Expertise
A Nation In Pain – Express Scripts Report  |  January 5, 2015

A Nation In Pain by Express Scripts Report This large study of 36 million pharmacy claims, representing 6.8 million lives, provides valuable insight into recent opioid prescribing trends. The study defined short-term users as those who received a supply of 30 days or less in a one year period, and anyone who went beyond the 30…

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Why The Business of Pain Management is Big and Getting Bigger  |  December 1, 2014

Why The Business of Pain Management is Big and Getting Bigger Released by Triple Tree a few weeks ago, this report provides a very comprehensive and accurate analysis of the current state of the pain management industry today. Their insightful review points to numerous drivers behind the high economic cost and poor clinical outcomes that are produced…

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Study: Hospitals Often Prescribe Pain Meds in High Doses  |  November 28, 2014

Study: Hospitals Often Prescribe Pain Meds in High Doses This study was conducted at Beth Israel Deaconess where researchers looked at inpatient opioid prescribing for over a million adult nonsurgical hospitalizations at 286 facilities across the US. The results were staggering – 43% of the nonsurgical patients were exposed to multiple opioids during their hospitalization,…

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Medical Marijuana Reduces Opioid Overdoses in Some States  |  October 3, 2014

Medical Marijuana Reduces Opioid Overdoses in Some States Over a ten year period, states that legalized medical marijuana showed a 24% reduction in opioid overdose deaths. I’m not sure any other measure has ever proven this effective in reducing the fatalities from these drugs. Although the mechanism causing this has yet to be elucidated, it…

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What are Patient Expectations?  |  July 31, 2014

Investigating patient expectations and treatment outcome in a chronic low back pain population This article, while using a sample size of 47 patients, set out using the patient-centered outcomes questionnaire (PCOQ) to determine the outcomes that patients consider to be clinically meaningful across four treatment domains – pain, fatigue, emotional distress, and level of interference….

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The Pros and Cons of Long-Term Opioid Treatment of Chronic Nonmalignant Pain  |  July 26, 2014

“Long-term opioid treatment of chronic nonmalignant pain: unproven efficacy and neglected safety?” The title of this article really says it all. The authors performed a well-designed meta-analysis of all available literature over the past 30 years relating to efficacy of this drug class for time periods greater than 3 or 6 months. Of the more…

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