Here are what the editors at HealthDay consider to be the most important developments in Pain Management for November 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.

Persistent Back Pain Linked to Earlier Mortality in Older Women

THURSDAY, Nov. 29, 2018 (HealthDay News) — Frequent persistent back pain is associated with increased mortality in older women, according to a study recently published in the Journal of General Internal Medicine.

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FDA to Update Medical Device Approvals Process

TUESDAY, Nov. 27, 2018 (HealthDay News) — A major update of the United States’ system for approving medical devices was announced yesterday by the Food and Drug Administration.

CBS/AP News Article
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Four Principles Underlie Patient and Family Partnership in Care

TUESDAY, Nov. 27, 2018 (HealthDay News) — Patient and family partnership in care should include treatment of patients and families with dignity and respect, their active engagement in all aspects of care, and their contribution to the improvement of health care systems and education of health care professionals, according to a position paper published online Nov. 27 in the Annals of Internal Medicine.

Position Paper
Editorial (subscription or payment may be required)

Pregnancy-Associated Mortality Involving Opioids Up

TUESDAY, Nov. 27, 2018 (HealthDay News) — From 2007 to 2016, there was a sharp increase in pregnancy-associated mortality involving opioids, according to a research letter recently published in the American Journal of Obstetrics & Gynecology.

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ACA Coverage Substantial, but Did Not Impact Labor Markets

MONDAY, Nov. 26, 2018 (HealthDay News) — Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets, according to a report published by the Robert Wood Johnson Foundation and the Urban Institute.

Report: How Have Workers Fared Under the ACA?

FDA Warns Two Companies About Bogus Opioid Addiction Treatment

WEDNESDAY, Nov. 21, 2018 (HealthDay News) — Warning letters about products illegally marketed as treatments for opioid addiction, pain, and anxiety have been sent to two companies, the U.S. Food and Drug Administration said Tuesday.

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Pain Management Telementoring May Cut Opioid Prescribing

TUESDAY, Nov. 20, 2018 (HealthDay News) — Military patients whose primary care clinicians participated in a telementoring program, including education on pain management best practices, have larger declines in opioid-related prescriptions than patients whose clinicians did not participate, according to a study published online Oct. 31 in the Journal of General Internal Medicine.

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Opioid Misuse Varies With Sexual Orientation

MONDAY, Nov. 19, 2018 (HealthDay News) — Opioid misuse varies with sexual orientation, with increased misuse among female bisexuals, according to a study published online Nov. 19 in the American Journal of Preventive Medicine.

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CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

FRIDAY, Nov. 16, 2018 (HealthDay News) — In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017, according to a report published Nov. 15 by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Treatments Appear No Better Than Placebo for Tennis Elbow

FRIDAY, Nov. 16, 2018 (HealthDay News) — At best, all treatments provide only small pain relief for tennis elbow, according to a review published online Oct. 31 in the American Journal of Sports Medicine.

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Name-Brand Medications Driving Spike in U.S. Drug Spending

THURSDAY, Nov. 15, 2018 (HealthDay News) — Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines, a new study shows.

NBC News Article
Blue Cross Blue Shield Report

Patient Experiences Shed Light on Diagnostic Errors

THURSDAY, Nov. 15, 2018 (HealthDay News) — Data from patient- and family-reported error narratives indicate that problems related to patient-physician interactions are major contributors to diagnostic errors, according to a study published in the November issue of Health Affairs.

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AMA to Collect Data on Suicide Among Doctors-in-Training

WEDNESDAY, Nov. 14, 2018 (HealthDay News) — By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training. The data collection policy was approved at a meeting yesterday.

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CDC: Increases in Yoga, Meditation for Children in 2012-2017

THURSDAY, Nov. 8, 2018 (HealthDay News) — The use of yoga and meditation have increased in recent years among children and adults, while use of chiropractors has also increased among adults, according to two November data briefs published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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Quantity of Opioids Prescribed Postop Linked to Consumption

THURSDAY, Nov. 8, 2018 (HealthDay News) — The quantity of opioids prescribed after surgery is associated with patient-reported opioid consumption, according to a study published online Nov. 7 in JAMA Surgery.

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Use of Polyetheretherketone Devices May Up Pseudarthrosis

THURSDAY, Nov. 8, 2018 (HealthDay News) — For one-level anterior cervical discectomy and fusion (ACDF), use of polyetheretherketone (PEEK) devices is associated with significantly higher rates of radiographically demonstrated pseudarthrosis and need for revision surgery compared with allografts, according to a study published online Oct. 30 in the Journal of Neurosurgery: Spine.

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Medicaid Expansion Approved in Three Republican-Leaning States

WEDNESDAY, Nov. 7, 2018 (HealthDay News) — Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.

CNBC Article

New Guidelines Issued for Patellofemoral Pain Management

TUESDAY, Nov. 6, 2018 (HealthDay News) — The National Athletic Trainers’ Association has issued recommendations for identifying and managing patients with patellofemoral pain (PFP); these recommendations form the basis of a position statement published in the September issue of the Journal of Athletic Training.

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U.S. Opioid Overdose Deaths Reach Record Number

FRIDAY, Nov. 2, 2018 (HealthDay News) — The number of opioid overdose deaths in the United States reached a new record last year with 72,000 deaths, which works out to about 200 a day, according to a Drug Enforcement Administration report released today. The report comes just over a week after U.S. health secretary Alex Azar said overdose deaths have started to level off.

AP News Article
2018 National Drug Threat Assessment

FDA Approves Powerful New Opioid Despite Criticisms

FRIDAY, Nov. 2, 2018 (HealthDay News) — Ruling against the recommendation of one of its chief experts, the U.S. Food and Drug Administration today approved an extremely potent new opioid painkiller, Dsuvia.

Washington Post Article
HealthDay Article
Statement From FDA Commissioner

Sign-Up Season Begins on HealthCare.gov

FRIDAY, Nov. 2, 2018 (HealthDay News) — The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running, officials said yesterday.

AP News Article
HealthCare.gov

Financial Conflicts of Interest Prevalent Among CPG Authors

THURSDAY, Nov. 1, 2018 (HealthDay News) — There is a high prevalence of financial conflicts of interest among authors of clinical practice guidelines (CPGs) related to high-revenue medications and in gastroenterology, according to two research letters published online Oct. 29 in JAMA Internal Medicine.

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Editorial (subscription or payment may be required)

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