Roger Chou ’s Undisclosed Conflicts of Interest: How the CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I ' m present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, He...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
Roger Chou s Undisclosed Conflicts of Interest: How the CDCs 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie JudyI ' m present. Uh I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh update.- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, Health Pro...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs
I'm for it . . .
but it isn ' t going to happen, at least not this year. I got the following from the Drug Policy Alliance:Today, on the 50th anniversary of Nixon declaring the “war on drugs,” Reps. Bonnie Watson Coleman and Cori Bush haveofficially introduced the Drug Policy Reform Act, a bill to federally decriminalize ALL drugs that they unveiled earlier this week at the press conference the Drug Policy Alliance hosted. DPA has been a strategic partner on the development of this legislation and will be actively advocating for its passage in Congress. DPA ’s Executive Director, who is currentlytestifying before the House...
Source: Stayin' Alive - June 17, 2021 Category: American Health Source Type: blogs
If Lawmakers Really Want to “Follow the Science” They Will Repeal Codified Opioid Guidelines
This study documents a relationship between opioid prescribing and opioid overdose in a large, national, prospective cohort of individuals receiving opioid therapy for a variety of medical conditions. The risk of opioid overdose should continue to be evaluated relative to the need to reduce pain and suffering and be considered along with other risk factors.University of Alabama Professor of Medicine Stefan Kerteszpointed out thatfollow up research led by Bohnert found the median overdose dosage was 60 MMEs and 86 percent occurred under 90 MMEs. Yet he cautioned policymakers:Reliance on a simple binary dose metric is an ext...
Source: Cato-at-liberty - May 24, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
PROP ’s Disproportionate Influence on U.S. Opioid Policy: The Harms of Intended Consequences
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 Guideline ha...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 3, 2021 Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
PROP s Disproportionate Influence on U.S. Opioid Policy: The Harms of Intended Consequences
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 CDCs 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 Guideline had been...
Source: Pallimed: A Hospice and Palliative Medicine Blog - May 3, 2021 Category: Palliative Care Tags: CDC health policy kollas opioids pain prop Source Type: blogs
After Moving Slightly Forward on Buprenorphine, Will We Shift Into Reverse?
Jeffrey A. SingerThe Department of Health and Human Services issuedrelaxed guidelines for physicians wishing to treat Opioid Use Disorder (OUD) with buprenorphine in the closing days of the Trump administration. While I arguedhere that the guidelines don ’t go far enough, it was nevertheless a step in the right direction.Even though outright repeal of the Drug Enforcement Administration ’s so‐called “X‐waiver,” required of health care practitioners wishing to treat OUD with buprenorphine receivedbipartisansupport in the last Congress, the Biden administration is consideringrescinding the new bup...
Source: Cato-at-liberty - February 1, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
Confronting Stigma From Opioid Use Disorder in Cancer Care
by Fitzgerald Jones, Ho, Sager, Rosielle and MerlinHave you ever been so distressed by a perspective piece that it kept you up at night? The type of rumination that fills you with so much angst that you have no choice but to act. This is exactly how we felt when we read theAAHPM Quarterly Winter 2020 Let ’s Think About It Again.1 (member paywall)The column, which is structured as a sort of written debate in which two authors argue a clinical question, describes a case of a 45-year-old man with severe substance use disorder (SUD) recently diagnosed with extensive-stage small-cell lung cancer. He was offered aggr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 30, 2021 Category: Palliative Care Tags: ftigerald jones ho merlin rosielle sager Source Type: blogs
Confronting Stigma From Opioid Use Diorder in Cancer Care
by Fitzgerald Jones, Ho, Sager, Rosielle and MerlinHave you ever been so distressed by a perspective piece that it kept you up at night? The type of rumination that fills you with so much angst that you have no choice but to act. This is exactly how we felt when we read theAAHPM Quarterly Winter 2020 Let ’s Think About It Again.1 (member paywall)The column, which is structured as a sort of written debate in which two authors argue a clinical question, describes a case of a 45-year-old man with severe substance use disorder (SUD) recently diagnosed with extensive-stage small-cell lung cancer. He was offered aggr...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 30, 2021 Category: Palliative Care Tags: ftigerald jones ho merlin rosielle sager Source Type: blogs
A Small But Certain Step Toward Removing the “X” Waiver
Jeffrey A. SingerOn January 14, the U.S. Department of Health and Human Services issued new,relaxed guidelines for physicians wishing to prescribe buprenorphine to their patients with opioid use disorder. While the so ‐called “X” waiver required of prescribers remains, thenew guidelines permit physicians (not nurse practitioners or physician assistants) to prescribe buprenorphine without the waiver. They may only prescribe to patients located within their own state and they may have no more than 30 opioid use disorder patients on buprenorphine at any time.Buprenorphine is a synthetic opioid that was develope...
