The medical management of chronic (long-term) or acute (short-term) pain is an important priority for VA, as some 77% of Veterans report pain control as among their top three priorities in primary care.* Important issues being studied include whether computer-aided screening will increase pain diagnosis, and what techniques will best support Veterans in self-managing their pain.
* Mitchinson AR, Kerr EA, Krein SL. "Management of chronic noncancer pain by VA primary care providers: when is pain control a priority?' Am J Manag Care. 2008 Feb;14(2):77-84.
Search results were generated based on the search term "Pain". Results are updated weekly, as new data are available.
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(5 of more than 1293 PAIN focused publications)
- Hayes CJ, Krebs EE, Hudson T, Brown J, Li C, Martin BC. Impact of opioid dose escalation on pain intensity: a retrospective cohort study. Pain. 2020 Jan 7.
- Brunkow A, Cannon M, Graff FS, Martin JL, Hausmann LRM, McAndrew LM. Doctor recommendations are related to patient interest and use of behavioral treatment for chronic pain and addiction. The journal of pain : official journal of the American Pain Society. 2020 Jan 2.
- Darnall BD, Mackey SC, Lorig K, Kao MC, Mardian A, Stieg R, Porter J, DeBruyne K, Murphy J, Perez L, Okvat H, Tian L, Flood P, McGovern M, Colloca L, King H, Van Dorsten B, Pun T, Cheung M. Comparative Effectiveness of Cognitive Behavioral Therapy for Chronic Pain and Chronic Pain Self-Management within the Context of Voluntary Patient-Centered Prescription Opioid Tapering: The EMPOWER Study Protocol. Pain medicine (Malden, Mass.). 2019 Dec 26.
- Vina ER, Hannon MJ, Masood H, Hausmann LRM, Ibrahim SA, Dagnino J, Arellano A, Kwoh CK. Non-steroidal Anti-inflammatory Drug Use in Chronic Arthritis Pain: Variations by Ethnicity. The American journal of medicine. 2019 Dec 17.
- Nevedal AL, Lewis ET, Wu J, Jacobs J, Jarvik JG, Chou R, Barnett PG. Factors Influencing Primary Care Providers' Unneeded Lumbar Spine MRI Orders for Acute, Uncomplicated Low-Back Pain: a Qualitative Study. Journal of general internal medicine. 2019 Dec 12.
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(5 of more than 81 PAIN focused publication briefs)
- Health is the Main Concern of Newly Separated Veterans
This large study is the first in-depth investigation of U.S. Veterans’ health and well-being as they leave military service. Findings showed that health concerns were the most salient for newly separated Veterans, with many reporting that they had chronic physical (53%) or mental (33%) health conditions – and that they were less satisfied with their health than either their work or social relation...
Date: December 28, 2019
- History of Military Sexual Trauma Common among Older Women Veterans
This study sought to determine the prevalence of military sexual trauma (MST) among older women Veterans – and investigate associations between MST and medical and mental health diagnoses. Findings showed that a history of MST was common among older women Veterans. Positive MST screens were observed in nearly 1 in 5 women aged 55-64, and 1 in 10 aged 65-74. [This is similar to the 23% prevalence f...
Date: November 11, 2019
- Strategies VA Clinicians Use to Structure Difficult Conversations Regarding Opioid Prescribing
This study aimed to identify and describe clinicians’ strategies for managing prescription opioid misuse and aberrant behaviors among patients prescribed long-term opioid therapy (LTOT) for chronic pain. Interview results identified challenges faced by clinicians in navigating conversations about opioid management, stemming from patient dissatisfaction and clinician ambivalence about enacting guid...
Date: July 1, 2019
- Opioid Prescribing Safety Initiative Effective in Decreasing Rates of Opioid Prescribing for Older Veterans with Osteoarthritis
Investigators in this study examined national trends in opioid and non-opioid analgesic prescribing before and after implementation of VA’s Opioid Safety Initiative (OSI). Findings showed that before OSI implementation, total analgesic prescriptions showed a steady rise, which abruptly decreased to a flat trajectory after the OSI was implemented. This trend was primarily due to a decrease in opioi...
Date: June 1, 2019
- Substantial Variation in Opioid Prescribing Rates among ED Providers in the Same VA Healthcare Facility
The study team examined the extent to which variation in individual ED physicians’ opioid prescribing was independently associated with long-term opioid use in Veterans. Using VA data, investigators identified Veterans with an index ED visit at any VA facility in 2012 – and who were opioid naïve (without opioid prescriptions in the prior 6 months). Findings showed that there was a three-fold varia...
Date: May 29, 2019
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( 5 of more than 77 PAIN focused projects
|| Adaptation of the Motivational Interviewing Skills Code to Identify Clinician and Client Language Predicting Reduced Opioid Use Risk and Increased Use of Alternative Pain Care Strategies in Veterans
|| Chronic Pain Management and Patient-Centered Outcomes Following Discontinuation of Long-Term Opioid Therapy
|| Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE)
|| Complementary and Integrative Health for Pain in the VA: A National Demonstration Project (NIH-VA-DOD Joint Initiative)
|| Cognitive-Behavioral Therapy for Chronic Pain: do Modifications Affect VEterans or implementatioN (CBT-CPMAVEN)
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HSR&D Briefs, Reports, Newsletters
5 sample "Pain" publications displayed.
FORUM, Spring 2016: Chronic pain, opioids
...Pain and the Science of Pain Management by Rollin M. Gallagher, MD, MPH, National Director for Pain Management, Veterans Health Administration...
Mapping the Evidence: Sex Effects in High-impact Conditions for Women Veterans - Depression, Diabetes, and Chronic Pain
...Mapping the Evidence: Sex Effects in High-impact Conditions for Women Veterans Depression, Diabetes, and Chronic Pain Mapping the Evidence:...
Pain in Patients with Polytrauma
...assessment tools been developed to measure pain intensity and pain-related functional interference among patients with cognitive deficits due...
Assessment and Management of Acute Pain in Adult Medical Inpatients
...survey, 43% of medical ward patients experienced pain, and 12% reported unbearable pain. There are currently no pain-relevant performance measures...
ESP Report: Massage for Pain: An Evidence Map
...ESP Report: Massage for Pain: An Evidence Map ESP Report: Massage for Pain: An Evidence Map Subscribe to the ESP Report RSS feed Principal Investigator:...
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