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Here are what the editors at HealthDay consider to be the most important developments in Pain Management for August 2018. 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.<\/p>\n
Medical Bills in Collections Decrease With Patient Age<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Medical collections decrease substantially with age, possibly because of increased health insurance coverage and incomes, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n 14.6 Percent of U.S. Adults Used Marijuana in Past Year<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Overall, 14.6 percent of U.S. adults report marijuana use in the past year, according to a research letter published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Preemptive Analgesia May Cut Post-Op Pain in Anorectal Surgery<\/font><\/p>\n FRIDAY, Aug. 31, 2018 (HealthDay News) — Preemptive pain medication is safe and reduces pain in the early postoperative period for patients undergoing anorectal surgery, according to a study published in the July issue of Diseases of the Colon & Rectum<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n No Meaningful Increase in Physician Compensation Last Year<\/font><\/p>\n THURSDAY, Aug. 30, 2018 (HealthDay News) — There was no meaningful increase in physician compensation in 2017, and a decline in productivity was noted, according to the results of a survey conducted by AMGA Consulting.<\/p>\n Press Release<\/a><\/p>\n Survey (subscription or payment may be required)<\/a><\/p>\n U.S. Opioid Use Not Declining, Despite Focus on Abuse<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Rates of opioid use in the United States do not appear to be declining, according to a study published online Aug. 1 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Marketplace Premiums Increase More With Monopolist Insurers<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Affordable Care Act Marketplace premiums increase more in areas with monopolist insurers, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n PT Better After Hip Surgery Than Opioids in Younger Adults<\/font><\/p>\n WEDNESDAY, Aug. 29, 2018 (HealthDay News) — Physical therapy management is associated with better outcomes for young patients undergoing arthroscopic hip surgery, compared to primary or exclusive opioid treatment, according to a study recently published in Physical Therapy<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n FDA Warning Letters Target Illegal Online Sales of Opioids<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Four more online networks that operate 21 websites illegally selling potentially dangerous, unapproved, and misbranded versions of opioid pain medications have been told to immediately stop their sales, the U.S. Food and Drug Administration says. The order was made in warning letters sent to the networks.<\/p>\n More Information<\/a><\/p>\n Medical Practices Should Address Negative Online Reviews<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Medical practice staff can effectively handle negative online reviews by staying calm and positive, looking for solutions, apologizing, and thanking the reviewers, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Buprenorphine\/Naloxone Rx Fills Up With Medicaid Expansion<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — There was an increase in buprenorphine with naloxone fills in expansion versus nonexpansion counties after Medicaid expansion, according to a study published online Aug. 17 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Artificial Intelligence Holds Promise in Medicine<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Artificial intelligence (AI) in health care offers opportunities for early detection and triage, diagnostics and personalized medicine, and medical decision-making, according to an article published in Managed Healthcare Executive<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Alcohol Is Leading Risk Factor for Global Disease Burden<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — Globally, alcohol use is a leading risk factor for disease burden, according to research published online Aug. 23 in The Lancet<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Experts Address Loss of the National Guideline Clearinghouse<\/font><\/p>\n TUESDAY, Aug. 28, 2018 (HealthDay News) — The demise of the National Guideline Clearinghouse (NGC) in July 2018 is likely to impact evidence-based health care around the world, according to an Ideas and Opinions piece published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Bigger Drop in Opioid Prescribing After CDC Guideline Release<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Release of the U.S. Centers for Disease Control and Prevention Guideline for Prescribing Opioids for Chronic Pain in March 2016 corresponded to greater increases in several opioid prescribing patterns, according to a study published online Aug. 28 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Most Research Participants Not Concerned About Data Sharing<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Few