Search results for "Opioids"


 
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MKSAP Quiz: 3-year history of pain in muscles, joints

A 47-year-old woman is evaluated for a 3-year history of pain in all of her muscles and joints. She is a commercial truck driver. Her sleep is poor, and she awakens unrefreshed. She completes a fibromyalgia diagnostic questionnaire and meets the criteria for fibromyalgia. She has anxiety and depression. Following a physical exam and lab results, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2024/04/02/3.htm
2 Apr 2024

Potential problematic prescribing in older women

Prescription of systemic estrogen therapy after menopause could be a red flag for use of other medications linked to dementia.
https://immattersacp.org/archives/2024/04/potential-problematic-prescribing-in-older-women.htm
1 Apr 2024

Drug screens early during treatment for OUD predict risk of return to opioid use

Patients whose urine drug screens in the three weeks after beginning treatment for opioid use disorder (OUD) were negative for opioids had a 13% risk of returning to opioid use compared with 85% for those with three weeks of opioid-positive or missing results.
https://immattersacp.org/weekly/archives/2023/10/10/2.htm
10 Oct 2023

Routine opioid use disorder screening fails to significantly increase new diagnosis rates

This may be due to the sensitivity of the screening instrument, compounded by the stigma of opioid use disorder; addressing the latter may increase the instrument's sensitivity, the authors suggest.
https://immattersacp.org/weekly/archives/2023/10/17/2.htm
17 Oct 2023

Buprenorphine, cannabis, and other periop challenges

An expert at a recent hospital medicine conference reviewed the latest on perioperative management of medications.
https://immattersacp.org/archives/2024/01/buprenorphine-cannabis-and-other-periop-challenges.htm
1 Jan 2024

Opioid use declined in chronic pain patients with no increase in nonpharmacologic therapy

Surveys from 2020 showed that about 1 in 4 adults with recent chronic pain reported using pharmacologic therapies only, showing a need to increase nonpharmacologic therapy use, according to the study authors.
https://immattersacp.org/weekly/archives/2023/11/21/1.htm
21 Nov 2023

New 'weighs' to treat obesity

Even as the data on weight loss drugs mount, physicians need to help patients navigate potentially prohibitive costs and a continuing need for lifestyle change.
https://immattersacp.org/archives/2024/03/new-weighs-to-treat-obesity.htm
1 Mar 2024

Telehealth visits may improve outcomes for opioid use disorder

A cross-sectional study of U.S. insurance claims found that buprenorphine initiation during a telehealth visit was associated with a 36% lower overdose rate than in person and that patients in the former group were more likely to refill their prescriptions.
https://immattersacp.org/weekly/archives/2023/09/12/1.htm
12 Sep 2023

Latest updates on ACP's priorities, initiatives

ACP Spotlight offers readers a look at ACP's current top priorities and initiatives, as well as highlights from our e-newsletter, ACP Internist Weekly.
https://immattersacp.org/archives/2023/11/latest-updates-on-acps-priorities-initiatives.htm
1 Nov 2023

Intervention for opioids appeared to reduce use, with no impact on pain

A trial in the U.K. randomly assigned patients with chronic noncancer pain to receive a group-based educational intervention or usual care and measured effects on opioid use and perceived pain at 12 months.
https://immattersacp.org/weekly/archives/2023/05/30/2.htm
30 May 2023

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