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North-South chronic 'pain divide' evident in England

A study found a clear geographical split in opioid prescribing in England, with the North showing higher rates of chronic pain, anxiety, and poor general health. Opioid use was linked to intensity of pain, educational attainment, and general health, highlighting the need for alternative pain management strategies.

SourceBMJ Group·JournalBMJ Open·DateSep 11, 2018

Scientists decode opium poppy genome

Researchers have determined the DNA code of the opium poppy genome, unlocking key steps in how the plant evolved to produce vital medicines. The discovery may lead to improved yields and disease resistance, securing a reliable supply of effective pain relief medications.

SourceUniversity of York·JournalScience·DateAug 30, 2018

Best of ESC Congress 2018

At ESC Congress 2018, a record 156 countries were represented, with over 4,500 abstracts presented in 500 expert sessions. Key clinical trials included MARINER, CAMELLIA-TIMI 61, and ASCEND, which may impact practice and guideline updates. The congress also featured new guidelines for hypertension care.

Chest pain drug falls short in preventing first episode of ventricular arrhythmia or death

A clinical trial of over 1,000 patients with implantable cardioverter defibrillators found that ranolazine was safe but did not significantly decrease the likelihood of the first occurrence of ventricular arrhythmia or death. However, it did lower the number of recurring episodes of ventricular tachycardia.

SourceUniversity of Rochester Medical Center·JournalJournal of the American College of Cardiology·DateAug 28, 2018

Reducing opioid prescriptions for one operation can also spill over to other procedures

Researchers developed prescribing recommendations for opioids after gall bladder removal and discovered a spillover effect that led to significant reductions in pill prescriptions for other major operations. The study found that the reduction in prescribing resulted in roughly 10,000 fewer pills entering the community.

SourceAmerican College of Surgeons·JournalJournal of the American College of Surgeons·DateJul 26, 2018

The pain circuit breaker

Researchers at UniSA's Body in Mind Research Group have found visual illusions can reduce knee pain in people with osteoarthritis by up to 40%. The study used visual illusions that altered the size of participants' knees and lower legs, resulting in a cumulative analgesic effect.

Aspirin desensitization improves alcohol-induced allergies in patients with underlying respiratory disease

A new study led by the University of Pennsylvania School of Medicine finds that aspirin desensitization can also alleviate alcohol-induced allergies in patients with Aspirin Exacerbated Respiratory Disease (AERD). Following treatment, 86.5% of patients reported they could drink alcohol without experiencing symptoms.

SourceUniversity of Pennsylvania School of Medicine·JournalInternational Forum of Allergy & Rhinology·DateJul 10, 2018

Can aspirin treat Alzheimer's?

A study published in The Journal of Neuroscience found that low-dose aspirin may reduce plaques in the brain by stimulating lysosomes and increasing the activity of TFEB, a protein responsible for waste removal. This could lead to improved treatment options for Alzheimer's disease.

Pain relief at a lower opioid dose

Researchers at Johns Hopkins Medicine discovered that combining chemical compounds to activate specific nerve cell receptors may reduce the risk of opioid tolerance and side effects by minimizing the amount of opioids needed. The study used mice models, suggesting that this approach could lead to a lower-risk pain treatment option.

SourceJohns Hopkins Medicine·JournalScience Signaling·DateJun 25, 2018

Study with implications for opioid crisis finds opioids raise risk of fracture nonunion

A new study from LSU Health Sciences Center found that opioids significantly increase the risk of fracture nonunion following acute and chronic administration. The researchers also suggest that certain medications, including Schedule II opioids and prescription NSAIDs, create a greater nonunion risk than non-opioid analgesics.

How can patients be protected from post-surgery opioid addiction?

A recent study found that up to seven percent of patients develop a persistent habit after being prescribed opioids following surgery. To address this issue, experts recommend enhanced care coordination between surgeons and primary care physicians to identify patients at risk of developing opioid addiction.

SourceSpringer·JournalJournal of General Internal Medicine·DateJun 12, 2018

Study reveals hypnosedation as an effective alternative to general anesthesia for various surgeries

A new study found that hypnosedation is an effective alternative to general anesthesia for various surgeries, including breast cancer treatments, gynecological procedures, and superficial plastic surgeries. The technique reduces adverse effects, accelerates postoperative rehabilitation, and improves patient comfort.

New form of local anesthetic does not reduce opioid use or complications after knee surgery

A new study published in Anesthesiology found that liposomal bupivacaine, a long-acting local anesthetic, did not reduce opioid prescriptions or complications after total knee replacement surgery. The study included over 88,000 patients and found no significant benefit from adding liposomal bupivacaine to multimodal pain management reg...

SourceAmerican Society of Anesthesiologists·JournalAnesthesiology·DateMay 21, 2018

To treat pain, you need to treat the patient

Researchers created PainTracker, a pain assessment adaptable to primary care clinics, addressing patient treatment history, goals and expectations, pain intensity and quality-of-life issues. The tool has dramatically transformed doctors' ability to assess and manage chronic pain, with 40-60% of patients having inadequate pain management.

SourceUniversity of Washington School of Medicine/UW Medicine·JournalJournal of General Internal Medicine·DateMay 4, 2018

Daily aspirin linked to higher risk in men

A new study found that daily aspirin use is associated with a nearly double risk of melanoma in men compared to those who do not take aspirin. In contrast, women taking daily aspirin did not have an increased risk of melanoma. Researchers suggest increasing patient education about sun exposure and skin checks for high-risk individuals.

SourceNorthwestern University·JournalJournal of the American Academy of Dermatology·DateMay 3, 2018