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September 2016 Briefing - Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for September 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Platelet-Rich Plasma SIJ Injection Cuts Low Back Pain

FRIDAY, Sept. 30, 2016 (HealthDay News) -- For patients with chronic low back pain, ultrasound-guided sacroiliac joint (SIJ) injection with platelet-rich plasma (PRP) is effective for reducing pain, according to a study published online Sept. 27 in Pain Practice.

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CDC: Too Many Health Care Workers Not Getting Flu Vaccine

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Roughly one in every five American health care workers do not receive the annual influenza vaccination, and in some facilities that number exceeds half, according to research published in the Sept. 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Upper Functional GI Disorders Often Overlap With IBS

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Factors associated with the overlap of upper functional gastrointestinal disorders (FGIDs) with irritable bowel syndrome (IBS) have been identified, according to a study published in the September issue of the Journal of Gastroenterology and Hepatology.

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Meditation Recommended for Helping Attendings 'Attend'

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Meditation can allow attending physicians to be "in attendance" in order to heal and maintain personal well-being, according to an article published by the American Medical Association.

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Prescribed NSAIDs Tied to Higher Heart Failure Risk

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Use of prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) may be tied to a higher risk of heart failure, according to research published online Sept. 28 in The BMJ.

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Dose-Dependent Link Between Cannabis Use, Psychosis Relapse

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Cannabis use may raise the risk of psychosis relapse, according to a study published online Sept. 28 in JAMA Psychiatry.

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Capping Copays Will Raise Premiums, Up Drug Prices

THURSDAY, Sept. 29, 2016 (HealthDay News) -- The proposed capping of copays will raise premiums and is likely to increase drug prices, according to a report from the National Center for Policy Analysis (NCPA).

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Considerable Number of Doctors Attend Patient Funerals

THURSDAY, Sept. 29, 2016 (HealthDay News) -- A considerable proportion of doctors attend patient funerals, including 71 percent of general practitioners (GPs), according to a study published online Sept. 9 in Death Studies.

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Many Doctors Reluctant to Reveal Mental Health Issues

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Wary of the stigma of a mental health diagnosis and its toll on their careers, physicians often avoid getting help for depression and other mental illnesses, according to a report published online Sept. 15 in General Hospital Psychiatry.

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Reviewers More Likely to Accept Single-Blind Manuscripts

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Reviewers are more likely to accept manuscripts when author names and institutions are visible, even in the presence of errors in the manuscript, according to a study published in the Sept. 27 issue of the Journal of the American Medical Association.

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Many Spinal Manipulation Trials Don't Report Adverse Events

TUESDAY, Sept. 27, 2016 (HealthDay News) -- Many randomized clinical trials (RCTs) involving spinal manipulative therapy (SMT) do not report adverse events, although there has been an increase in such reporting since publication of the 2010 Consolidated Standards of Reporting Trials (CONSORT) statement, according to a review published in the September issue of The Spine Journal.

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AMA: Practicing Empathy May Lead to More Joy in Medicine

MONDAY, Sept. 26, 2016 (HealthDay News) -- Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.

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PCN, PRF Both Relieve Pain in Cervical Disc Herniation

MONDAY, Sept. 26, 2016 (HealthDay News) -- For patients with contained cervical disc herniation, both percutaneous nucleoplasty (PCN) and pulsed radio frequency (PRF) are associated with pain relief, according to a study published online Sept. 9 in Pain Practice.

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Orthogeriatric Model of Care Cost-Effective in Elderly With Hip Fx

MONDAY, Sept. 26, 2016 (HealthDay News) -- For 83-year-old patients with hip fracture, an orthogeriatric (OG) model of care is effective and cost-effective, according to research published online Sept. 16 in the Journal of Bone and Mineral Research.

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Pregabalin Benefits Not Linked to Prior Gabapentin Use

FRIDAY, Sept. 23, 2016 (HealthDay News) -- Pregabalin is beneficial for neuropathic pain, regardless of previous gabapentin use, according to research published online Sept. 9 in Pain Practice.

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Economic Burden of U.S. Opioid Epidemic $78.5 Billion Annually

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Abuse of opioids costs the U.S. economy $78.5 billion a year, according to a study published in the October issue of Medical Care.

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Physicians Treating Few Patients With Buprenorphine

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- For buprenorphine prescribers, the monthly patient census is 13 patients, according to a research letter published in the Sept. 20 issue of the Journal of the American Medical Association.

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Non-TNF Biologic Beats Second Anti-TNF in Rheumatoid Arthritis

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- A non-tumor necrosis factor (TNF)-targeted biologic is more effective than a second anti-TNF drug for treatment of rheumatoid arthritis in patients with insufficient response to a first anti-TNF drug, according to a study published in the Sept. 20 issue of the Journal of the American Medical Association.

