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January 2015 Briefing – Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for January 2015. This roundup includes the...
Patient engagement initiatives can decrease costs without sacrificing quality care

Patient Engagement Can Cut Costs, Improve Outcomes

Initiatives can decrease hospital visits, cut morbidity and mortality, up treatment adherence
Nearly one in 10 American adults don't take their medications as prescribed because they can't afford to

CDC: ~8 Percent of U.S. Adults Nonadherent Due to Rx Costs

Patients skipping doses, taking less medication or delaying filling prescriptions
The inflammatory adipokine leptin may have a mediating effect on the relationship between body weight and knee osteoarthritis in older adults

Leptin May Mediate Knee-Related Osteoarthritis

The inflammatory adipokine may account for about half of the effect of BMI on knee osteoarthritis
Pain management treatment decisions may be impacted by a health care provider's demographic characteristics

Provider Demographics Affect Pain Treatment Decisions

These effects may contribute to pain management disparities
For children in pediatric intensive care units mechanically ventilated for acute respiratory failure

Sedation Protocol Doesn’t Reduce Duration of Ventilation in PICU

No reduction in duration of mechanical ventilation for children with sedation protocol versus usual care
Preoperative back pain and individual pain sensitivity can predict postoperative pain following lumbar surgery

Pre-Op Back Pain, Pain Sensitivity Predict Outcomes

Findings in a group of patients undergoing surgery for lumbar spinal stenosis
Marijuana shouldn't be legalized because of the potential harm it can cause children and adolescents

AAP Opposes Legalization of Marijuana

But supports compassionate use for children with debilitating, terminal illnesses
Use of morphine post-tonsillectomy should be limited

Morphine Linked With Adverse Outcomes Post-Tonsillectomy

Research suggests children with obstructive sleep apnea should not be given morphine for post-op pain
Current targets call for 150 minutes of weekly exercise -- or 30 minutes of physical activity at least five days a week -- to reduce the risk of chronic diseases such as diabetes and cardiovascular disease. Although these standards don't need to be abandoned

Smaller Goals to Start Could Boost Activity in Sedentary

For those who are inactive, any activity may be better than none