Health Services Research & Development

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Research Topics


Pain Management

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.

VIEW: Citations | Publication Briefs | Studies | HSR&D Briefs, Reports, Newsletters | Cyberseminars | Videos | Podcasts | Other Resources



Citations

(5 of more than 1151 PAIN focused publications)


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Publication Briefs

(5 of more than 68 PAIN focused publication briefs)

  • Pain Intensity Following Discontinuation of Long-Term Opioid Therapy Does Not, on Average, Worsen for Patients
    This study sought to characterize pain intensity over 12 months following opioid discontinuation. Findings showed that average pain intensity did not significantly worsen in the 12 months after Veterans discontinued opioid therapy; for some patients, pain intensity improved. Mean estimated pain at the time of opioid discontinuation was 4.9 on a scale from 0-10. Changes in pain following discontinu...
    Date: June 13, 2018
  • Opioids Do Not Result in Better Pain-Related Function or Pain Intensity Compared to Non-Opioid Drugs in Veterans with Chronic Pain
    This randomized trial compared opioid therapy versus non-opioid medication therapy over 12 months for primary care patients with chronic back pain or hip or knee osteoarthritis pain. Findings showed that the use of opioid therapy compared with non-opioid medication therapy did not result in significantly better pain-related function over 12 months. Opioid therapy compared with non-opioid medicatio...
    Date: March 6, 2018
  • Racial/Ethnic and Gender Variations in Veteran Satisfaction with VA Healthcare
    This study of Veterans’ satisfaction with outpatient, inpatient, and specialist care in a diverse sample of Veterans from predominantly minority-serving VAMCs sought to better understand racial/ethnic and gender variations in healthcare satisfaction. Findings showed generally high levels of healthcare satisfaction across 16 domains, with 83% of respondents somewhat or very satisfied with VA health...
    Date: March 1, 2018
  • Medical Record Alert Associated with Reduced Opioid and Benzodiazepine Co-prescribing
    This implementation project evaluated the effectiveness of an advanced medication alert designed to reduce opioid and benzodiazepine co-prescribing among Veterans with high-risk conditions (substance use disorder, sleep apnea, suicide risk, and age =65) at one VA healthcare system (VA Puget Sound). Findings showed that the proportions of patients with concurrent prescriptions decreased significant...
    Date: December 28, 2017
  • Effects of Cannabis among Adults with Chronic Pain
    This systematic review assesses the efficacy of cannabis for treating chronic pain, and provides a broad overview of the short- and long-term physical and mental health effects of cannabis use in chronic pain and general patient populations. Overall, investigators found low-strength evidence that cannabis may improve pain in some patients with neuropathic pain and insufficient evidence to characte...
    Date: August 5, 2017

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Studies

( 5 of more than 65 PAIN focused projects )

Project No.  Title  PI  Funding Start   
IIR 17-032 Communication and Activation in Pain to Enhance Relationships and Treat Pain with Equity (COOPERATE) Matthias, Marianne 2018-07-01
SDR 17-306 Complementary and Integrative Health for Pain in the VA: A National Demonstration Project (NIH-VA-DOD joint Initiative) Taylor, Stephanie 2018-04-01
IIR 17-094 Cognitive-Behavioral Therapy for Chronic Pain: do Modifications Affect VEterans or implementatioN (CBT-CPMAVEN) McGuire, Alan 2018-03-01
IIR 15-092 Pain-related Anxiety Intervention for Smokers with Chronic Pain: A Comparative Effectiveness Trial of Smoking Cessation Counseling for Veterans Bastian, Lori 2017-02-01
SDR 15-461 The Opioid Consent: Helping Optimize Information for Cancer and Effective (CHOICE) Pain Management Lorenz, Karl 2016-09-01

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HSR&D Briefs, Reports, Newsletters

5 sample "Pain" publications displayed.

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Cyberseminars

The most recent "Pain" seminars are displayed.

Date Title Presenter(s)
1/8/2019 NIH-DoD-VA Pain Management Collaboratory Kerns, Robert  
12/4/2018 Analgesic Impact on Physical Function in Older Veterans with Arthritis Hwang, Ula  
11/6/2018 Care Management for the Effective Use of Opioids (CAMEO): A Randomized Trial Bair, Matthew  
10/2/2018 Applied HRV Data Interpretation for the Clinician Ginsberg, Jay (Jack)  
9/4/2018 How have National Reductions in Opioid Prescribing in the Past Decade Impacted the Health Outcomes of Veterans Experiencing Chronic Pain? Carey, Evan  

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Videos

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Podcasts

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Other Resources

  • Watch this video featuring HSR&D investigator Sarah Krein talking about her research on the impact of a walking program on chronic back pain.
  • Learn more about the projects being conducted within HSR&D's Pain Management CREATE (Collaborative Research to Enhance and Advance Transformation and Excellence) initiative.
  • Visit the VA's Office of Research & Development healthcare topic overview section to learn more about milestones in VA's pain management research, read research updates, and download research fact sheets.

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