Opioid Prescriptions for New Low Back Pain: Trends and Variability by State

This study used a national claims database's billing codes to identify patients in the outpatient setting with a new encounter for isolated low back pain following a 1-year look-back period. The primary outcome was whether an opioid prescription was filled within 30 days after the encounter. Patients with a daily morphine milligram equivalence (MME/day) known to be associated with a higher risk of overdose were also analyzed. Results: A total of 418,565 patients between January 1, 2011 and November 30, 2016 were included. The proportion of patients with filled opioid prescriptions declined significantly between 2011 and 2016 (P
Source: Journal of the American Board of Family Medicine - Category: Primary Care Authors: Tags: Research Letters Source Type: research

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This study used a national claims database's billing codes to identify patients in the outpatient setting with a new encounter for isolated low back pain following a 1-year look-back period. The primary outcome was whether an opioid prescription was filled within 30 days after the encounter. Patients with a daily morphine milligram equivalence (MME/day) known to be associated with a higher risk of overdose were also analyzed. RESULTS: A total of 418,565 patients between January 1, 2011 and November 30, 2016 were included. The proportion of patients with filled opioid prescriptions declined significantly between 2011 and 2016 (P
Source: American Family Physician - Category: Primary Care Authors: Tags: J Am Board Fam Med Source Type: research
(CNN) — The rates of opioid prescriptions remain high for adolescents and young adults in the US, with certain outpatient and emergency conditions frequently prompting the use of these medications, according to a new study. Researchers analyzed visits to emergency rooms and outpatient clinics for adolescents and young adults ages 13 to 22 between 2005 and 2015 using data from two national surveys conducted by the National Center for Health Statistics, a division of the Centers for Disease Control and Prevention. Over the 11-year study period there were more than 78,000 visits to emergency rooms and outpatient clinics...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health News CNN opioids Source Type: news
By DAVE CHASE  Today’s opioid crisis is one of the most dire side effects driven by our dysfunctional U.S. healthcare system. A recent JAMA Surgery report found that many surgeons prescribe four times more opioids than their patients use. This opens the door for misuse and abuse later on. In fact, the total combined cost of misuse, abuse, dependence and overdose is about $78.5 billion. Unfortunately, there’s a direct connection between the low-quality care many patients receive, and the astounding rates of opioid addiction. Often, insurance plans offer access to high-cost, volume-centric physicians and inc...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Patients Value-Based Care Dave Chase Opioid epidemic Source Type: blogs
Authors: Borenstein DG, Hassett AL, Pisetsky D Abstract The Pain Management Task Force of the American College of Rheumatology published a report in 2010 highlighting pain management as a fundamental aspect of clinical practice, training and research. In the interim, the consideration of pain as a focus of attention of rheumatologists and rheumatology health professionals has become even more challenging than in 2010 because of the epidemic of opiate addiction and overdose death. The characterisation of categories of pain by mechanism (e.g., inflammation, joint degeneration, abnormalities of central pain processing...
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
If you teach health law, come to the 40th Annual Health Law Professors Conference, June 8-10, 2017, at Georgia State University College of Law in Atlanta.  Here is the schedule: Thursday, June 8, 20178:00-12:00 AM Tour of the Centers for Disease Control and Prevention (Separate registration is required. Participants meet in the lobby of Georgia State Law to take a shuttle to the CDC.) 9:45 – 11:15 AM Tour of Grady Health System (Separate registration is required. Participants meet in the lobby of Georgia State Law and will walk over to Grady as a group.) 2:00 – 5:00 PM Conference Registration – Henso...
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care syndicated Source Type: blogs
The federal government has declared, through its major health policy agencies, that the number of pain patients on opioids and the dosages they are on should be severely restricted.  The Center for Disease Control (CDC), Veteran’s Administration (VA) and Centers for Medicare and Medicaid Services (CMS) have all issued new guidelines within the past year to that effect.  Private insurers are following suit, in many cases refusing to pay for high dose opioids. More recently, the American College of Physicians issued new guidelines for the treatment of low back pain that recommend using nonpharmacological ther...
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Meds Pain management Source Type: blogs
When I was in medical school, doctors only wrote prescriptions for opioid painkillers for terminal cancer patients, surgical patients and critical emergencies. That's because they knew these drugs were lethal. Opioids come from the same poppy plant used to make opium and heroin. And just like those addictive street drugs, the risk of getting hooked on them is extremely high. It's incredible how things have changed since then… What are opioids prescribed for? Today, you're likely to get a prescription for opioids for just about any kind of pain. That includes chronic pain, fibromyalgia, depression, heada...
Source: Al Sears, MD Natural Remedies - Category: Complementary Medicine Authors: Tags: Health Natural Cures Source Type: news
In April, the U.S. Surgeon General, Dr. Vivek Murthy, attended a meeting of the Association of Health Care Journalists. In an exclusive interview with MedPage Today, he shared his mounting concerns about two matters: the impact of burnout on physicians and our society’s current opioid crisis. Dr. Murthy stated that he views physicians as being an essential part of the solution to the epidemic of drug overdoses, which have exceeded motor vehicle accidents as one of the leading causes of death. Dr. Murthy correctly linked the well-being of health professionals with that of the general public, stating, “As I think...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Addiction Behavioral Health Health care Pain Management Source Type: news
"Please, I need my Oxycodone! " my patient, M, pleaded with me. My eyes met his. I observed every fleeting facial expression, hoping to gauge his intentions. The discussion about whether to continue to prescribe this medication was one I 'd had too many times with too many patients over the past few months. "My arthritis is always worst in the winter, " he said, rubbing his lower back. It was a snowy afternoon in clinic, and M and I were in the midst of a debate. Oxycodone is an opioid medication, and, like other painkillers such as Oxycontin, Percocet, and Vicodin, it carries...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
"Please, I need my Oxycodone!" my patient, M, pleaded with me. My eyes met his. I observed every fleeting facial expression, hoping to gauge his intentions. The discussion about whether to continue to prescribe this medication was one I'd had too many times with too many patients over the past few months. "My arthritis is always worst in the winter," he said, rubbing his lower back. It was a snowy afternoon in clinic, and M and I were in the midst of a debate. Oxycodone is an opioid medication, and, like other painkillers such as Oxycontin, Percocet, and Vicodin, it carries a significant risk of ...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
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