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https://www.readbyqxmd.com/read/29026458/safe-opioid-prescription-a-smart-on-fhir-approach-to-clinical-decision-support
#1
Shyamashree Sinha, Mark Jensen, Sarah Mullin, Peter L Elkin
Background Prescription opioid pain medication overuse, misuse and abuse have been a significant contributing factor in the opioid epidemic. The rising death rates from opioid overdose have caused healthcare practitioners and researchers to work on optimizing pain therapy and limiting the prescriptions for pain medications. The state of New York has implemented a prescription drug monitoring program(PDMP), amended public health law to limit the prescription of opioids for acute pain and utilized the resources of the state and county health departments to help in curbing this epidemic...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/28934777/effectiveness-of-thermal-annular-procedures-in-treating-discogenic-low-back-pain
#2
Standiford Helm Ii, Thomas T Simopoulos, Milan Stojanovic, Salahadin Abdi, Mohamed Ahamed El Terany
BACKGROUND: Discogenic low back is a distinct clinic entity characterized by pain arising from a damaged disc. The diagnosis is clouded by the controversy surrounding discography. The treatment options are limited, with unsatisfactory results from both conservative treatment and surgery. Multiple interventional therapies have been developed to treat discogenic pain, but most have not yet been validated by high quality studies.The best studied treatment for discogenic pain is the use of heat, which has been labeled as thermal intradiscal procedures (TIPs) by the Centers for Medicare and Medicaid Services (CMS)...
September 2017: Pain Physician
https://www.readbyqxmd.com/read/28535572/top-posters-selected-for-2017-19th-annual-asipp-meeting
#3
(no author information available yet)
No abstract text is available yet for this article.
May 2017: Pain Physician
https://www.readbyqxmd.com/read/28226332/responsible-safe-and-effective-prescription-of-opioids-for-chronic-non-cancer-pain-american-society-of-interventional-pain-physicians-asipp-guidelines
#4
Laxmaiah Manchikanti, Adam M Kaye, Nebojsa Nick Knezevic, Heath McAnally, Konstantin Slavin, Andrea M Trescot, Susan Blank, Vidyasagar Pampati, Salahadin Abdi, Jay S Grider, Alan D Kaye, Kavita N Manchikanti, Harold Cordner, Christopher G Gharibo, Michael E Harned, Sheri L Albers, Sairam Atluri, Steve M Aydin, Sanjay Bakshi, Robert L Barkin, Ramsin M Benyamin, Mark V Boswell, Ricardo M Buenaventura, Aaron K Calodney, David L Cedeno, Sukdeb Datta, Timothy R Deer, Bert Fellows, Vincent Galan, Vahid Grami, Hans Hansen, Standiford Helm Ii, Rafael Justiz, Dhanalakshmi Koyyalagunta, Yogesh Malla, Annu Navani, Kent H Nouri, Ramarao Pasupuleti, Nalini Sehgal, Sanford M Silverman, Thomas T Simopoulos, Vijay Singh, Daneshvari R Solanki, Peter S Staats, Ricardo Vallejo, Bradley W Wargo, Arthur Watanabe, Joshua A Hirsch
BACKGROUND: Opioid use, abuse, and adverse consequences, including death, have escalated at an alarming rate since the 1990s. In an attempt to control opioid abuse, numerous regulations and guidelines for responsible opioid prescribing have been developed by various organizations. However, the US opioid epidemic is continuing and drug dose deaths tripled during 1999 to 2015. Recent data show a continuing increase in deaths due to natural and semisynthetic opioids, a decline in methadone deaths, and an explosive increase in the rates of deaths involving other opioids, specifically heroin and illicit synthetic fentanyl...
