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February 2020 Briefing - Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for February 2020. 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.

Vitamin D Tied to Back Problems in Postmenopausal Women

FRIDAY, Feb. 28, 2020 (HealthDay News) -- Vitamin D deficiency is associated with lumbar disc degeneration (LDD) and low back pain (LBP) in postmenopausal women, according to a study published online Feb. 10 in Menopause.

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Antibiotic, Opioid Rx Common With ED Visits for Dental Conditions

THURSDAY, Feb. 27, 2020 (HealthDay News) -- Antibiotics and opioids are frequently prescribed during emergency department visits for dental conditions, according to a study published in the March issue of the Journal of the American Dental Association.

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Influence of Politics Has Not Waned in Opinions About ACA

WEDNESDAY, Feb. 26, 2020 (HealthDay News) -- Public opinion about the Affordable Care Act (ACA) remains divided 10 years after its passage, according to a study published online Feb. 19 in Health Affairs.

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Mistreatment, Discrimination Still Common for Medical Students

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Mistreatment of medical students remains common for women, racial/ethnic minorities, and sexual minorities, according to a study published online Feb. 24 in JAMA Internal Medicine.

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Medication Treatment May Lower Risk for Opioid Overdose Death

TUESDAY, Feb. 25, 2020 (HealthDay News) -- Medication treatment with methadone and buprenorphine is associated with a significantly lower risk for overdose death for people with opioid use disorder (OUD) compared with nonmedication treatment, but this lower risk does not persist after discontinuing treatment, according to a study published online Feb. 25 in Addiction.

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Purdue Launches Ad Campaign for OxyContin Claims

MONDAY, Feb. 24, 2020 (HealthDay News) -- An ad campaign to inform people harmed by the prescription opioid OxyContin as to where they can file claims against maker Purdue Pharma was launched Monday by the company as part of bankruptcy proceedings.

AP News Article

Many Transgender Youth Intentionally Avoid Disclosure

THURSDAY, Feb. 20, 2020 (HealthDay News) -- Most transgender youth voluntarily disclose their gender identity to health care providers (HCPs) outside of a gender clinic; however, almost half report having intentionally avoided disclosure, according to a study published online Feb. 20 in the Journal of Adolescent Health.

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U.S. Life Expectancy to Reach 85 by 2060

FRIDAY, Feb. 14, 2020 (HealthDay News) -- Nearly a quarter of all U.S. residents will be older than 65 by 2060, and life expectancy will reach an all-time high of 85 by that year, according to the U.S. Census Bureau.

AP News Article

2011 to 2018 Saw Decline in Problems Paying Medical Bills

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- From 2011 to 2018, there was a decrease in the percentage of families having problems paying medical bills in the past 12 months, according to a February data brief published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Nonpharmaceutical Interventions Aid Low Back Pain

WEDNESDAY, Feb. 12, 2020 (HealthDay News) -- Movement-based mind-body interventions (MMBIs), particularly yoga, are effective for reducing low back pain, according to a review published in the January/February issue of Holistic Nursing Practice.

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Brain MRIs ID Racial Differences in Pain Response

TUESDAY, Feb. 11, 2020 (HealthDay News) -- Racial differences in pain may be rooted in life experience, rather than intrinsic biology, according to a study published online Feb. 3 in Nature Human Behaviour.

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Prophylactic Migraine Treatment Has No Effect in Children

TUESDAY, Feb. 11, 2020 (HealthDay News) -- There is little evidence supporting the efficacy of prophylactic pharmacologic treatments for pediatric migraine, according to a review published online Feb. 10 in JAMA Pediatrics.

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Empathy Declines as Students Progress Through Medical School

MONDAY, Feb. 10, 2020 (HealthDay News) -- Students become less empathic toward patients throughout medical school, according to a study published online Jan. 21 in Academic Medicine.

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Seniors Have Concerns About Affording Health Insurance

MONDAY, Feb. 10, 2020 (HealthDay News) -- Many adults aged 50 to 64 years are concerned about their ability to afford health insurance, according to a study published online Feb. 7 in JAMA Network Open.

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Number of Nurse Practitioners More Than Doubled 2010 to 2017

FRIDAY, Feb. 7, 2020 (HealthDay News) -- From 2010 to 2017, there was a substantial increase in the number of nurse practitioners in the United States, with a corresponding reduction in the size of the registered nurse workforce, according to a report published in the February issue of Health Affairs.

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Reference Pricing Linked to Lower Prices Paid by Employers

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Reference prices are associated with lower prices paid by employers and lower cost sharing by employees, according to a study published online Feb. 5 in JAMA Network Open.

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Kratom Seems Safe for Pain, Anxiety, Opioid Withdrawal

THURSDAY, Feb. 6, 2020 (HealthDay News) -- Kratom is used for symptoms of pain, anxiety, depression, and opioid withdrawal, and serious adverse events are uncommon, according to a the results of a survey published online Feb. 3 in Drug and Alcohol Dependence.

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Cluster Headache Ups Sickness Absence, Disability Pension Days

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- Patients with cluster headache have more sickness absence and disability pension days than matched references, according to a study published online Feb. 5 in Neurology.

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Industry Ties May Bias Indoor Tanning Studies

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- Although they comprise a small percentage of all published articles, articles with financial links to the indoor tanning industry are more likely to favor indoor tanning, according to a review published online Feb. 4 in The BMJ.

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Editorial

Tramadol Linked to Increased Hip Fracture Risk in Adults Aged ≥50

WEDNESDAY, Feb. 5, 2020 (HealthDay News) -- For older adults, initiation of tramadol is associated with an increased risk for hip fracture compared with initiation of codeine, ibuprofen, and other commonly used nonsteroidal anti-inflammatory drugs, according to a study published online Feb. 5 in the Journal of Bone and Mineral Research.

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Adult Dental Patients Frequently Overprescribed Opioids

TUESDAY, Feb. 4, 2020 (HealthDay News) -- Adult dental patients are frequently overprescribed opioids, with about half of prescribed opioids exceeding the recommended three-day supply, according to a study published online Feb. 4 in the American Journal of Preventive Medicine.

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Altering Default Settings in EHR Influences Opioid Prescribing

MONDAY, Feb. 3, 2020 (HealthDay News) -- Altering the default settings in the electronic medical record can influence the quantity of opioids prescribed in an emergency department setting, according to a study published online Jan. 21 in JAMA Internal Medicine.

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Proactive Pain Management May Cut Postop Opioid Prescriptions

MONDAY, Feb. 3, 2020 (HealthDay News) -- An enhanced recovery after surgery program complemented by a preemptive pain management program is associated with a decrease in opioid prescriptions at discharge following minimally invasive foregut surgery, according to a study published in the February issue of the Journal of Thoracic and Cardiovascular Surgery.

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