• May 2013 Briefing - Pain Management

    Here are what the editors at HealthDay consider to be the most important developments in Pain Management for May 2013. 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.
    Exserohilum rostratum Can Relapse After Antifungal Tx
    FRIDAY, May 31 (HealthDay News) -- Contamination of methylprednisolone acetate has resulted in human infections with Exserohilum rostratum, which can relapse even following antifungal treatment, according to a case study published online May 29 in the New England Journal of Medicine.
    Full Text (http://www.nejm.org/doi/full/10.1056/NEJMc1306560 )
    Meta-Analysis Compares Vascular Risks for NSAIDs
    THURSDAY, May 30 (HealthDay News) -- The nonsteroidal anti-inflammatory drug (NSAID) diclofenac is associated with significantly increased vascular risk, comparable to that of selective COX-2 inhibitors (coxibs), according to a meta-analysis published online May 30 in The Lancet.
    Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60900-9/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61128-9/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61128-9/fulltext )
    Patients Who Share in Care Decisions May Up Costs of Care
    THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.
    Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1691765#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691765 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691772 )
    2012 AMA Report Highlights Progress Toward Better Future
    THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.
    More Information (http://www.ama-assn.org/ama/pub/about-ama/ama-annual-report.page )
    One-Third of Medical Students Have Implicit Anti-Fat Bias
    THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.
    Abstract (http://journals.lww.com/academicmedicine/Abstract/publishahead/Are_Medical_Students_Aware_of_Their_Anti_obesity.99382.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/academicmedicine/Abstract/publishahead/Are_Medical_Students_Aware_of_Their_Anti_obesity.99382.aspx )
    Majority of Clinicians Support Medicinal Marijuana Use
    THURSDAY, May 30 (HealthDay News) -- A majority of clinicians appears to support the use of medicinal marijuana, according to research published in the May 30 issue of the New England Journal of Medicine.
    Full Text (http://www.nejm.org/doi/full/10.1056/NEJMclde1305159 )
    Doc Passengers Assist in Half of In-Flight Medical Emergencies
    WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.
    Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1212052 )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1212052#t=article )
    Enrollment in U.S. Medical Colleges Is Increasing
    WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).
    More Information (https://members.aamc.org/eweb/upload/12-237%20EnrollmSurvey2013.pdf )
    Transparency Key to Improving Value Care for Patients
    WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.
    Full Text (http://annals.org/article.aspx?articleid=1691701 )
    HHS: End-of-2013 Targets for EHR Use Already Reached
    TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.
    More Information (http://www.hhs.gov/news/press/2013pres/05/20130522a.html )
    Telerehabilitation System Good for Assessing Low Back Pain
    TUESDAY, May 28 (HealthDay News) -- A telerehabilitation system may be useful for evaluating chronic low back pain, according to a study published in the May 15 issue of Spine.
    Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05150/Agreement_Between_Telerehabilitation_and.15.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05150/Agreement_Between_Telerehabilitation_and.15.aspx )
    Pain Conditions Linked to Increased Risk of Suicide
    MONDAY, May 27 (HealthDay News) -- Certain non-cancer pain conditions, including back pain, migraine, and psychogenic pain, are associated with increased risk of suicide in patients using Veterans Health Administration (VHA) services, according to research published online May 22 in JAMA Psychiatry.
    Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1689535#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1689535 )
    Docs Anticipating Changes Ahead As ACA Progresses
    MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.
    More Information (http://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/a5ee019120e6d310VgnVCM1000003256f70aRCRD.htm?id=us_furl_2013physciansurvey_031813 )
    About One in Four Uninsured Could Be Excluded From ACA
    FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.
    More Information (http://jacksonhewittaca.com/wp-content/uploads/2013/05/ACA-Banking-and-Premium-Report.pdf )
    Data Support Basing Health Decisions on Both Benefit, Cost
    FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.
    Full Text (http://www.mjpa.umich.edu/uploads/2013/davswin.pdf )
    Systematic Screening of Med Adherence Will ID Barriers
    WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.
    Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1690707 )
    Study Examines Outbreak of Spinal Infections in Michigan
    TUESDAY, May 21 (HealthDay News) -- Factors such as increased case finding may explain why Michigan had half of the total spinal infections associated with contaminated methylprednisolone acetate in the recent fungal meningitis outbreak, according to research published in the May 17 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
    Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6219a1.htm?s_cid=mm6219a1_w )
    Digital Divide Exists With Physician EHR Adoption
    MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.
    Report (http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/Health%20Care%20Provider/us_dchs_2013PhysicianSurveyHIT_051313%20(2).pdf )
    Marijuana Use Tied to Lower Fasting Insulin Level, HOMA-IR
    FRIDAY, May 17 (HealthDay News) -- Marijuana use is associated with lower levels of fasting insulin and insulin resistance and with smaller waist circumference, according to a study published online May 16 in the American Journal of Medicine.
    Abstract (http://www.amjmed.com/article/S0002-9343(13)00200-3/abstract )Full Text (http://www.amjmed.com/article/S0002-9343(13)00200-3/fulltext )Editorial (http://www.amjmed.com/article/S0002-9343(13)00313-6/fulltext )
    Prednisolone Disturbs Carbohydrate Metabolism
    FRIDAY, May 17 (HealthDay News) -- In patients with inflammatory diseases without diabetes, treatment with low-dose prednisolone has deleterious effects on carbohydrate metabolism, according to a study published online May 13 in Diabetes Care.