February 2017: Pain Physician
https://www.readbyqxmd.com/read/28072793/merit-based-incentive-payment-system-meaningful-changes-in-the-final-rule-brings-cautious-optimism
#5
Laxmaiah Manchikanti, Standiford Helm Ii, Aaron K Calodney, Joshua A Hirsch
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) eliminated the flawed Sustainable Growth Rate (SGR) act formula - a longstanding crucial issue of concern for health care providers and Medicare beneficiaries. MACRA also included a quality improvement program entitled, "The Merit-Based Incentive Payment System, or MIPS." The proposed rule of MIPS sought to streamline existing federal quality efforts and therefore linked 4 distinct programs into one. Three existing programs, meaningful use (MU), Physician Quality Reporting System (PQRS), value-based payment (VBP) system were merged with the addition of Clinical Improvement Activity category...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/27389124/abstracts-from-2016-asipp-annual-meeting
#6
(no author information available yet)
No abstract text is available yet for this article.
July 2016: Pain Physician
https://www.readbyqxmd.com/read/26815254/percutaneous-and-endoscopic-adhesiolysis-in-managing-low-back-and-lower-extremity-pain-a-systematic-review-and-meta-analysis
#7
Standiford Helm, Gabor B Racz, Ludger Gerdesmeyer, Rafael Justiz, Salim M Hayek, Eugene D Kaplan, Mohamed Ahamed El Terany, Nebojsa Nick Knezevic
BACKGROUND: Chronic refractory low back and lower extremity pain is frustrating to treat. Percutaneous adhesiolysis and spinal endoscopy are techniques which can treat chronic refractory low back and lower extremity pain.Percutaneous adhesiolysis is performed by placing the catheter into the tissue plane at the ventrolateral aspect of the foramen so that medications can be injected. Adhesiolysis is used both for pain caused by scarring which is not resistant to catheter placement and other sources of pain, including inflammation in the absence of scarring...
February 2016: Pain Physician
https://www.readbyqxmd.com/read/26005584/comparison-of-the-efficacy-of-saline-local-anesthetics-and-steroids-in-epidural-and-facet-joint-injections-for-the-management-of-spinal-pain-a-systematic-review-of-randomized-controlled-trials
#8
Laxmaiah Manchikanti, Devi E Nampiaparampil, Kavita N Manchikanti, Frank J E Falco, Vijay Singh, Ramsin M Benyamin, Alan D Kaye, Nalini Sehgal, Amol Soin, Thomas T Simopoulos, Sanjay Bakshi, Christopher G Gharibo, Christopher J Gilligan, Joshua A Hirsch
BACKGROUND: The efficacy of epidural and facet joint injections has been assessed utilizing multiple solutions including saline, local anesthetic, steroids, and others. The responses to these various solutions have been variable and have not been systematically assessed with long-term follow-ups. METHODS: Randomized trials utilizing a true active control design were included. The primary outcome measure was pain relief and the secondary outcome measure was functional improvement...
2015: Surgical Neurology International
https://www.readbyqxmd.com/read/26000700/2015-abstracts-from-17th-annual-asipp-meeting
#9
(no author information available yet)
No abstract text is available yet for this article.
May 2015: Pain Physician
https://www.readbyqxmd.com/read/24850120/the-potential-contributing-effect-of-ketorolac-and-fluoxetine-to-a-spinal-epidural-hematoma-following-a-cervical-interlaminar-epidural-steroid-injection-a-case-report-and-narrative-review
#10
George C Chang Chien, Zack McCormick, Marco Araujo, Kenneth D Candido
Cervical interlaminar epidural steroid injections (ESIs) are commonly performed as one part of a multi-modal analgesic regimen in the management of upper extremity radicular pain. Spinal epidural hematoma (SEH) is a rare complication with a reported incidence ranging from 1.38 in 10,000 to 1 in 190,000 epidurals. Current American Society of Regional Anesthesia (ASRA), American Society of Interventional Pain Physicians (ASIPP), and the International Spine Intervention Society (ISIS) recommendations are that non-steroidal anti-inflammatory drugs (NSAIDs) do not need to be withheld prior to epidural anesthesia...
