Senators Portman, Whitehouse, and Klobuchar Think They Know Better Than The CDC About How To Treat Acute Pain

This study came one year after a largerstudy of more than 568,000 “opioid‐​naïve” patients treated for acute postsurgical pain from 2008–2016 found a total “misuse” rate of 0.6 percent.The press report onCARA 2.0 issued by Senator Portman ’s office states the three‐​day limit is recommended by the CDC in its 2016Guideline for Prescribing Opioids for Chronic Pain (recommendation number 6). But these guidelines were aimed at treatingchronic pain, and were based on what the CDC stipulated was very limited evidence. The CDC also emphasized the guidelines were meant to be suggestive, not prescriptive.Aware of the misinterpretation and misapplication of its 2016 guidelines, the CDC issued anAdvisory in April 2019. The Advisory stated:In addition, policies that mandate hard limits conflict with the guideline ’s emphasis on individualized assessment of the benefits and risks of opioids given the specific circumstances and unique needs of each patient.The CDC announced in December 2019 that itplans to update its guidelines, which have come under muchcriticism from many pain management and addiction treatment specialists, alongwith theAmerican Medical Association.In a June 2020letter to the CDC on behalf of the AMA, James L. Madara, MD, Executive Vice President and Chief Executive Officer of the AMA stated:As a starting point, the AMA points to the well ‐​received recommendation from the U.S. Health and Huma...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs

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To perform a scoping review of how patients with COVID-19 are affected by acute limb ischaemia (ALI) and evaluate the recommendations of the 2020 ESVS ALI Guidelines for these patients.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Selected Abstracts from the January Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research
Blacks used telemedicine for surgical consults more than whites during the second phase of the pandemic, suggesting they may have relied on virtual visits to access care, a study reveals.Reuters Health Information
Source: Medscape General Surgery Headlines - Category: Surgery Tags: General Surgery News Source Type: news
Key Points• It is mandatory to evaluate the image quality of a prostate MRI scan, and to mention this quality in the report.• PI-QUAL v1 is an essential starting tool to standardize the evaluation of the quality of prostate MR-images as objectively as possible.• PI-QUAL will step by step develop into a reliable quality assessment tool to ensure that the first step of the MRI pathway is as accurate as possible.
Source: European Radiology - Category: Radiology Source Type: research
ConclusionCTPA was the primary modality for confirming PE in all trimesters of pregnancy, although its proportional use was higher in later stages of pregnancy.Key Points•Computed tomography pulmonary angiography (CTPA) was the primary modality of diagnosis in all trimesters of pregnancy among patients with confirmed pulmonary embolism, even in the first trimester.•From the first trimester of pregnancy to postpartum period, there was a linear increase in the proportion of patients with pulmonary embolism who were diagnosed based on CTPA.•In the postpartum period, use of CTPA as the modality to confirm pulmon...
Source: European Radiology - Category: Radiology Source Type: research
Treating patients in pain with nonpharmacologic therapy (for example, physical therapy and/or complementary medicine) in place of or in combination with opioid therapy is known to help reduce pain and improve physical function without the risk of addiction. Areport inJAMA Network Open now suggests that during the early months of the COVID-19 pandemic, patients in pain were more likely to receive opioids than nonpharmacologic therapy compared with the same period the previous year.“The decrease in nonpharmacologic therapy and increase in opioid prescription during the COVID-19 pandemic found in this cross-sectional st...
Source: Psychiatr News - Category: Psychiatry Tags: complimentary medicine COVID-19 insurance database JAMA Network Open opioids pandemic physical therapy Source Type: research
Digital media&downloads Compound Developed at UArizona Health Sciences Provides Innovative Pain Relief Researchers targeted a common sodium ion channel to reverse pain and saw positive results that could lead to a nonaddictive solution to treat pain. Today University of Arizona Health Sciencespain-relief-web.jpgHealthBIO5College of Medicine - TucsonExpertsResearch Media contact(s)Stacy Pigott University of Arizona Health Sciencesspigott@arizona.edu520-539-4152Researchers at the  University of Arizona Health Sciences are closer to developing a safe and effective non-opioid pain reliever after a study showed t...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
DISCUSSION: These data support an ongoing need for comprehensive clinician-based education as outlined in the FDA REMS educational blueprint, especially given recent data of escalating overdose deaths during the COVID-19 pandemic.PMID:34703298 | PMC:PMC8524258 | DOI:10.2147/JPR.S316637
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
ConclusionDespite being turned back from an effort to bluntly reduce opioid prescribing by the FDA in 2013 based on a lack of scientific evidence for its position (17,18), PROP has had a disproportionate effect on opioid policy in the Untied States for almost a decade. PROP found a willing federal regulatory partner in the CDC, and while PROP may not have “secretly written” the 2016 CDC Pain Guidelines (75), they certainly enjoyed disproportionate representation on CDC’s review panels and Core Expert Group (23-25) in a process that lacked transparency (22, 23, 26, 27). When the CDC admitted that its Pain ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
Jeffrey A. SingerIn the latest episode of “Cops Practicing Medicine,” a floor vote is scheduled in the House of Representatives for H.R. 3878, sponsored by Rep. David McKinney, (R-WV). Under current law, drug makers and distributors are required to report to the Drug Enforcement Administration any suspicious orders for controlled substances. H.R. 3878 would also require them to perform “due diligence” on their suspicions, document and report their due diligence to the DEA, and refuse to fill the order if their suspicions are not resolved by the due diligence.This amounts to the DEA commandeerin...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs
Mikayla Mace A University of Arizona pharmacologist discusses how the conditions created by the pandemic and the response could be exacerbating drug use and overdose. Monday University Communicationssad-505857_1920.jpgHealthCOVID-19Researcher contact: Todd W. Vanderah Comprehensive Pain and Addiction Center 520-626-7801vanderah@email.arizona.eduMedia contact: Mikayla Mace University Communications 520-621-1878mikaylamace@arizona.edu For the latest on the University of Arizona response to the novel coronavirus, visit the university'sCOVID-19 webpage.For UANews coverage of COVID-19, visithttps://uanews.arizona.edu/...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
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