participants in clinical trials have strong concerns about the risks of data sharing, according to a special article recently published in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Prescription Drug Monitoring Program May Not Cut Opioid Use<\/font><\/p>\n MONDAY, Aug. 27, 2018 (HealthDay News) — Implementation of a mandatory prescription drug monitoring program (PDMP) does not necessarily reduce the overall rate of opioid prescribing or the mean number of pills prescribed for patients undergoing general surgical procedures, according to a study published online Aug. 22 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n AMA Adopts Policy Promoting Health Equity As a Goal<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy that sets health equity as a goal for the U.S. health care system, according to a report published in the organization’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Hydrocodone Schedule Change Affected Post-Op Opioid Rx<\/font><\/p>\n FRIDAY, Aug. 24, 2018 (HealthDay News) — Hydrocodone’s change from schedule III to schedule II in 2014 was associated with an increase in the amount of opioids filled in the initial prescription after surgery, according to a study published online Aug. 22 in JAMA Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Small Practices Also at Risk for Data Breaches<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Data breaches can happen to small medical practices, but staff can take steps to prevent them, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Strategy Outlined for Shooter Incident in Health Care Facility<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Adhering to a “secure, preserve, fight” strategy is recommended for health care professionals working with a vulnerable patient population, according to a Medicine and Society piece published in the Aug. 9 issue of the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n National Provider Identifiers Are Vulnerable to Theft<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — National Provider Identifiers (NPIs) are vulnerable to identity theft, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Advantages for HDHP Enrollees in Large Versus Small Firms<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Workers in small firms are more likely to have higher deductible levels and lack employer contributions to help pay for out-of-pocket expenses compared to workers in larger firms, according to a study published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Spinal Manipulation Plus Exercise Effective for Teen Low Back Pain<\/font><\/p>\n WEDNESDAY, Aug. 22, 2018 (HealthDay News) — Twelve weeks of spinal manipulative therapy (SMT) combined with exercise therapy (ET) is more effective than ET alone over a one-year period for adolescents with chronic low back pain (LBP), according to a study published in the July issue of PAIN<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Doctors Often Not Discussing Risk Factors With Patients<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Patients report that doctors are routinely not discussing known risk factors for common causes of death, according to a survey conducted by ImagineMD.<\/p>\n More Information<\/a><\/p>\n Patient Education Urged to Prevent Opioid OD After Sobriety<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — The American Medical Association (AMA) encourages patient education to raise awareness of the risks associated with opioid use after a prolonged period of sobriety, according to a report in the organization’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Hypnosis Doesn’t Cut Post-Op Pain in Breast Cancer Surgery<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — Hypnosis before general anesthesia does not reduce postoperative breast pain among patients undergoing minor breast cancer surgery, according to a study published online Aug. 17 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Pennsylvania Case Could Affect Evidence for Malpractice Defense<\/font><\/p>\n TUESDAY, Aug. 21, 2018 (HealthDay News) — The Pennsylvania Supreme Court has agreed to hear a case that could affect what evidence physicians may present in defense during medical malpractice suits, according to an article published in the American Medical Association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Odds of Death Up With Exposure to Pregabalin, Opioids<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — Concomitant exposure to pregabalin and opioids is associated with increased odds of opioid-related death, according to a research letter published online Aug. 21 in the Annals of Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n NYU Becomes First Medical School to Cover All Tuition<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — The NYU School of Medicine has announced that it is offering full-tuition scholarships to all current and future students in its M.D. degree program, regardless of need or merit.<\/p>\n Press Release<\/a><\/p>\n Experts Offer Tips for Provider Appeal of Denied Medical Claims<\/font><\/p>\n MONDAY, Aug.20, 2018 (HealthDay News) — Knowing payer policies and regulatory requirements is critical to appealing denials, according to an article published in Medical Economics<\/i>.