July 2012 Briefing - Pain ManagementLast Updated: August 01, 2012.
Here are what the editors at HealthDay consider to be the most important developments in Pain Management for July 2012. 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.
Anesthesia Regimen Linked to Post-Orthognathic Op Pain
TUESDAY, July 31 (HealthDay News) -- Patients undergoing orthognathic maxillofacial surgery experience more pain postoperatively if they receive anesthesia with propofol and remifentanil versus inhalational agents and longer-acting opioids, according to a study published in the Summer 2012 issue of Anesthesia Progress.
Self-Efficacy Predicts Fibromyalgia Symptomatology
MONDAY, July 30 (HealthDay News) -- Self-efficacy is a significant predictor of fibromyalgia symptomatology, according to a study published online July 17 in Arthritis Care & Research.
Better Analgesia From Pelvic Plexus Block in Prostate Biopsy
THURSDAY, July 26 (HealthDay News) -- Compared with periprostatic nerve block (PNB), pelvic plexus block (PPB), performed under Doppler ultrasound guidance, provides better pain relief for men during office-based transrectal ultrasound-guided prostate biopsy, according to research published in the August issue of The Journal of Urology.
Forefoot Joints Don't Improve 28-Joint Count Measurement
WEDNESDAY, July 25 (HealthDay News) -- For the assessment of patients with early rheumatoid arthritis (RA), including forefoot joints does not significantly improve the precision or range of measurement of the 28-tender and swollen joint count, according to a study published online July 16 in Arthritis Care & Research.
Most Doctors Satisfied With Electronic Health Records
THURSDAY, July 19 (HealthDay News) -- Although only 55 percent of physicians had adopted electronic health records (EHRs) in 2011, most are somewhat or very satisfied with their system and most report enhanced patient care, according to a July data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
Discrepancy in Perception of RA Disease Activity Elucidated
THURSDAY, July 19 (HealthDay News) -- Patients with rheumatoid arthritis (RA) see pain as the most significant determinant of their disease activity, while physicians see joint swelling as the most important determinant, according to a study published online July 18 in Arthritis & Rheumatism.
Poorer Patient Experience at Safety-Net Hospitals
THURSDAY, July 19 (HealthDay News) -- Safety-net hospitals (SNHs) perform worse on nearly every measure of patient experience, according to a study published online July 16 in the Archives of Internal Medicine.
Social Network Analysis IDs Informal Physician Networks
TUESDAY, July 17 (HealthDay News) -- Informal networks among physicians who share patients demonstrate substantial geographic variability, while within networks, physician and patient characteristics are similar, according to a study published in the July 18 issue of the Journal of the American Medical Association.
Pain, Disability Don't Predict Function in Spinal Stenosis
MONDAY, July 16 (HealthDay News) -- For patients with lumbar spinal stenosis (LSS), subjective measures of pain and disability have limited ability to predict real-life ambulatory performance, according to a study published in the July 1 issue of Spine.
Abuse-Deterrent OxyContin Produces Unexpected Outcome
THURSDAY, July 12 (HealthDay News) -- Introduction of an abuse-deterrent formulation of OxyContin correlated with a significant reduction in its abuse, but was accompanied by an increase in abuse of other opioids and heroin, according to a letter published in the July 12 issue of the New England Journal of Medicine.
Tests ID'd for Use in Outcome Assessment of Spinal Stenosis
WEDNESDAY, July 11 (HealthDay News) -- For patients with lumbar spinal stenosis the Oswestry Disability Index, Modified Swiss Spinal Stenosis Scale (SSS), and Patient Specific Functional Scale have been shown to possess adequate psychometric properties for use in assessment of outcome, according to a study published online July 2 in The Spine Journal.
Legalization of Euthanasia Has Not Altered Prevalence
WEDNESDAY, July 11 (HealthDay News) -- Current trends in the frequency and characteristics of euthanasia in the Netherlands are similar to those seen before enactment of the euthanasia law in 2002, according to a study published online July 11 in The Lancet.
Anxiety, Depression Common in Adults With Arthritis
MONDAY, July 9 (HealthDay News) -- Anxiety and depression are both common among U.S. adults with arthritis, with anxiety found more often than depression, according to a study published in the July issue of Arthritis Care & Research.
Obesity Is a Risk Factor for Poor Remission Rates in RA
FRIDAY, July 6 (HealthDay News) -- For patients with long-standing rheumatoid arthritis treated with anti-tumor necrosis factor-α (anti-TNFα) therapies, obesity is related to poor remission rates, according to a study published online June 21 in Arthritis Care & Research.
Sadness Increases Subjective Experience of Pain
FRIDAY, July 6 (HealthDay News) -- Sadness increases subjective pain ratings and affects pain-evoked cortical activity, according to a study published in the July issue of The Journal of Pain.
High-Dose Vitamin D 'Somewhat Favorable' in Fracture Prevention
THURSDAY, July 5 (HealthDay News) -- High-dose (≥800 IU daily) vitamin D supplementation is associated with a decreased risk of hip fracture and nonvertebral fractures among older adults, according to a study published in the July 5 issue of the New England Journal of Medicine.
One-Third of Opioid Overdose Deaths Involve Methadone
THURSDAY, July 5 (HealthDay News) -- Methadone is involved in more than 30 percent of opioid-related overdose deaths, with the overdose death rate significantly higher than for other opioid pain relievers, according to a report published in the July 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
Anesthesiology Trainees' Debt Impacts Moonlighting, Career
TUESDAY, July 3 (HealthDay News) -- Having high medical school debt increases the likelihood of anesthesiology residents moonlighting and joining practice groups with debt repayment programs, while decreasing their odds of pursuing academic medicine, according to a study published in the July issue of Anesthesia & Analgesia.
Rheumatoid Arthritis Drug Not Linked to Specific Birth Defects
TUESDAY, July 3 (HealthDay News) -- The rheumatoid arthritis drug leflunomide is not a major cause of birth defects in women who inadvertently become pregnant while taking the drug, although pregnancy should be avoided, according to a study in the July issue of Arthritis & Rheumatism.
Brain Connectivity Predicts Transition to Chronic Pain
TUESDAY, July 3 (HealthDay News) -- Greater connectivity between two areas of the brain increases the likelihood that subacute back pain will not recover and will become chronic instead, according to a study published online July 1 in Nature Neuroscience.
Standardized Treatment Plans Developed for New-Onset JIA
MONDAY, July 2 (HealthDay News) -- Four standardized consensus treatment plans (CTPs) have been developed for patients with new-onset systemic juvenile idiopathic arthritis (JIA), according to research published in the July issue of Arthritis Care & Research.