May 2014: Pain Physician
https://www.readbyqxmd.com/read/23742546/data-processing-and-analysis-of-the-imaging-thomson-scattering-diagnostic-system-on-ht-7-tokamak
#11
Xiaofeng Han, Chunqiang Shao, Xiaoqi Xi, Junyu Zhao, Zang Qing, Jianhua Yang, Xingxing Dai, Shinichiro Kado
A high spatial resolution imaging Thomson scattering diagnostic system was developed in ASIPP (Institute of Plasma Physics, Chinese Academy of Sciences). After about one month trial running on the superconducting HT-7 (Hefei Tokamak-7) tokamak, the system was proved to be capable of measuring plasma electron temperature. The system setup and data calibration are described in this paper and then the instrument function is studied in detail, as well as the measurement capability, an electron temperature of 50 eV to 2 keV and density beyond 1 × 10(19) m(-3)...
May 2013: Review of Scientific Instruments
https://www.readbyqxmd.com/read/23615883/an-update-of-comprehensive-evidence-based-guidelines-for-interventional-techniques-in-chronic-spinal-pain-part-ii-guidance-and-recommendations
#12
Laxmaiah Manchikanti, Salahadin Abdi, Sairam Atluri, Ramsin M Benyamin, Mark V Boswell, Ricardo M Buenaventura, David A Bryce, Patricia A Burks, David L Caraway, Aaron K Calodney, Kimberly A Cash, Paul J Christo, Steven P Cohen, James Colson, Ann Conn, Harold Cordner, Sareta Coubarous, Sukdeb Datta, Timothy R Deer, Sudhir Diwan, Frank J E Falco, Bert Fellows, Stephanie Geffert, Jay S Grider, Sanjeeva Gupta, Haroon Hameed, Mariam Hameed, Hans Hansen, Standiford Helm, Jeffrey W Janata, Rafael Justiz, Alan D Kaye, Marion Lee, Kavita N Manchikanti, Carla D McManus, Obi Onyewu, Allan T Parr, Vikram B Patel, Gabor B Racz, Nalini Sehgal, Manohar Lal Sharma, Thomas T Simopoulos, Vijay Singh, Howard S Smith, Lee T Snook, John R Swicegood, Ricardo Vallejo, Stephen P Ward, Bradley W Wargo, Jie Zhu, Joshua A Hirsch
OBJECTIVE: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain. METHODOLOGY: Systematic assessment of the literature. EVIDENCE: I. Lumbar Spine • The evidence for accuracy of diagnostic selective nerve root blocks is limited; whereas for lumbar provocation discography, it is fair. • The evidence for diagnostic lumbar facet joint nerve blocks and diagnostic sacroiliac intraarticular injections is good with 75% to 100% pain relief as criterion standard with controlled local anesthetic or placebo blocks...
April 2013: Pain Physician
https://www.readbyqxmd.com/read/23615882/an-update-of-comprehensive-evidence-based-guidelines-for-interventional-techniques-in-chronic-spinal-pain-part-i-introduction-and-general-considerations
#13
REVIEW
Laxmaiah Manchikanti, Frank J E Falco, Vijay Singh, Ramsin M Benyamin, Gabor B Racz, Standiford Helm, David L Caraway, Aaron K Calodney, Lee T Snook, Howard S Smith, Sanjeeva Gupta, Stephen P Ward, Jay S Grider, Joshua A Hirsch
In 2011, the Institute of Medicine (IOM) re-engineered its definition of clinical guidelines as follows: "clinical practice guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefit and harms of alternative care options." This new definition departs from a 2-decade old definition from a 1990 IOM report that defined guidelines as "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances...
