2021-04-19T09:42:05Z Copyright (c) 2021, The RAND Corporation RAND Corporation https://www.rand.org/topics/pain-management.html Patricia M. Herman; Eric Hurwitz; Paul G. Shekelle; Margaret D. Whitley; Ian D. Coulter; Howard Vernon; Mallika Kommareddi https://www.rand.org/pubs/research_briefs/RBA1018-1.html 2021-03-12T08:00:00Z 2021-03-12T08:00:00Z

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.

Layla Parast; Anagha Alka Tolpadi; Joan M. Teno; Marc N. Elliott; Rebecca Anhang Price https://www.rand.org/pubs/external_publications/EP68537.html 2021-02-26T09:15:00Z 2021-02-26T09:15:00Z

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.

Kate L. Lapane; Catherine Dubé; Anne L. Hume; Jennifer Tjia; Bill M. Jesdale; Jayne Pawasauskas; Dmitry Khodyakov https://www.rand.org/pubs/external_publications/EP68533.html 2021-02-25T08:30:00Z 2021-02-25T08:30:00Z

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.

Patricia M. Herman; Ryan K. McBain; Nicholas Broten; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP68387.html 2020-12-16T10:45:00Z 2020-12-16T10:45:00Z

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

Ron D. Hays; Karen Spritzer; Cathy D. Sherbourne; Gery W. Ryan; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP68126.html 2020-03-31T09:45:00Z 2020-03-31T09:45:00Z

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

Sara E. Heins; Renan Castillo https://www.rand.org/pubs/external_publications/EP68068.html 2020-01-31T09:00:00Z 2020-01-31T09:00:00Z

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.

Bradley D. Stein https://www.rand.org/pubs/testimonies/CT520z1.html 2020-01-20T09:30:00Z 2020-01-20T09:30:00Z

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

RAND Corporation https://www.rand.org/multimedia/video/2019/12/17/addressing-the-us-opioid-crisis-using-an-integrated-systems-based-approach.html 2019-12-17T10:00:00Z 2019-12-17T10:00:00Z

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

Bradley D. Stein https://www.rand.org/pubs/testimonies/CT520.html 2019-12-17T09:00:00Z 2019-12-17T09:00:00Z

Testimony presented before the Senate Judiciary Committee on December 17, 2019.

Maria Orlando Edelen; Anthony Rodriguez; Sangeeta C. Ahluwalia; Emily K. Chen; Catherine C. Cohen; Sarah Dalton; Jason Michel Etchegaray; Wenjing Huang; Brenda Karkos; David J. Klein; Jaime Madrigano; Monique Martineau; Terry Moore; Patrick Orr; Jessica Phillips; Ben Schalet; Victoria Shier; Susan M. Paddock; Denis Agniel https://www.rand.org/pubs/research_reports/RR3004z4.html 2019-11-15T08:15:00Z 2019-11-15T08:15:00Z

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.

Patricia M. Herman; Anita H. Yuan; Matthew Cefalu; Karen Chu; Qing Zeng; Nell J. Marshall; Karl Lorenz; Stephanie L. Taylor https://www.rand.org/pubs/external_publications/EP67879.html 2019-06-11T12:00:00Z 2019-06-11T12:00:00Z

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.

Stephanie L. Taylor; Patricia M. Herman; Nell J. Marshall; Qing Zeng; Anita H. Yuan; Karen Chu; Yijun Shao; Craig Morioka; Karl Lorenz https://www.rand.org/pubs/external_publications/EP67881.html 2019-06-11T12:00:00Z 2019-06-11T12:00:00Z

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.

Patricia M. Herman; Mallika Kommareddi; Melony E. Sorbero; Carolyn M. Rutter; Ron D. Hays; Lara Hilton; Gery W. Ryan; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP67885.html 2019-06-11T12:00:00Z 2019-06-11T12:00:00Z

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.

Robert B. Saper; Chelsey M. Lemaster; A. Rani Elwy; Ruth Paris; Patricia M. Herman; Dorothy N. Plumb; Karen J. Sherman; Erik J. Groessl; Susan V. Lynch; Shihwe Wang; Janice Weinberg https://www.rand.org/pubs/external_publications/EP67888.html 2019-06-11T12:00:00Z 2019-06-11T12:00:00Z

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

Ian D. Coulter; C. J. Crawford; Howard Vernon; Eric Hurwitz; Raheleh Khorsan; Marika Booth; Patricia M. Herman https://www.rand.org/pubs/external_publications/EP67891.html 2019-06-11T12:00:00Z 2019-06-11T12:00:00Z

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.

Patricia M. Herman; Jill E. Luoto; Mallika Kommareddi; Melony E. Sorbero; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP67871.html 2019-06-10T12:00:00Z 2019-06-10T12:00:00Z

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.

Patricia M. Herman; Tara Lavelle; Melony E. Sorbero; Eric Hurwitz; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP67872.html 2019-06-10T12:00:00Z 2019-06-10T12:00:00Z

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.

Patricia M. Herman; Eric Hurwitz; Paul G. Shekelle; Margaret D. Whitley; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP67874.html 2019-06-10T12:00:00Z 2019-06-10T12:00:00Z

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.

Ron D. Hays; Cathy D. Sherbourne; Karen Spritzer; Lara Hilton; Gery W. Ryan; Ian D. Coulter; Patricia M. Herman https://www.rand.org/pubs/external_publications/EP67880.html 2019-06-10T12:00:00Z 2019-06-10T12:00:00Z

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

Patricia M. Herman; Nicholas Broten; Tara Lavelle; Melony E. Sorbero; Ian D. Coulter https://www.rand.org/pubs/external_publications/EP67838.html 2019-04-11T12:00:00Z 2019-04-11T12:00:00Z

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.