Pain medicine : the official journal of the American Academy of Pain Medicine
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The objective of this study was to develop metrics to assess opioid prescribing behavior as part of the evaluation of the Extended-Release/Long-Acting (ER/LA) Opioid Analgesic Risk Evaluation and Mitigation Strategies (REMS). ⋯ Investigators propose three metrics to monitor changes in prescribing behaviors for opioid analgesics that might be used to evaluate the ER/LA Opioid Analgesics REMS. Low frequencies of patients, particularly those >85 years, were likely to be opioid tolerant prior to receiving prescriptions for opioid-tolerant-only ERO.
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Chronic pelvic pain may present a diagnostic challenge. ⋯ Chronic pelvic pain refractory to treatment merits consideration of CT to examine for foreign body.
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Randomized Controlled Trial Comparative Study
CT-guided chemonucleolysis combined with psoas compartment block in lumbar disc herniation: a randomized controlled study.
The study was designed to evaluate the effectiveness of the combination of chemonucleolysis and psoas compartment block (PCB) for the treatment of lumbar disc herniations (LDHs) and to explore the role of PCB in managing postoperative pain of collagenase injection. ⋯ Computer tomography (CT)-guided chemonucleolysis combined with PCB leads to rapid pain relief, fewer postoperative pain of collagenase injection happen, and should be regarded as a useful treatment for the management of LDH.
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Review Meta Analysis
Effectiveness of therapeutic patient education for adults with migraine. A systematic review and meta-analysis of randomized controlled trials.
Our aim was to systematically review and meta-analyze the effectiveness of therapeutic patient education for migraine. ⋯ This systematic review revealed strong-moderate evidence for intermediate-term effectiveness of therapeutic patient education for migraine. Further high-quality RCTs are required for conclusive determination of its effectiveness.