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Pain Management

Testimony

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
Journal Article

Journal Article

The Use of Complementary and Integrative Health Approaches for Chronic Musculoskeletal Pain in Younger US Veterans: An Economic Evaluation

Chronic pain is prevalent among Veterans in general, but especially among younger Veterans, including participants in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Musculoskeletal pain is the most common type of chronic pain. This pain also often co-occurs with conditions such as anxiety, depression, post-traumatic stress disorder, and substance abuse.

Jun 11, 2019
Journal Article

Journal Article

Use of Complementary and Integrated Health: A Retrospective Analysis of U.S. Veterans with Chronic Musculoskeletal Pain Nationally

This article addresses the use of a variety of nonherbal CIH therapies among any large patient population having chronic pain by exploring the frequency and predictors of CIH therapy use among a national population of VHA users with chronic musculoskeletal pain.

Jun 11, 2019
Journal Article

Journal Article

Characteristics of Chiropractic Patients Being Treated for Chronic Low Back and Neck Pain

This study describes the characteristics of a large sample of chronic low back pain and chronic neck pain patients in the United States who use chiropractic care for their chronic low back pain and chronic neck pain.

Jun 11, 2019
Journal Article

Journal Article

Yoga Versus Education for Veterans with Chronic Low Back Pain: Study Protocol For a Randomized Controlled Trial

This study will help determine if yoga can become an effective treatment for Veterans with chronic low back pain and psychological comorbidities.

Jun 11, 2019
Journal Article

Journal Article

Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel

The purpose of this systematic review was to evaluate the randomized controlled trials published from January 2000 through September 2017 on chronic nonspecific neck pain, comparing the effects of manipulation and/or mobilization as therapies to those of other active therapies (such as acupuncture, massage therapy, exercise, etc.) to sham or no treatment, and when combined with other therapies such as exercise or advice commonly seen in practice.

Jun 11, 2019
Journal Article

Journal Article

Patient Willingness to Pay for Reductions in Chronic Low Back Pain and Chronic Neck Pain

This study provides estimates of reported WTP for pain reduction from a large sample of patients using chiropractic care to manage their chronic spinal pain and compares these estimates to what these patients do for care over the next 3 months, to inform coverage policies for ongoing care.

Jun 10, 2019
Journal Article

Journal Article

Are Nonpharmacologic Interventions for Chronic Low Back Pain More Cost Effective Than Usual Care? Proof of Concept Results from a Markov Model

This study presents the results of a proof-of-concept modeling effort that utilized individual patient-level data from ten randomized studies and the categorization of these study's participants by chronic pain impact level to estimate the effectiveness and cost-effectiveness of adding recommended nonpharmacologic therapies for CLBP to usual care.

Jun 10, 2019
Journal Article

Journal Article

Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to Be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain

This study used the RUAM to determine the appropriateness of spinal mobilization and manipulation for different types of patients with CLBP, and the key patient characteristics associated with appropriateness.

Jun 10, 2019
Journal Article

Journal Article

Experiences With Chiropractic Care for Patients With Low Back or Neck Pain

This study provides information on the experiences of a national sample of chiropractic patients in the United States with chronic pain.

Jun 10, 2019
Journal Article

Journal Article

Exploring the Prevalence and Construct Validity of High-Impact Chronic Pain Across Chronic Low-Back Pain Study Samples

Identifying high-impact chronic pain and reporting outcomes of trials by chronic pain impact level could help ensure that adequate resources are directed toward improving outcomes of the chronic pain patients in greatest need.

Apr 11, 2019
Journal Article

Journal Article

Healthcare Costs and Opioid Use Associated with High-Impact Chronic Spinal Pain in the United States

Opioid dosage and use increased annually for individuals with all levels of chronic pain; those with high-impact pain had average dosing 5.5 times higher than those with low-impact pain.

Apr 11, 2019
Commentary

(Grey's) Anatomy of an Opioid Crisis

More than 130 Americans die every day after overdosing on opioids. So when one of the most popular shows on TV made opioid misuse a major plotline, RAND experts paid attention to how it presented this public health crisis. The show mirrored reality pretty closely, for the narrow slice of the opioid crisis it addressed.

Apr 8, 2019
Journal Article

Journal Article

Pain Severity as a Mediator of the Association Between Depressive Symptoms and Physical Performance in Knee Osteoarthritis

This study examined whether pain severity mediates the association between depressive symptoms and physical performance in persons with radiographic knee osteoarthritis.

Feb 7, 2019
Periodical

Periodical

RAND Review: January-February 2019

This issue spotlights (1) research on how faith-based organizations promote health and well-being in underserved communities and (2) the Pardee RAND Graduate School's new approach to policy and training the next generation of policy experts.

Jan 7, 2019
Journal Article

Nearly Thirty Percent of Physicians' Opioid Prescriptions Lack a Pain Diagnosis

Medical use of opioids has increased dramatically over the past two decades, far exceeding increases in the prevalence of pain. No pain diagnosis was recorded at 28.5 percent of physician visits in which an opioid was prescribed.

Sep 14, 2018
Infographic

Managing Pain with Alternative Therapies

About 126 million adults report having pain in the past three months. Alternative and integrative therapies, such as acupuncture, mindfulness (meditation), and Tai Chi, may help some individuals manage their pain. This infographic compiles information from hundreds of reviews of the evidence on the effect of these three therapies on different types of pain.

Aug 24, 2018

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RAND Topic:
Pain Management

Topic Synonyms:
Pain Relief

Research conducted by

RAND Health Care