Annals of internal medicine
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The increase in overdose deaths from prescription opioids and heroin in the United States over the past 20 years is believed to have resulted from increases in prescription of opioids for management of acute and chronic pain. Managing chronic pain is challenging for primary care clinicians for many reasons, including the lack of evidence to guide practice. The Centers for Disease Control and Prevention published a comprehensive guideline in 2016 to help clinicians with opioid prescribing for chronic pain. In this Grand Rounds, the guideline is reviewed and an expert discusses its application to 3 patients prescribed opioids to treat chronic pain.
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A 2007 American College of Physicians guideline addressed pharmacologic options for low back pain. New evidence and medications have now become available. ⋯ Agency for Healthcare Research and Quality. (PROSPERO: CRD42014014735).
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Randomized Controlled Trial Pragmatic Clinical Trial
Effectiveness of an Internet-Delivered Exercise and Pain-Coping Skills Training Intervention for Persons With Chronic Knee Pain: A Randomized Trial.
Effective, accessible biopsychosocial treatments are needed to manage chronic knee pain on a population level. ⋯ National Health and Medical Research Council.
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Randomized Controlled Trial Multicenter Study
Maintenance of Weight Loss After Initiation of Nutrition Training: A Randomized Trial.
Weight regain after successful weight loss interventions is common. ⋯ Veterans Affairs Health Services Research and Development Service.