Source: Cato-at-liberty - January 16, 2021 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
As the War on Drugs Relentlessly Grinds On, Overdose Deaths Relentlessly Mount
Jeffrey A. SingerWhen the Centers for Disease Control and Preventionannounced last January that drug overdoses in 2018 declined by 4.1 percent –from 70,237 in 2017 to 67,367 in 2018 –many in thepress took that as a sign of possible progress in America ’s longest war, the war on drugs. However, a deeper look at the data painted a very different picture.The CDC report stated:The age ‐adjusted rate of drug overdose deaths involving synthetic opioids other than methadone, which include drugs such as fentanyl, fentanyl analogs, and tramadol, increased from 0.3 per 100,000 standard popula...
Source: Cato-at-liberty - July 16, 2020 Category: American Health Authors: Jeffrey A. Singer Source Type: blogs
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Source: PsyBlog | Psychology Blog - June 23, 2020 Category: Psychiatry & Psychology Authors: Jeremy Dean Tags: Addiction Alcohol subscribers-only Source Type: blogs
A Tribute to My Colleagues and All Those Working in Mental Health
During a time when the world is focused on the current COVID-19 pandemic, a physical health crisis, and all those treating the physical symptoms of this pandemic, we must not forget those who are working to treat the mental health of our nation: the mental health workers. The force of mental health workers includes nurses, counselors, social workers, physicians, and others. These individuals may not be intubating, but ask if they are implementing life-saving tactics and administering life-saving medication and the answer will be a resounding yes.
You may ask yourself what are these life-saving tactics and medications. Th...
Source: World of Psychology - May 9, 2020 Category: Psychiatry & Psychology Authors: Kristin Pitman, Psy.D., LPC Tags: General Psychotherapy Suicide Treatment coronavirus COVID-19 Mental Health Care Providers Source Type: blogs
A tale of two epidemics: When COVID-19 and opioid addiction collide
I am a primary care doctor who has recovered from — and who treats — opiate addiction. I work in an inner-city primary care clinic in Chelsea, Massachusetts, which currently has the highest rate of COVID-19 in the state, due, in part, to poverty. These two experiences offer me a clear view of how these two epidemics — COVID-19 and opioid addiction — can impact and worsen each other. Two great epidemics of our generation are intersecting in ways that are additively deadly, and which highlight the urgent ways we must respond to some of the underlying fault lines in our society that are worsening both crises.
Social d...
Source: Harvard Health Blog - April 20, 2020 Category: Consumer Health News Authors: Peter Grinspoon, MD Tags: Addiction Cold and Flu Health care disparities Infectious diseases Mental Health Source Type: blogs
Coronavirus is forcing us to confront addiction treatment paradoxes
On March 19th, the federal government loosened regulations around methadone and buprenorphine, two medications used to treat opioid addiction. The change was triggered by the novel coronavirus and concerns that current practices would either contribute to its spread or restrict critical opioid addiction treatment. For all the havoc th e coronavirus is undoubtedly causing, it is also […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - April 7, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/sara-k-schenk" rel="tag" > Sara K. Schenk, MD < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Psychiatry Source Type: blogs
