James M Whedon, DC, MS Pain Medicine, pnaa014, https://doi.org/10.1093/pm/pnaa014 Published: 06 March 2020 Abstract Objective Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. Our objective was to evaluate the impact of chiropractic utilization upon use of prescription opioids among patients with spinal pain. Design and Setting We employed a retrospective cohort design for […]
James M Whedon, DC, MS Pain Medicine, pnaa014, https://doi.org/10.1093/pm/pnaa014 Published: 06 March 2020 Abstract Objective Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. Our objective was to evaluate the impact of chiropractic utilization upon use of prescription opioids among patients with spinal pain. Design and Setting We employed a retrospective cohort design […]
Pain Medicine, pnz219, https://doi.org/10.1093/pm/pnz219 Kelsey L Corcoran, DC Published: 27 September 2019 Abstract Objective To investigate the current evidence to determine if there is an association between chiropractic use and opioid receipt. Design Systematic review and meta-analysis. Methods The protocol for this review was registered on PROSPERO (CRD42018095128). The MEDLINE, PubMed, EMBASE, AMED, CINAHL, and Web of […]
BMJ Open 2019;9:e028633. doi: 10.1136/bmjopen-2018-028633 First published September 20, 2019. Lewis E Kazis1, Omid Ameli1,2, James Rothendler1, Brigid Garrity1, Howard Cabral3, Christine McDonough4, Kathleen Carey1, Michael Stein1, Darshak Sanghavi2, David Elton5, Julie Fritz6, Robert Saper7 Abstract Objective This study examined the association of initial provider treatment with early and long-term opioid use in a national […]
Pain Med. 2018 Sep 1;19(suppl_1):S54-S60. doi: 10.1093/pm/pny114. Lisi AJ Abstract OBJECTIVE: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription. METHODS: Cross-sectional analysis […]
Steven Passmore DC, PhD The Spine Journal Volume 19, Issue 9, Supplement, September 2019, Pages S78-S79 BACKGROUND CONTEXT Opioid prescription for spinal pain while common, is no longer recommended by recent clinical practice guidelines. Opioid prescription rates in the US and Canada are double those in most European countries. A recent study found chiropractic care […]
Injections $988 Physical Therapy: $510 Bracing: $193 Chiropractic services: $193 Narcotics: $101 Gabapentin: $93 NSAIDs: $47 Spine (Phila Pa 1976). 2019 Jul 1;44(13):937-942. doi: 10.1097/BRS.0000000000002983. Barton C Abstract STUDY DESIGN: Retrospective, observational study. OBJECTIVE: To examine the costs associated with nonoperative management (diagnosis and treatment) of cervical radiculopathy in the year prior to anterior […]
BMJ 2019; 365 doi: https://doi.org/10.1136/bmj.l1849 (Published 14 May 2019) Cite this as: BMJ 2019;365:l1849 Abstract Objective To determine the risk of prolonged opioid use in patients receiving tramadol compared with other short acting opioids. Design Observational study of administrative claims data. Setting United States commercial and Medicare Advantage insurance claims (OptumLabs Data Warehouse) January 1, 2009 through June […]
Fran Lowry March 19, 2019 DENVER — Chiropractic care for musculoskeletal pain is associated with a significant reduction in opioid prescriptions compared with non-chiropractic care in this patient population, new research suggests. In a new meta-analysis and systematic review, patients who visited a chiropractor for a musculoskeletal pain condition were 49% less likely to receive […]
Osteoarthritis and Cartilage — Thorlund JB, et al. | January 24, 2019 In this study, researchers quantified opioid use in patients with knee and hip osteoarthritis (OA), and calculated the proportion of opioids in the population attributable to patients with OA. Study participants included 751,579 inhabitants of southern Sweden aged ≥ 35 years (in 2015). […]
The Spine Journal Volume 18, Issue 11, November 2018, Pages 1974-1981 The Spine Journal Clinical Study Andrew J.Pugely MD Abstract Background Context Limited or no data exist evaluating risk factors associated with prolonged opioid use following cervical arthrodesis. Purpose The objectives of this study were to assess trends in postoperative narcotic use among preoperative opioid […]
By Lorraine L. Janeczko October 24, 2018 NEW YORK (Reuters Health) – Patients with osteoarthritis who start opioid treatment at higher doses tend to have higher treatment-failure rates, according to an industry-sponsored study. The findings were presented in a poster September 13 at the International Association for the Study of Pain (IASP) World Congress on […]
Payers that cover physical therapy and chiropractic care for addressing lower back pain can lower costs and opioid use. By Thomas Beaton October 23, 2018 – Payers could improve outcomes, increase cost-effectiveness, and reduce opioid use for lower back pain by expanding non-pharmacological coverage such as physical therapy and chiropractic care, according to a new […]
Pain Med. 2018 Sep 1;19(suppl_1):S54-S60. doi: 10.1093/pm/pny114. Lisi A Abstract OBJECTIVE: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription. METHODS: Cross-sectional analysis […]
Jane K. Martinez, Contributor Published 7:00 a.m. ET July 10, 2018 SOMERVILLE — At just 19-years-old, Joseph Faro of Bridgewater was robbed of his lifelong dream in the blink of an eye. He tries not to see it that way and, at 27 now, he is adjusting to life as a civilian, future accountant and […]
– Closer look increases toll by 70,000 during 1999-2015 by Judy George, Contributing Writer, MedPage Today June 27, 2018 The number of fatal opioid overdoses may have been higher than previously reported, with some states greatly underestimating the effect of opioid-related deaths, an analysis of National Center for Health Statistics data suggests. Potentially 70,000 opioid-related overdose deaths from 1999 to […]
June 2018 Tara Gomes, PhD Key Points Question What has been the burden of opioid-related deaths in the United States over a recent 15-year period? Findings In this serial cross-sectional study, we found that the percentage of all deaths attributable to opioids increased 292% (from 0.4% to 1.5%) between 2001 and 2016, resulting in approximately 1.68 million person-years of […]