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New research may change the prevailing approach to treating neonatal abstinence syndrome (NAS), according to the authors of a New England Journal of Medicine article published last week. Currently, babies born to mothers who have used opioids, and who then suffer symptoms of withdrawal, are...
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PAINWeek faculty member Gary Jay discusses what's going on with opioid prescribing today, and why some doctors may be prescribing opioids when they might do better with another medication.
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A number of factors came together to facilitate increased prescribing of opioids and prescribing to more people using higher doses. There was a perceived under treatment of chronic pain. Laws and regulations were passed in many states to permit the use of opioids for that purpose, for which they...
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A study conducted by researchers from NorthShore University Health System, Evanston, Illinois, reports that patients who receive intraoperative methadone during spinal fusion surgery need lower quantities of opioids, both oral and intravenous, to manage their postoperative pain. Lead author Glenn...
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A study of patient outcomes in a large general healthcare system found almost 20% of patients with opioid use disorder (OUD) died at some point in the 4 years following care. The results suggest a much higher mortality risk for patients with OUD in the general care setting, compared with patients in...
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Evidence-based medicine is how we connect research to clinical practice. It started in the 80s and 90s as of way of looking at how studies are done and how they could be applied to clinical care, and it’s gone through a number of changes over the years. Evidence-based medicine now is being applied...
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A research review conducted for the US Department of Health and Human Services Substance Abuse and Mental Health Services Administration (SAMHSA) seeks to advance the goal of creating evidence-based recommendations for treating pregnant and parenting women with opioid use disorder (OUD). The report...
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The nationwide opioid abuse epidemic has directed a lot of attention from the state and federal levels on the primary care provider. The CDC guidelines for the prescribing of opioids for acute pain can do a lot to help a provider to steel himself or herself in the event that there is inquiry into...
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Echoing a consensus view expressed by many PAINWeek faculty participants, the West Virginia House of Delegates took legislative action last week acknowledging the limitations of opioid prescribing restrictions on the crisis of opioid abuse, and on the well-being of patients with chronic pain. The...
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Will recently released prescribing guidelines from the CDC advance the cause of rational opioid therapy? Will they lead to better pain practice and better patient outcomes? Dr. Argoff considers the good, the bad, and the ugly...