    Abstract (http://care.diabetesjournals.org/content/early/2013/05/09/dc12-2617.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/05/09/dc12-2617.full.pdf+html )
    Little Evidence for Prediction Rules for Low Back Pain
    FRIDAY, May 17 (HealthDay News) -- Few randomized clinical trials have been done to assess clinical prediction rules for patients with lower back pain, and the trials that have been done are of low quality and do not provide sufficient evidence to support their use, according to a review published in the April 20 issue of Spine.
    Abstract (http://journals.lww.com/spinejournal/Abstract/2013/04200/Systematic_Review_of_Randomized_Controlled_Trials.10.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/04200/Systematic_Review_of_Randomized_Controlled_Trials.10.aspx )
    Lifestyle Activities Impact Development of Spinal Stenosis
    THURSDAY, May 16 (HealthDay News) -- Increased loading of the lumbar spine, arising from lifestyle activities (such as lifting heavy objects, more frequent pregnancy, and higher body mass index), could contribute to the degenerative process and lead to development of degenerative lumbar spinal stenosis (DLSS), according to a study published in the April 20 issue of Spine.
    Abstract (http://journals.lww.com/spinejournal/Abstract/2013/04200/Socioeconomic_and_Physical_Characteristics_of.21.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/04200/Socioeconomic_and_Physical_Characteristics_of.21.aspx )
    Discectomy Post-Op Pain Worse in Patients With Retrolisthesis
    THURSDAY, May 16 (HealthDay News) -- The presence of retrolisthesis in patients undergoing decompressive surgery for a lumbar disc herniation may result in significantly worse lower back pain and physical function over four years, according to a study published in the April issue of The Spine Journal.
    Abstract (http://www.thespinejournalonline.com/article/S1529-9430%2812%2901293-4/abstract )Full Text (subscription or payment may be required) (http://www.thespinejournalonline.com/article/S1529-9430%2812%2901293-4/fulltext )
    Meds for Back Pain Tied to Higher Erectile Dysfunction Risk
    WEDNESDAY, May 15 (HealthDay News) -- Long-term use of painkillers for back pain is tied to an increased risk of erectile dysfunction, according to a study published in the May 15 issue of Spine.
    Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05150/Prescription_Opioids_for_Back_Pain_and_Use_of.7.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05150/Prescription_Opioids_for_Back_Pain_and_Use_of.7.aspx )
    Ultrasound Findings Can Improve Classification of RA
    WEDNESDAY, May 15 (HealthDay News) -- Compared to clinical diagnosis of synovitis, ultrasound-detected synovitis provides either improved sensitivity or specificity when used with the American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) criteria for identifying patients with a disease requiring methotrexate (MTX) treatment, according to research published in the April issue of Arthritis & Rheumatism.
    Abstract (http://onlinelibrary.wiley.com/doi/10.1002/art.37848/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/art.37848/full )
    Chiropractic Therapy Helps Reduce Acute Low Back Pain
    TUESDAY, May 14 (HealthDay News) -- Military personnel with acute lower back pain (LBP) who receive chiropractic manipulative therapy (CMT) in addition to standard medical care (SMC) show significantly improved scores for pain relief and physical functioning, compared to those receiving only SMC, according to a study published in the April 15 issue of Spine.
    Abstract (http://journals.lww.com/spinejournal/Abstract/2013/04150/Adding_Chiropractic_Manipulative_Therapy_to.2.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/04150/Adding_Chiropractic_Manipulative_Therapy_to.2.aspx )
    New FDA Survey to Assess Doc Attitudes on DTC Advertising
    MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.
    More Information (http://www.pharmalive.com/fda-will-find-docs-still-detest-dtc-advertising-survey )
    User Satisfaction With Electronic Health Records Down
    FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.
    More Information (http://www.americanehr.com/about/news/13-03-05/Survey-of-Clinicians-User-satisfaction-with-electronic-health-records-has-decreased-since-2010.aspx )
    Poor Service, Bedside Manner Top Patients' Online Complaints
    FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.
    More Information (http://vanguardcommunications.net/about/survey-results-2013/ )
    Smartphones, Smartphone Apps Increasingly Used by Docs
    THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.
    Report 1 (http://www.kantarmedia-healthcare.com/how-are-physicians-using-smartphones-for-professional-purposes )Report 2 (http://www.kantarmedia-healthcare.com/more-physicians-value-and-use-mobile-apps-for-professional-purposes )
    HHS Releases Data on Inpatient Charges for Hospital Services
    THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.
    More Information (http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4597&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date )
    Application for Health Coverage Has Been Simplified, Shortened
    WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).
    More Information (https://www.cms.gov/apps/media/press/release.asp?Counter=4590&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&s )
    In-Utero Exposure to Migraine Drugs May Lower Offspring IQ
    TUESDAY, May 7 (HealthDay News) -- Pregnant women should steer clear of certain migraine prevention medications which have been associated with decreased IQ scores in children exposed to them in utero, according to a May 6 news release issued by the U.S. Food and Drug Administration.
    More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm350866.htm )
    Patients Most Annoyed by Long Waits, Unclear Test Results
    FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.
    More Information (http://www.consumerreports.org/cro/magazine/2013/06/what-bugs-you-most-about-your-doctor/index.htm )
    Health Industry Payment Details to Be Publicly Available
    THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.
    More Information (http://capsules.kaiserhealthnews.org/index.php/2013/04/new-website-will-disclose-health-%20industry-payments-to-doctors/ )
    SAMHSA: Sharp Rise in ER Visits Due to Zolpidem
    WEDNESDAY, May 1 (HealthDay News) -- Issues related to the prescription sleep medication zolpidem are landing an increasing number of people in emergency departments, according to research conducted by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).
    More Information (http://www.samhsa.gov/newsroom/advisories/1304303131.aspx )
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