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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

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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

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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

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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

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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

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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

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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

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Core principles developed for managing COIs during the clinical practice guideline development process
Modification of the traditional Subjective-Objective-Assessment-Plan presentation to consider value can help medical students learn to practice high-value

Modified SOAP Ups Student Awareness of Health Care Costs

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Modification of traditional SOAP presentation to include discussion of value helps medical students
In adults with episodic migraine

Simvastatin, Vitamin D3 Combo Helps Prevent Migraines

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Treatment effective for preventing headache in adults with episodic migraine
For new entries into health care with low back pain

Type of Provider Impacts Health Care Utilization in LBP

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For new entries into care with low back pain, health care use up with physiatry versus primary care