PAINWeek 2014

Underlying Factors that Exist Outside of Pain Drive Prescription Opioid Use Postsurgery

Preoperative symptoms of self-loathing are just one of many factors that can predict prolonged opioid use after surgery, and supports a “self-medication hypothesis” in which patients with affective-cognitive distress find their mood enhanced with opioids, leading to reinforcement, said Jennifer Hah MD, MS, instructor in the Department of Anesthesiology, Perioperative, and Pain Medicine, at Stanford University, Stanford, California to attendees of PAINWeek 2014.

Interventional Pain Medicine (IPM) a ‘Solid Choice’ for Avoiding Opioid Escalation

“IPM is a solid-choice solution to avoid escalation of controlled substances and assist in diagnosis and treatment of painful conditions,” said Hans C. Hansen, MD, FIPP, ABIPP, DABPM, and DABM, Executive Director of the North Carolina Society of Interventional Pain Physicians and Medical Director of The Pain Relief Centers in Conover, North Carolina, to PAINWeek attendees. “Interventional pain medicine is a very important part of pain control strategies.”

More Research on Cannabinoids is “Urgently” Needed for CNS Disorders

“There’s a great and urgent need to study cannabinoids in a manner similar to other medications so that these substances can be used as appropriately as possible,”Charles E. Argoff, MD, CPE, Professor of Neurology and Director of the Comprehensive Pain Center at the Albany Medical Center in Albany, New York reported at PAINWeek 2014. When in the United States do we actually allow a medication to be utilized without knowing what its benefits and safety profile might be?”

Opioids Associated with Androgen Deficiency

Fentanyl, methadone, and oxycodone were significantly more likely to be associated with androgen deficiency than hydrocodone; these odds ratios were large,” reported Andrea Rubinstein, MD, of Kaiser Permanente Medical Group in Santa Rosa, California, and Diane Carpenter, MPH, of Kaiser Permanente’s Division of Research in Oakland, California at PAINWeek 2014.

Twitter Posts, Online Media Highlight Patients’ Ignorance of Opioid-Induced GI Side Effects

Increasing utilization of social media by patients to create health communities can offer insights to providers into patient concerns surrounding treatment. Data presented at PAINWeek 2014 showed than an analysis of message content from Twitter and other health-related online forums spotlighted patients’ “lack of knowledge about opioid-induced GI side effects and their attempts to minimize them whilst maintaining effective pain management regimens.”