IMPORTANCE: Patients prescribed long-term opioid therapy for chronic pain often experience unrelieved pain, poor quality of life, and serious adverse events. OBJECTIVE: To compare the effects of integrated pain team (IPT) vs pharmacist collaborative management (PCM) on pain and opioid dosage. DESIGN, SETTING, AND PARTICIPANTS: This study was a pragmatic multisite 12-month randomized comparative effectiveness … Read more
Document Type: Journal Article
INTRODUCTION: A high proportion of surgical patients has previous opioid exposure, which is associated with poorer recovery and increased morbidity. However, much less is known regarding the direct and indirect costs that are associated with healthcare utilization among individuals on preoperative opioid therapy. METHODS: We analyzed The Merative MarketScan Commercial Database linked with the Merative … Read more
INTRODUCTION: Chronic pain is common among Veterans, some of whom use cannabis for pain. We conducted a feasibility pilot study of a novel coaching intervention to help Veterans optimize use of medical cannabis products for pain management (NCT06320470). METHODS: The intervention drew from scientific literature, consultation with cannabis experts, Veteran input via a Community Advisory … Read more
Approximately 1 in 10 patients undergoing surgery is considered at high risk for poor pain and opioid-related outcomes due to chronic pain or persistent opioid use prior to surgery, leading to increased hospital lengths of stay, emergency department visits, hospital readmissions, and worse long-term outcomes. Multidisciplinary transitional pain services (TPSs) have been shown to effectively … Read more
Introduction: The opioid crisis has severely impacted youth, with overdose deaths increasing by 109% from 2019 to 2021 and fentanyl-specific deaths by 182%. Prevention remains underutilized in addressing youth addiction and overdose. Adapting school-wide prevention curricula offers a cost-effective strategy. The Michigan Model for Health (MMH), a universal, skills-based curriculum implemented in Michigan and 39 … Read more