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Pain Management

Blog

Keeping Russians Informed, No-Fly Zone Policy, Telehealth: RAND Weekly Recap

This weekly recap focuses on how to ensure Russians have access to accurate news about the war in Ukraine, strategic considerations for keeping a no-fly zone option on the table, treating pain conditions among U.S. service members, and more.

Mar 18, 2022
Report

Quality and Safety of Pain Care in the Military Health System

Pain is the leading cause of disability among active-duty service members. Given its potential impact on well-being and force readiness, providing high-quality treatment is a strategic priority. An assessment of outpatient care for acute and chronic pain, including opioid prescribing, can help the MHS continue to improve care.

Mar 16, 2022
Journal Article

Predictors of Visit Frequency for Patients Using Ongoing Chiropractic Care for Chronic Low Back and Chronic Neck Pain: Analysis of Observational Data

An observational longitudinal study looking at visit frequency and outcomes for patients using ongoing chiropractic care for chronic low-back and neck pain.

Feb 25, 2022
Journal Article

Income as a Predictor of Self-Efficacy for Managing Pain and for Coping With Symptoms Among Patients With Chronic Low Back Pain

The purpose of this study was to evaluate pain self-efficacy (PSE) and coping self-efficacy (CSE) for people with chronic low back pain, and to assess whether lower income may be associated with less PSE and CSE in the U.S.

Feb 25, 2022
Journal Article

Measuring the Appropriateness of Spinal Manipulation for Chronic Low Back and Chronic Neck Pain in Chiropractic Patients

The RAND/UCLA Appropriateness Method is applied to chiropractic manipulation for patients with chronic low-back pain and chronic neck pain, to determine the rate of appropriate care provided by U.S. chiropractors.

Feb 25, 2022
Journal Article

Rapid Discontinuation of Chronic, High-Dose Opioid Treatment for Pain: Prevalence and Associated Factors

This study used claims data from over 500,000 chronic high-dose opioid episodes initiated during 2017 and 2018 to examine prevalence of rapid discontinuation and identify associated patient demographics, clinician, and community factors.

Jan 26, 2022
Journal Article

Expert Panel Consensus on Management of Advanced Cancer-Related Pain in Individuals With Opioid Use Disorder

We engaged experts using an online modified Delphi approach to develop consensus on the appropriateness of strategies for managing cancer pain in individuals with co-occurring advanced cancer and opioid use disorder.

Jan 4, 2022
Blog

Equity in Research, North Korean Instability, Traffic Stops: RAND Weekly Recap

This weekly recap focuses on how RAND applies an equity lens to research, instability in North Korea, what police think about traffic stops, and more.

Jul 9, 2021
Report

Quality Measurement Is Key to Improving Chronic Pain Care for Service Members

Chronic pain affects 31 to 44 percent of active-duty service members and is a leading cause of disability and reduced readiness. And factors such as traumatic brain injury and PTSD can complicate treatment. Research can guide efforts to improve the quality of care for this population.

Jul 1, 2021
Journal Article

Does Marijuana Legalization Affect Work Capacity? Evidence from Workers' Compensation Benefits

We study the effect of state recreational marijuana laws on workers' compensation benefit receipt among adults 40–62 years old.

Mar 23, 2021
Research Brief

Spinal Manipulation for Chronic Lower Back or Neck Pain

Across a sample of patients seen by chiropractors, spinal manipulation was rated by experts as appropriate for most patients with chronic lower back pain and as equivocal (uncertain) for most patients with chronic neck pain.

Mar 12, 2021
Journal Article

Hospice Care Experiences Among Cancer Patients and Their Caregivers

Opportunities exist to improve hospice care for symptom palliation and training for caregivers when their family members are at home or in an ALF setting. Efforts to improve care for cancer patients in the NH and ALF setting are especially needed.

Feb 26, 2021
Journal Article

Priority-Setting to Address the Geriatric Pharmacoparadox for Pain Management: A Nursing Home Stakeholder Delphi Study

Our objective was to explore the extent of consensus among expert stakeholders regarding what analgesic issues should be prioritized for comparative-effectiveness studies of beneficial and adverse effects of analgesic regimens in nursing home residents.

Feb 25, 2021
Journal Article

Update of Markov Model on the Cost-effectiveness of Nonpharmacologic Interventions for Chronic Low Back Pain Compared to Usual Care

Markov modeling facilitates comparisons across interventions for lower back pain not directly compared in trials.

Dec 16, 2020
Journal Article

Group and Individual-level Change on Health-related Quality of Life in Chiropractic Patients With Chronic Low Back or Neck Pain

This study suggests some benefits of chiropractic on functioning and well-being of patients with low back pain or neck pain.

Mar 31, 2020
Journal Article

The Impact of Morphine Equivalent Daily Dose Threshold Guidelines on Prescribed Dose in a Workers' Compensation Population

Passage of morphine equivalent daily dose guidelines was associated with significant decreases in high dose opioid prescribing among workers' compensation claimants with chronic non-cancer related pain.

Jan 31, 2020
Testimony

Addressing the U.S. Opioid Crisis: Using an Integrated Systems-Based Approach: Addendum

Document submitted January 21, 2020, as an addendum to testimony before the Senate Judiciary Committee Hearing on Opioids on December 17, 2019.

Jan 20, 2020
Multimedia

Addressing the U.S. Opioid Crisis: Using an Integrated Systems-Based Approach

An overview of testimony by Bradley D. Stein presented before the Senate Judiciary Committee on December 17, 2019.

Dec 17, 2019
Testimony

Approaching the U.S. Opioid Crisis as an Ecosystem

Policymakers should think of the opioid crisis as an ecosystem and consider how its many parts interact—especially in unexpected ways. A broader view of the crisis will help those confronting it better prepare for the challenges ahead.

Dec 17, 2019
Report

Development and Evaluation of Candidate Standardized Patient Assessment Data Elements: Findings from the National Beta Test (Volume 5: Mental Status and Pain)

This report, part of a series, describes patient assessment data elements developed and tested by RAND on behalf of the Centers for Medicare & Medicaid services to comply with the Improving Medicare Post-Acute Care Transformation Act of 2014.

Nov 15, 2019

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RAND Topic:
Pain Management

Topic Synonyms:
Pain Relief

Research conducted by

RAND Health Care