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 1218 PAIN focused publications)
- Frank JW, Carey E, Nolan C, Kerns RD, Sandbrink F, Gallagher R, Ho PM. Increased Nonopioid Chronic Pain Treatment in the Veterans Health Administration, 2010-2016. Pain medicine (Malden, Mass.). 2019 May 1; 20(5):869-877.
- Allen KD, Lo G, Abbate LM, Floegel TA, Lindquist JH, Coffman C, Oddone EZ, Taylor SS, Hall K. Composite measures of physical activity and pain associate better with functional assessments than pain alone in knee osteoarthritis. Clinical Rheumatology. 2019 Mar 30.
- Miake-Lye IM, Mak S, Lee J, Luger T, Taylor SL, Shanman R, Beroes-Severin JM, Shekelle PG. Massage for Pain: An Evidence Map. Journal of alternative and complementary medicine (New York, N.Y.). 2019 Mar 20.
- Bayman EO, Parekh KR, Keech J, Larson N, Vander Weg M, Brennan TJ. Preoperative Patient Expectations of Postoperative Pain Are Associated with Moderate to Severe Acute Pain After VATS. Pain medicine (Malden, Mass.). 2019 Mar 1; 20(3):543-554.
- Zeliadt SB, Taylor S, Thomas E, Giannitrapani K, Holliday J, Ackland P. Battlefield Acupuncture for Pain in the VA: What is it, How effective is it and How Well is it Being Implemented? The Effectiveness and Implementation of Battlefield Acupuncture in the VA [Cyberseminar]. QUERI Complementary and Integrative Health Evaluation Center Partnered Evaluation Initiative. 2019 Feb 5.
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(5 of more than 75 PAIN focused publication briefs)
- Many VA Patients Use and are Interested in Learning More about Complementary and Integrated Health Options
In part to guide the expansion of evidence-based complementary and integrative health (CIH), VA leaders sought current information on Veterans’ interest in and use of various CIH approaches, both inside and outside the VA healthcare system. Thus, investigators in this study analyzed survey results from a large sample of Veterans on their interest in, use of, and satisfactions with 26 CIH approache...
Date: April 22, 2019
- Links Between Opioid Use and Suicide
This review describes what is known about the links between suicide and overdoses, with a focus on pathways through opioid use, issues of intent, risk factors, prevention strategies, and unresolved issues. Many factors promote the initiation and persistence of opioid use, but several specific pathways toward vulnerability to overdose and suicide are highlighted. Interventions that address shared c...
Date: January 3, 2019
- Link between Length of Prescription for Initial Exposure to Opioids and Long-Term Use
This study examined the association between initial opioid exposure and subsequent long-term use in two national VA cohorts from 2011 and 2016. Findings showed a strong relationship between initial opioid exposure and the future likelihood for long-term use. Cumulative days’ supply of prescription opioids emerged as the strongest predictor of long-term opioid use, which occurred in only 2% of Vete...
Date: November 5, 2018
- Veterans Receiving Prescriptions Through Both VA and Medicare Are More Likely to Be Taking Opioids and Benzodiazepines
This study sought to assess the association between receiving medications from both VA and Medicare Part D (dual use) and the receipt of overlapping opioid and benzodiazepine prescriptions. Findings showed that receiving prescription medications from both VA and Medicare Part D was associated with a 27% increased risk of overlapping opioids and benzodiazepines – and more than twice the risk of ove...
Date: October 9, 2018
- Battlefield Acupuncture Proves Highly Effective in Treating Chronic Pain among Veterans
Battlefield acupuncture (BFA) involves a small needle inserted into parts of the ear that have a “central effect” on the nervous system and an area of the brain that processes pain. This study examined the use and effectiveness of BFA for pain in group and individual sessions at a large VA medical center. Findings showed that BFA was highly efficacious in immediately reducing pain for a significan...
Date: September 5, 2018
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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...
Management Briefs eBrief-no123 - Massage for Pain: An Evidence Map
...types of pain included in systematic reviews were neck pain (n=6), followed by low back pain, headache, or shoulder pain. Also included in some...
Management Briefs eBrief-no122 - Benefits and Harms of Cannabis in Chronic Pain or PTSD
...with chronic pain or PTSD. Treatment of chronic pain There is limited evidence that cannabis may improve pain, spasticity, and sleep in select...
Management Briefs eBrief-no107 - Spinal Manipulative Therapy for Acute Neck and Lower Back Pain
...pain are common ailments, and most people can expect at least one episode of acute back and/or neck pain in their lifetime. SMT is one of many...
Management Briefs eBrief-no125 - Effectiveness of Models Used to Deliver Multimodal Care for Chronic Musculoskeletal Pain
...clinically relevant improvement in rates of pain intensity and pain-related function over 9 to 12 months (NNT range, 4.1 to 12.70), as well as...
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