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Art Therapy, Clown Visits Cut Children's Preoperative Anxiety

TUESDAY, Sept. 20, 2016 (HealthDay News) -- An intervention based on art therapy and clown visits can reduce children's anxiety at preoperative separation from parents, according to a study published online Sept. 14 in the Journal of Clinical Nursing.

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Hospitals Increasingly Employing Doctors, Effects on Care Uncertain

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Hospitals are increasingly switching to an employment relationship with physicians, but switching has had no impact on primary composite quality metrics, according to a study published online Sept. 20 in the Annals of Internal Medicine.

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AAP Says Codeine Not Safe for Children, Urges Restrictions

MONDAY, Sept. 19, 2016 (HealthDay News) -- Codeine is unsafe for children and should no longer be given to them, according to a new report from the American Academy of Pediatrics (AAP) published online Sept. 19 in Pediatrics.

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Average Premiums for Health Care Coverage Stable in 2016

MONDAY, Sept. 19, 2016 (HealthDay News) -- The average annual premiums for single and family coverage remained stable in 2016, according to a study published online Sept. 14 in Health Affairs.

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Medical Marijuana Laws Linked to Reduced Opioid Use, Abuse

FRIDAY, Sept. 16, 2016 (HealthDay News) -- A new study of drivers who died in auto accidents suggests people in states with medical marijuana laws may be using fewer opioids, according to a study published online Sept. 15 in the American Journal of Public Health.

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Recommendations Developed for Cost-Effectiveness Analyses

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A new set of recommendations has been developed for conduct and reporting of cost-effectiveness analyses, according to a report published in the Sept. 13 issue of the Journal of the American Medical Association.

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Value-Driven Outcomes Tool Can Cut Health Care Costs

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- A multifaceted value-driven outcomes tool that identifies variability in costs and outcomes can reduce health care costs, according to a study published in the Sept. 13 issue of the Journal of the American Medical Association.

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No Independent Link for Maternal Pot Use, Neonatal Outcomes

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- Maternal marijuana use is not independently associated with adverse neonatal outcomes, according to a review published in the October issue of Obstetrics & Gynecology.

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Pain and Itch Highly Prevalent Months After Herpes Zoster

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- For patients with herpes zoster (HZ), pain and itch are prevalent and pain is associated with quality of life and increased costs, according to a study published online Sept. 9 in Pain Practice.

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Most Patients Taking Opioids Open to Receiving Naloxone Rx

TUESDAY, Sept. 13, 2016 (HealthDay News) -- A new, small survey of patients taking opioids found that most were willing to also fill prescriptions for naloxone. The report was published in the September/October issue of the Annals of Family Medicine.

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Electroacupuncture Helps Ease Chronic Severe Constipation

TUESDAY, Sept. 13, 2016 (HealthDay News) -- Acupuncture may provide some relief to patients with chronic severe functional constipation, according to research published online Sept. 13 in the Annals of Internal Medicine.

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New Electrical Stimulation Method Ups Dexterity After Stroke

FRIDAY, Sept. 9, 2016 (HealthDay News) -- A new form of electrical stimulation therapy can help restore some dexterity to a hand that's been paralyzed by stroke, according to a study published online Sept. 8 in Stroke.

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Pregabalin Significantly Improves Neuropathic Pain

FRIDAY, Sept. 9, 2016 (HealthDay News) -- Pregabalin significantly improves neuropathic pain, irrespective of the time since pain onset, according to a study published online Sept. 2 in Pain Practice.

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Limited Dialyzability for Oxycodone, Noroxycodone

THURSDAY, Sept. 8, 2016 (HealthDay News) -- For patients with chronic pain with end-stage renal disease, oxycodone and noroxycodone have limited dialyzability, according to a study published online Sept. 2 in Pain Practice.

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Self-Regulatory Fatigue Linked to QoL in Fibromyalgia Syndrome

TUESDAY, Sept. 6, 2016 (HealthDay News) -- Patients with fibromyalgia syndrome (FMS) with higher self-regulatory fatigue (SRF) have lower quality of life (QoL), according to a study published online Sept. 2 in Pain Practice.

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Older Adults Employ High-Risk Methods to Obtain Opioids

TUESDAY, Sept. 6, 2016 (HealthDay News) -- About 15 percent of older adults use high-risk methods for obtaining prescription opioids, according to a study published online Aug. 26 in the Journal of the American Geriatrics Society.

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Non-Drug Methods Effective for Treating Some Pain Conditions

FRIDAY, Sept. 2, 2016 (HealthDay News) -- Non-drug methods of managing pain from conditions such as headaches and arthritis appear to be effective, according to a review published in the September issue of the Mayo Clinic Proceedings.

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Infective Endocarditis From Injection Drug Use Increasing

FRIDAY, Sept. 2, 2016 (HealthDay News) -- The number of Americans hospitalized with infective endocarditis (IE) related to injecting opioids and heroin is on the rise, according to a study published in the Summer issue of Open Forum Infectious Diseases.

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Physician's Briefing
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