August 2011 Briefing - Pain ManagementLast Updated: September 01, 2011.
Here are what the editors at HealthDay consider to be the most important developments in Pain Management for August 2011. 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.
Self-Efficacy Tied to Achieving Physical Activity Goals in RA
MONDAY, Aug. 29 (HealthDay News) -- For patients with rheumatoid arthritis (RA) having self-efficacy at baseline is tied to achieving physical activity goals, which has a direct effect on uality of life, according to a study published online Aug. 25 in Arthritis Care & Research.
Extended-Release Opioid Pain Medication Approved
FRIDAY, Aug. 26 (HealthDay News) -- Nucynta ER (tapentadol extended release) has been approved by the U.S. Food and Drug Administration to treat moderate-to-severe chronic pain in adults, maker Janssen Pharmaceuticals said.
Clinical, Lab Variables Predict Survival in Advanced CA
FRIDAY, Aug. 26 (HealthDay News) -- A combination of clinical and laboratory variables can effectively predict two-week and two-month survival in patients with advanced cancer who are no longer being treated, according to a study published online Aug. 25 in the BMJ.
Complementary Medicine Used More by Health Care Workers
FRIDAY, Aug. 26 (HealthDay News) -- U.S. health care workers, especially health care providers, are more likely to use complementary and alternative medicine (CAM) than the general, employed U.S. population, according to a study published online Aug. 22 in Health Services Research.
Pharmaceutical Ads Often Don't Adhere to U.S. FDA Guidelines
THURSDAY, Aug. 25 (HealthDay News) -- Physician-targeting pharmaceutical advertisements have low rates of adherence to U.S. Food and Drug Administration (FDA) guidelines and provide inadequate information for safe prescribing, according to a study published online Aug. 17 in PLoS One.
Stereotactic Radiotherapy Treats Colorectal Liver Mets
THURSDAY, Aug. 25 (HealthDay News) -- Stereotactic body radiotherapy is a safe and effective treatment for colorectal liver metastases, with a strong association between local control and overall survival even for heavily pretreated patients, according to a study published in the September 1 Cancer.
Fibronectin-Aggrecan Complex IDs Epidural Steroid Response
MONDAY, Aug. 22 (HealthDay News) -- In patients receiving lumbar epidural steroid injection (ESI) for radiculopathy from lumbar herniated nucleus pulposus (HNP), fibronectin-aggrecan complex (FAC) can act as an accurate and independent biomarker of response to ESI, according to a study published in the Aug. 15 issue of Spine.
Carpal Tunnel Patients Likely to Share Surgical Decisions
MONDAY, Aug. 22 (HealthDay News) -- The majority of patients undergoing carpal tunnel release prefer to share surgical decision making with their surgeon, and these patients have less severe symptoms than those who are fully active or fully passive in decision making, according to a study published in the Aug. 17 issue of The Journal of Bone & Joint Surgery.
CDC: 2010/2011 Flu Vaccination Coverage Studied
THURSDAY, Aug. 18 (HealthDay News) -- Influenza vaccination coverage among health care personnel (HCP) and pregnant women in the 2010/2011 influenza season was similar to coverage for the 2009/2010 season, according to two reports in the Aug. 19 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.
High Cumulative Malpractice Risk for All Physicians
THURSDAY, Aug. 18 (HealthDay News) -- Physicians in all specialties have a high cumulative risk of facing a malpractice claim by age 65; although most claims do not lead to indemnity payments, according to a study published in the Aug. 18 issue of the New England Journal of Medicine.
Factors Identified for Spinal Stenosis Surgery Outcome
THURSDAY, Aug. 18 (HealthDay News) -- A history of psychiatric disease and a higher preoperative body mass index (BMI) are associated with poorer clinical outcomes following surgery for lumbar spinal stenosis, while more severe preoperative disability results in a better outcome, according to a study published in the July issue of The Spine Journal.
Early Neurolysis Reduces Pain in Inoperable Pancreatic CA
TUESDAY, Aug. 16 (HealthDay News) -- Early endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is associated with reduced pain and may decrease morphine consumption in patients with painful, inoperable pancreatic adenocarcinoma, according to a study published online Aug. 15 in the Journal of Clinical Oncology.
Spinal Manipulation Therapy Effectively Treats Low Back Pain
MONDAY, Aug. 15 (HealthDay News) -- Spinal manipulation therapy (SMT) is an effective treatment for patients with chronic, nonspecific low back pain (LBP), and maintenance SMT provides long-term pain relief, according to a study published in the Aug. 15 issue of Spine.
Altered Movement Biomechanics in Obese Tied to Osteoarthritis
MONDAY, Aug. 15 (HealthDay News) -- Obese individuals have altered movement strategies during everyday movements, including walking and sit-to-stand, according to a review published online Aug. 3 in Obesity Reviews.
Psychiatric Comorbidity Affects Costs in Severe Back Pain
FRIDAY, Aug. 12 (HealthDay News) -- Patients with severe back pain undergoing disc surgery have high direct and indirect costs, which are influenced by psychiatric comorbidity, according to a study published in the July issue of The Spine Journal.
Interstitial Cystitis Subtypes Have Distinct Differences
THURSDAY, Aug. 11 (HealthDay News) -- In women with interstitial cystitis/painful bladder syndrome (IC/PBS), the number of comorbid diagnoses/symptoms differ substantially between the ulcerative (ULC) and nonulcerative (N-ULC) IC/PBS subtypes and controls, according to a study published in the August issue of Urology.
Oral Contraceptives Beneficial in Inflammatory Polyarthritis
MONDAY, Aug. 8 (HealthDay News) -- In women with inflammatory polyarthritis (IP), use of oral contraceptives (OCs) before or during symptom onset is associated with beneficial functional outcome, according to a study published in the August issue of Arthritis & Rheumatism.
Cost of Interacting With Payers Higher in U.S. Than Canada
FRIDAY, Aug. 5 (HealthDay News) -- Physician practices in the United States spend considerably more on interactions with health plans than Canadian practices, according to a study published in the August issue of Health Affairs.
Antidepressant Prescriptions for Non-Psych Disorders Up
FRIDAY, Aug. 5 (HealthDay News) --The number of antidepressants prescribed by non-psychiatrist physicians to patients without a psychiatric disorder continues to rise, according to a study published in the August issue of Health Affairs.
Teens Who Misuse Controlled Meds More Likely to Abuse Drugs
THURSDAY, Aug. 4 (HealthDay News) -- Among adolescents who take at least one prescribed controlled medication, 22 percent report misuse, and misusers are significantly more likely to have a positive screening result for drug abuse, according to a study published in the August issue of the Archives of Pediatrics & Adolescent Medicine.
Knee Arthroplasty Unaffected by Patellar Resurfacing
MONDAY, Aug. 1 (HealthDay News) -- Neither patellar resurfacing nor the design of the prosthetic affects the clinical outcome of total knee arthroplasty, according to a study published in the July 20 issue of The Journal of Bone & Joint Surgery.