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Prescription opioids often go unused after surgery

A study published in JAMA Surgery found that more than two-thirds of patients reported unused prescription opioids after surgery, highlighting an important source for nonmedical use. The study also revealed low rates of safe storage and disposal practices, contributing to opioid-related injuries and deaths.

SourceJAMA Network·JournalJAMA Surgery·DateAug 2, 2017

Reducing stress, optimizing coping strategies may diminish need for opioids following ankle surgery

A recent study found no association between opioid intake and disability, satisfaction with surgery, or pain management at 5-8 months post-surgery. However, patients using opioids reported more pain with activity and catastrophic thinking, leading to anxiety and limited mobility.

SourceAmerican Academy of Orthopaedic Surgeons·JournalJournal of the American Academy of Orthopaedic Surgeons·DateJul 5, 2017

Serious pain afflicts a third of nursing home residents in last 6 months of life

A significant proportion of nursing home residents suffer from chronic pain during their final six months, according to a recent study. Researchers analyzed data from over 960 seniors and found that 60% reported consistent low or mild pain, while around 34% experienced moderate or severe pain, with little improvement as death approached.

SourceUniversity of British Columbia·JournalJournal of the American Medical Directors Association·DateJun 29, 2017

Can pain increase the risk of dying early?

A recent analysis found that individuals with debilitating pain had a higher risk of dying during the study. Those with severe pain interference reported significantly increased risks of mortality.

SourceWiley·JournalArthritis Care & Research·DateJun 7, 2017

Preventing software from causing injury

Researchers have developed a new tool called SEAT to measure software-induced ergonomic risks, which can help prevent debilitating hand and wrist problems in office workers. The tool uses self-reported surveys to identify stressors and strain, allowing developers to remove stressors from software and prevent injuries.

SourceTexas A&M University·JournalApplied Ergonomics·DateMay 30, 2017

Worse pain outcomes after knee replacement for patients who took opioids before surgery

A study published in The Journal of Bone & Joint Surgery found that patients who previously took prescription opioids had a higher average pain score six months after knee replacement surgery. This suggests that preoperative opioid use may be problematic due to its negative effects on subsequent total knee arthroplasty outcomes.

SourceWolters Kluwer Health·JournalJournal of Bone and Joint Surgery·DateMay 18, 2017

Ultrasound for children with broken arms: Accurate, faster, less painful than X-rays

A study published in Academic Emergency Medicine found that point-of-care ultrasound (POCUS) assessment is accurate, timely, and associated with low pain levels and high caregiver satisfaction. POCUS was compared to X-ray for diagnosing distal forearm fractures in children, yielding a sensitivity of 94.7% and specificity of 93.5%.

SourceSociety for Academic Emergency Medicine·JournalAcademic Emergency Medicine·DateMay 8, 2017

Can trusting your doctor help reduce pain?

A new study by Dr. Elizabeth Losin suggests that clinician-patient similarity and trust can significantly reduce pain during medical procedures. Patients who trusted their doctor and felt similar to them reported less pain, with those experiencing higher anxiety levels showing greater reductions in pain.

SourceUniversity of Miami·JournalJournal of Pain·DateMay 4, 2017

Two papers challenge exclusion of acupuncture in government guidelines

Two papers challenge the UK's National Institute for Healthcare Excellence (NICE) guidelines for excluding acupuncture in treating osteoarthritis of the knee and low-back pain. The authors argue that NICE applies a higher evidentiary standard to acupuncture than other modalities, which may diminish its effectiveness.

SourceMary Ann Liebert, Inc./Genetic Engineering News·JournalThe Journal of Alternative and Complementary Medicine·DateApr 28, 2017

New, persistent opioid use common after surgery

A study published in JAMA Surgery found that approximately 6% of patients continued to use opioids more than three months after surgery. Risk factors for persistent opioid use included preoperative tobacco use, alcohol and substance abuse disorders, mood disorders, anxiety, and preoperative pain disorders.

SourceJAMA Network·JournalJAMA Surgery·DateApr 12, 2017

Tests can help quantify automatic empathy and moral intuitions

A team of psychologists developed new tests to capture automatic moral and empathetic judgments. The studies found that certain situations trigger instant moral assessments, even when participants are instructed to counteract those feelings. These measures could help criminologists and psychologists understand pathological behavior.

SourcePenn State·JournalCognition·DateMar 29, 2017