<\/p>\n More Information<\/a><\/p>\n Declines in Life Expectancy in Many High-Income Countries<\/font><\/p>\n MONDAY, Aug. 20, 2018 (HealthDay News) — Life expectancy has declined in recent years in some high-income countries, and in the United States, midlife mortality has increased due to several causes, according to two studies published online Aug. 15 in The BMJ<\/i>.<\/p>\n Abstract\/Full Text – Ho and Hendi<\/a><\/p>\n Abstract\/Full Text – Woolf<\/a><\/p>\n Editorial <\/a><\/p>\n Comments Open on End of NIH Review for Gene Therapy Studies<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead, the panel will assume an advisory role, while the U.S. Food and Drug Administration will assess gene therapy experiments and products as it does with other treatments and drugs. The proposed change will take effect after a public comment period which runs through Oct. 16.<\/p>\n AP News<\/i> Article<\/a><\/p>\n NIH Statement<\/a><\/p>\n Comment on Regulations<\/a><\/p>\n Psych Screening Beneficial in Pediatric Abdominal Pain<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — Systematic screening for anxiety, disability, and pain can increase psychological referral rates among pediatric patients with abdominal pain, according to a study published in the August issue of Pediatrics<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Residents’ Sleep Deteriorates During Training<\/font><\/p>\n FRIDAY, Aug. 17, 2018 (HealthDay News) — First-year residents experience worsening sleep duration and quality as well as daytime sleepiness, according to a study published in the June issue of the Journal of General Internal Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Editorial (subscription or payment may be required)<\/a><\/p>\n Practice Names, Logos Should Be Carefully Designed<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Practice names and logos should be carefully designed to emphasize what is unique about a practice, according to a blog post published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n NIH Panel Will No Longer Review Gene Therapy Experiments<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments, according to a perspective piece published online Aug. 15 in the New England Journal of Medicine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n NIH Statement<\/a><\/p>\n Steps Provided for Discharging Patient From Practice<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Patient Portals Don’t Appear to Have Much Traction<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Patient portals have not taken off as expected, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Liposomal Bupivacaine Block No Aid for Cesarean Pain<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — A liposomal bupivacaine incisional block at the time of cesarean delivery does not improve pain scores in the first 48 hours postoperatively, according to a study published in the July issue of Obstetrics & Gynecology<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Opioid Dependence More Common Before Spine Surgery<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — Opioid dependence is more likely to occur in patients with degenerative spondylolisthesis (DS) before surgery than afterward, according to a study recently published in the Journal of Neurosurgery: Spine<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n ACA Coverage Gains Include Workers Without Insurance<\/font><\/p>\n THURSDAY, Aug. 16, 2018 (HealthDay News) — After the expanded coverage provisions of the Affordable Care Act (ACA) were implemented in 2014, self-employed individuals and wage earners without employer-sponsored health coverage offers had coverage gains equal to or greater than those of people not employed, according to a report published in the August issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Health Professionals Have Role in Warning About Impaired Driving<\/font><\/p>\n WEDNESDAY, Aug. 15, 2018 (HealthDay News) — Physicians, pharmacists, and public health officials play an important role in educating individuals about the risks of impaired driving caused by marijuana or opioids, according to a report from the Governors Highway Safety Association (GHSA) funded by the Foundation for Advancing Alcohol Responsibility.<\/p>\n More Information<\/a><\/p>\n Integration of Opioid, Infectious Disease Treatment Needed<\/font><\/p>\n WEDNESDAY, Aug. 15, 2018 (HealthDay News) — Steps should be taken to integrate treatment at the intersection of opioid use disorder (OUD) and related HIV and hepatitis C virus (HCV) infectious disease epidemics, according to an Ideas and Opinion piece published online July 13 in the Annals of Internal Medicine<\/i>. The article was published to coincide with the National Academies of Sciences, Engineering, and Medicine (NASEM) expert panel’s recommendations for treating opioid abuse and its related infectious epidemics.