April 2013: Pain Physician
https://www.readbyqxmd.com/read/22786449/american-society-of-interventional-pain-physicians-asipp-guidelines-for-responsible-opioid-prescribing-in-chronic-non-cancer-pain-part-2-guidance
#14
Laxmaiah Manchikanti, Salahadin Abdi, Sairam Atluri, Carl C Balog, Ramsin M Benyamin, Mark V Boswell, Keith R Brown, Brian M Bruel, David A Bryce, Patricia A Burks, Allen W Burton, Aaron K Calodney, David L Caraway, Kimberly A Cash, Paul J Christo, Kim S Damron, Sukdeb Datta, Timothy R Deer, Sudhir Diwan, Ike Eriator, Frank J E Falco, Bert Fellows, Stephanie Geffert, Christopher G Gharibo, Scott E Glaser, Jay S Grider, Haroon Hameed, Mariam Hameed, Hans Hansen, Michael E Harned, Salim M Hayek, Standiford Helm, Joshua A Hirsch, Jeffrey W Janata, Alan D Kaye, Adam M Kaye, David S Kloth, Dhanalakshmi Koyyalagunta, Marion Lee, Yogesh Malla, Kavita N Manchikanti, Carla D McManus, Vidyasagar Pampati, Allan T Parr, Ramarao Pasupuleti, Vikram B Patel, Nalini Sehgal, Sanford M Silverman, Vijay Singh, Howard S Smith, Lee T Snook, Daneshvari R Solanki, Deborah H Tracy, Ricardo Vallejo, Bradley W Wargo
RESULTS: Part 2 of the guidelines on responsible opioid prescribing provides the following recommendations for initiating and maintaining chronic opioid therapy of 90 days or longer. 1. A) Comprehensive assessment and documentation is recommended before initiating opioid therapy, including documentation of comprehensive history, general medical condition, psychosocial history, psychiatric status, and substance use history. ( EVIDENCE: good) B) Despite limited evidence for reliability and accuracy, screening for opioid use is recommended, as it will identify opioid abusers and reduce opioid abuse...
July 2012: Pain Physician
https://www.readbyqxmd.com/read/22786448/american-society-of-interventional-pain-physicians-asipp-guidelines-for-responsible-opioid-prescribing-in-chronic-non-cancer-pain-part-i-evidence-assessment
#15
Laxmaiah Manchikanti, Salahadin Abdi, Sairam Atluri, Carl C Balog, Ramsin M Benyamin, Mark V Boswell, Keith R Brown, Brian M Bruel, David A Bryce, Patricia A Burks, Allen W Burton, Aaron K Calodney, David L Caraway, Kimberly A Cash, Paul J Christo, Kim S Damron, Sukdeb Datta, Timothy R Deer, Sudhir Diwan, Ike Eriator, Frank J E Falco, Bert Fellows, Stephanie Geffert, Christopher G Gharibo, Scott E Glaser, Jay S Grider, Haroon Hameed, Mariam Hameed, Hans Hansen, Michael E Harned, Salim M Hayek, Standiford Helm, Joshua A Hirsch, Jeffrey W Janata, Alan D Kaye, Adam M Kaye, David S Kloth, Dhanalakshmi Koyyalagunta, Marion Lee, Yogesh Malla, Kavita N Manchikanti, Carla D McManus, Vidyasagar Pampati, Allan T Parr, Ramarao Pasupuleti, Vikram B Patel, Nalini Sehgal, Sanford M Silverman, Vijay Singh, Howard S Smith, Lee T Snook, Daneshvari R Solanki, Deborah H Tracy, Ricardo Vallejo, Bradley W Wargo
BACKGROUND: Opioid abuse has continued to increase at an alarming rate since the 1990 s. As documented by different medical specialties, medical boards, advocacy groups, and the Drug Enforcement Administration, available evidence suggests a wide variance in chronic opioid therapy of 90 days or longer in chronic non-cancer pain. Part 1 describes evidence assessment. OBJECTIVES: The objectives of opioid guidelines as issued by the American Society of Interventional Pain Physicians (ASIPP) are to provide guidance for the use of opioids for the treatment of chronic non-cancer pain, to produce consistency in the application of an opioid philosophy among the many diverse groups involved, to improve the treatment of chronic non-cancer pain, and to reduce the incidence of abuse and drug diversion...
