Pain

Clinical care standards for the management of low back pain: a scoping review – Gabriel S. Alves et al.

2024-04-07T13:01:17+10:00Clinical guidelines, Clinical quality, Imaging, Low back pain, Musculoskeletal, Opioids, Pain, Publications, Spinal, Treatment|

The objective of this study is to compare and contrast the quality statements and quality indicators across clinical care standards for low back pain. Searches were performed in Medline, guideline databases, and Google searches to identify clinical care standards for the management of low back [...]

Behavioural ‘nudging’ interventions to reduce low-value care for low back pain in the emergency department (NUDG-ED): protocol for a 2×2 factorial, before-after, cluster randomised trial – Gemma Altinger et al.

2024-04-05T13:06:47+11:00Back pain, Imaging, Low back pain, Low-value care, Musculoskeletal, Opioids, Overuse, Pain, Publications|

Opioids and imaging are considered low-value care for most people with low back pain. Yet around one in three people presenting to the emergency department (ED) will receive imaging, and two in three will receive an opioid. NUDG-ED aims to determine the effectiveness of two [...]

Corporate Influences on Science and Health—the Case of Spinal Cord Stimulation – Adrian C. Traeger & Lisa A. Bero

2024-02-13T13:27:54+11:00Conflicts of interest, Ethical considerations, Musculoskeletal, Pain, Publications, Research ethics, Spinal, Treatment|

Corporations have been developing tactics to undermine independent science for decades. In the 1950s, on learning of the damaging effects of tobacco on health, the tobacco industry used campaigns of criticism to defend their products and the substantial revenue they were generating. Corporations could effectively [...]

Improving hip fracture care: A five-year review of the early contributors to the Australian and New Zealand Hip Fracture Registry – Morag E. Taylor et al.

2024-02-13T13:21:55+11:00Ageing, Clinical guidelines, Hip, Musculoskeletal, Pain, Prescribing, Publications, Surgery, Treatment|

The aim of this study was to examine temporal trends (2016–2020) in hip fracture care in Australian and New Zealand (ANZ) hospitals that started providing patient-level data to the ANZ Hip Fracture Registry (ANZHFR) on/before 1 January 2016 (early contributors). Retrospective cohort study of early [...]

The effectiveness of allied health and nurse practitioner models-of-care in managing musculoskeletal conditions in the emergency department: a systematic review and meta-analysis – Simon P Vella et al.

2024-02-11T15:13:05+11:00Health system, Low back pain, Musculoskeletal, Neck, Pain, Physiotherapy, Publications|

Musculoskeletal conditions are the most common health condition seen in emergency departments. Hence, the most effective approaches to managing these conditions is of interest. This systematic review aimed to evaluate the effectiveness of allied health and nursing models of care for the management of musculoskeletal [...]

Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study – Thomas Ibounig et al.

2024-02-11T14:42:33+11:00Imaging, Musculoskeletal, Pain, Publications, Radiology reports, Shoulder|

Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the population reported shoulder [...]

Education can reassure people with rotator cuff–related shoulder pain: a 3-arm, randomised, online experiment – Joshua R. Zadro et al.

2024-02-11T14:37:27+11:00Clinical guidelines, Musculoskeletal, Pain, Publications, Shoulder, Treatment|

We aimed to investigate the immediate effect of best practice education (with and without pain science messages) and structure-focused education on reassurance among people with rotator cuff–related shoulder pain. We conducted a 3-arm, parallel-group, randomised experiment. People with rotator cuff–related shoulder pain were randomised (1:1:1) [...]

Opioid analgesics for nociceptive cancer pain: A comprehensive review – Christina Abdel Shaheed et al.

2024-02-11T13:40:24+11:00Cancer, Opioids, Pain, Prescribing, Publications, Treatment|

Pain is one of the most burdensome symptoms in people with cancer, and opioid analgesics are considered the mainstay of cancer pain management. For this review, the authors evaluated the efficacy and toxicities of opioid analgesics compared with placebo, other opioids, nonopioid analgesics, and nonpharmacologic [...]

Changes in opioid agonist treatment initiation among people prescribed opioids for pain following voluntary and mandatory prescription drug monitoring program implementation: A time series analysis – Louisa Picco et al.

2023-12-04T14:13:26+11:00Health policy, Mental Health, Opioids, Pain, Prescribing, Publications, Risk|

Prescription drug monitoring programs (PDMP) are increasingly used to identify people prescribed high-dose opioids. However, little is known about whether PDMPs impact opioid agonist treatment (OAT) uptake, the gold standard for opioid use disorder. This study examined the impact of PDMP implementation on OAT initiation [...]

General practitioners’ decision-making process to prescribe pain medicines for low back pain: a qualitative study – Giovanni E Ferreira et al.

2023-12-04T13:22:01+11:00Back pain, General Practice, Low back pain, Musculoskeletal, Opioids, Pain, Primary Care, Publications|

Pain medicines are widely prescribed by general practitioners (GPs) when managing people with low back pain (LBP), but little is known about what drives decisions to prescribe these medicines. The aim of this study was to investigate what influences GPs' decision to prescribe pain medicines [...]

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