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Marijuana May Improve Quality of Life in Head and Neck Cancer<\/font><\/p>\n WEDNESDAY, Aug. 15, 2018 (HealthDay News) — For patients with newly diagnosed head and neck cancer (HNC), quality of life may improve with marijuana use, according to a study published online Aug. 2 in JAMA Otolaryngology-Head & Neck Surgery<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n 6 Factors Related to Inclusion in Health Care Workplace ID’d<\/font><\/p>\n TUESDAY, Aug. 14, 2018 (HealthDay News) — There are six broad factors that can affect inclusion within health care organizations, according to a study published online Aug. 3 in JAMA Network Open<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Editorial<\/a><\/p>\n Four Pros to Integrating EHR, Practice Management Software<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — Consolidating electronic health records and practice management software allows practices to save time and money, make fewer mistakes, and reduce the risk of privacy breaches, according to an article published in Physicians Practice<\/i>.<\/p>\n Abstract\/Full text<\/a><\/p>\n CDC: EMS Administration of Naloxone Up From 2012 to 2016<\/font><\/p>\n MONDAY, Aug. 13, 2018 (HealthDay News) — The rate of naloxone administrations by emergency medical services (EMS) providers increased 75 percent from 2012 to 2016, according to research published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n CDC: Rates of Opioid Use Disorder Seen at Time of Delivery Up<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — Opioid use disorder rates at delivery more than quadrupled nationally from 1999 to 2014, according to research published in the Aug. 10 issue of the U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report<\/i>.<\/p>\n More Information<\/a><\/p>\n AMA Adopts Policy on Augmented Intelligence<\/font><\/p>\n FRIDAY, Aug. 10, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a policy on augmented intelligence, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n AMA Adopts Policy to Advance Gender Equity in Medicine<\/font><\/p>\n THURSDAY, Aug. 9, 2018 (HealthDay News) — The American Medical Association (AMA) House of Delegates has adopted a new policy to study, act for, and advocate to advance gender equity in medicine, according to a report published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Cyber Insurance Recommended for All Physician Practices<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — The growing threat of hacking is increasing the number of physicians buying cyber insurance, according to an article published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n Steps Taken to Increase Use of Electronic Tools in Medicine<\/font><\/p>\n WEDNESDAY, Aug. 8, 2018 (HealthDay News) — Additional codes have been approved by the Current Procedural Terminology (CPT) Editorial Panel for chronic care remote physiologic monitoring and internet consultations, according to a report published by the American Medical Association (AMA).<\/p>\n More Information<\/a><\/p>\n AMA Proposes Policy Opposing Medicaid ‘Lockout’ Provisions<\/font><\/p>\n TUESDAY, Aug. 7, 2018 (HealthDay News) — A new policy opposing lockout provisions that block Medicaid patients from the program for lengthy periods and instead supporting allowing patients to reapply immediately for redetermination was adopted by the American Medical Association (AMA) House of Delegates during the AMA’s annual meeting in Chicago, according to an article published in the association’s AMA Wire<\/i>.<\/p>\n More Information<\/a><\/p>\n Variation in Specialty Drug Coverage Across Health Plans<\/font><\/p>\n FRIDAY, Aug. 3, 2018 (HealthDay News) — There is considerable variation in specialty drug coverage across commercial health plans, according to a study published in the July issue of Health Affairs<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers<\/font><\/p>\n FRIDAY, Aug. 3, 2018 (HealthDay News) — Some types of bacteria are developing tolerance of alcohol-based hand sanitizers used in hospitals, according to a study published in the Aug. 1 issue of Science Translational Medicine<\/i>.<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n Groups Urge CMS to Reconsider Suspending Risk Adjustment<\/font><\/p>\n FRIDAY, Aug. 3, 2018 (HealthDay News) — In a letter sent to Administrator Seema Verma of the Centers for Medicare & Medicaid Services (CMS), medical organizations are urging reconsideration of the decision to suspend payments to insurers as required under the Affordable Care Act’s risk-adjustment program.<\/p>\n More Information<\/a><\/p>\n Health Affairs<\/i> Announces Launch of New Three-Year Initiative<\/font><\/p>\n THURSDAY, Aug. 2, 2018 (HealthDay News) — A council on health care spending and value has been established by the journal Health Affairs<\/i>.<\/p>\n More Information<\/a><\/p>\n Three Financial Metrics Can Improve Practice Performance<\/font><\/p>\n THURSDAY, Aug. 2, 2018 (HealthDay News) — By understanding three indices and metrics, physicians can change the financial outcome of their medical practice, according to a report published in Medical Economics<\/i>.<\/p>\n Abstract\/Full Text<\/a><\/p>\n New Short-Term Health Plans Have Large Coverage Gaps<\/font><\/p>\n