July 2012: Pain Physician
https://www.readbyqxmd.com/read/21742563/guideline-warfare-over-interventional-therapies-for-low-back-pain-can-we-raise-the-level-of-discourse
#16
Roger Chou, Steven J Atlas, John D Loeser, Richard W Rosenquist, Steven P Stanos
UNLABELLED: As guidelines proliferate and are used to inform efforts to improve the quality and efficiency of care, disputes over guideline recommendations are likely to become more common and contentious. It is appropriate for guidelines to come under close scrutiny, given their important clinical and policy implications, and critiques that point out missing evidence, improper methods, or errors in interpretation can be valuable. But for critiques to be valid, they should be based on accurate information and a sound scientific basis...
August 2011: Journal of Pain: Official Journal of the American Pain Society
https://www.readbyqxmd.com/read/20146550/opioid-dependence-treatment-and-guidelines
#17
REVIEW
Lance Nicholls, Lisa Bragaw, Charles Ruetsch
BACKGROUND: In response to the growing incidence of opioid dependence, guidelines have been created, and new treatments are being developed to assist physicians in treating dependence and withdrawal of opioids. OBJECTIVE: To review treatment modalities and guidelines utilized in opioid dependence. SUMMARY: Guidelines for the treatment of opioid dependence have been developed by organizations such as the American Society of Interventional Pain Physicians (ASIPP) and the American Psychiatric Association (APA)...
February 2010: Journal of Managed Care Pharmacy: JMCP
https://www.readbyqxmd.com/read/19668291/comprehensive-review-of-epidemiology-scope-and-impact-of-spinal-pain
#18
REVIEW
Laxmaiah Manchikanti, Vijay Singh, Sukdeb Datta, Steven P Cohen, Joshua A Hirsch
Persistent pain interfering with daily activities is common. Chronic pain has been defined in many ways. Chronic pain syndrome is a separate entity from chronic pain. Chronic pain is defined as, "pain that persists 6 months after an injury and beyond the usual course of an acute disease or a reasonable time for a comparable injury to heal, that is associated with chronic pathologic processes that cause continuous or intermittent pain for months or years, that may continue in the presence or absence of demonstrable pathologies; may not be amenable to routine pain control methods; and healing may never occur...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/19668283/an-algorithmic-approach-for-clinical-management-of-chronic-spinal-pain
#19
Laxmaiah Manchikanti, Standiford Helm, Vijay Singh, Ramsin M Benyamin, Sukdeb Datta, Salim M Hayek, Bert Fellows, Mark V Boswell
Interventional pain management, and the interventional techniques which are an integral part of that specialty, are subject to widely varying definitions and practices. How interventional techniques are applied by various specialties is highly variable, even for the most common procedures and conditions. At the same time, many payors, publications, and guidelines are showing increasing interest in the performance and costs of interventional techniques. There is a lack of consensus among interventional pain management specialists with regards to how to diagnose and manage spinal pain and the type and frequency of spinal interventional techniques which should be utilized to treat spinal pain...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/19668282/description-of-documentation-in-the-management-of-chronic-spinal-pain
#20
REVIEW
Laxmaiah Manchikanti, Vijay Singh, Vidyasagar Pampati, Mark V Boswell, Ramsin M Benyamin, Joshua A Hirsch
Documentation assists health care professionals in providing appropriate services to patients by documenting indications and medical necessity, and reflects the competency and character of the physician. Documentation is considered a cornerstone of the quality of patient care. This is nowhere more true than in interventional pain management. Thus, documentation in physicians' offices, hospital settings, ambulatory surgery centers, rehabilitation centers, and other settings must be accurate, complete, and reflect all of the services provided during each encounter...
July 2009: Pain Physician
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