JAMA : the journal of the American Medical Association
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Randomized Controlled Trial
Telecare collaborative management of chronic pain in primary care: a randomized clinical trial.
Chronic musculoskeletal pain is among the most prevalent, costly, and disabling medical disorders. However, few clinical trials have examined interventions to improve chronic pain in primary care. ⋯ Telecare collaborative management increased the proportion of primary care patients with improved chronic musculoskeletal pain. This was accomplished by optimizing nonopioid analgesic medications using a stepped care algorithm and monitoring.
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Prior studies have shown decreases in stroke mortality over time, but data on validated stroke incidence and long-term trends by race are limited. ⋯ In a multicenter cohort of black and white adults in US communities, stroke incidence and mortality rates decreased from 1987 to 2011. The decreases varied across age groups, but were similar across sex and race, showing that improvements in stroke incidence and outcome continued to 2011.