of conflicts of interest during the clinical practice guideline development process

Guidelines Developed for Managing Conflicts of Interest

Core principles developed for managing COIs during the clinical practice guideline development process