15 Result(s)
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Erin E. Krebs MD, MPH
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Article
A Cluster-Randomized Clinical Trial to Decrease Prescription Opioid Misuse: Improving the Safety of Opioid Therapy (ISOT)
Interventions to reduce harms related to prescription opioids are needed in primary care settings.
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Article
Do Urine Drug Tests Reveal Substance Misuse Among Patients Prescribed Opioids for Chronic Pain?
Urine drug testing (UDT) is a recommended risk mitigation strategy for patients prescribed opioids for chronic pain, but evidence that UDT supports identification of substance misuse is limited.
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Article
Taking the Bait from the Prescription Opioid Industry: a Mea Culpa
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Article
A Research Agenda for Advancing Strategies to Improve Opioid Safety: Findings from a VHA State of the Art Conference
US military Veterans have been disproportionately impacted by the US opioid overdose crisis. In the fall of 2019, the Veterans Health Administration (VHA) convened a state-of-the-art (SOTA) conference to devel...
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Article
Association Between Opioid Dose Reduction Against Patients’ Wishes and Change in Pain Severity
There is inadequate evidence of long-term benefit from opioid medications for chronic pain and substantial evidence of potential harms. For patients, dose reduction may be beneficial when implemented voluntari...
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Article
Evaluating Consequences of Opioid Prescribing Policies
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Setting Expectations, Following Orders, Safety, and Standardization: Clinicians’ Strategies to Guide Difficult Conversations About Opioid Prescribing
Evidence has continued to accumulate regarding the potential risks of treating chronic pain with long-term opioid therapy (LTOT). Clinical practice guidelines now encourage clinicians to implement practices de...
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Article
Making Integrated Multimodal Pain Care a Reality: A Path Forward
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Article
Open AccessAn Evidence Map of the Women Veterans’ Health Research Literature (2008–2015)
Women comprise a growing proportion of Veterans seeking care at Veterans Affairs (VA) healthcare facilities. VA initiatives have accelerated changes in services for female Veterans, yet the corresponding liter...
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Article
Association of Opioids with Falls, Fractures, and Physical Performance among Older Men with Persistent Musculoskeletal Pain
Although older adults are disproportionately affected by painful musculoskeletal conditions and receive more opioid analgesics than persons in other age groups, insufficient evidence is available regarding opi...
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Article
Open AccessSexual Victimization, Health Status, and VA Healthcare Utilization Among Lesbian and Bisexual OEF/OIF Veterans
Many lesbian and bisexual (LB) women veterans may have been targets of victimization in the military based on their gender and presumed sexual orientation, and yet little is known regarding the health or menta...
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Article
Update in Pain Medicine
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Article
Documentation of Pain Care Processes Does Not Accurately Reflect Pain Management Delivered in Primary Care
Researchers and quality improvement advocates sometimes use review of chart-documented pain care processes to assess the quality of pain management. Studies have found that primary care providers frequently fa...
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Article
Open AccessDevelopment and Initial Validation of the PEG, a Three-item Scale Assessing Pain Intensity and Interference
Inadequate pain assessment is a barrier to appropriate pain management, but single-item “pain screening” provides limited information about chronic pain. Multidimensional pain measures such as the Brief Pain I...
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Article
Accuracy of the Pain Numeric Rating Scale as a Screening Test in Primary Care
Universal pain screening with a 0–10 pain intensity numeric rating scale (NRS) has been widely implemented in primary care.
