Analgesics, Opioid

NSAIDs “provide the greatest benefit and least harm” for treating acute pain in children compared with ketamine and opioids, according to findings from a systematic review and meta-analysis published in JAMA Pediatrics.

The percentage of adult arthritis visits to office-based physicians increased significantly during 2006-2015, with the percentage of visits where opioids were prescribed also increasing during that time, according to data.

ATLANTA — Health care providers should avoid prescribing transcutaneous electric nerve stimulation or stem cell injections in favor of more comprehensive management — including nonpharmacological interventions such as tai chi — for hip, knee and hand osteoarthritis, according to draft guidelines presented at ACR/ARP 2019.

ATLANTA — The incidence of opioid-related hospitalizations among patients with musculoskeletal conditions increased markedly over the past 2 decades, with continued growth among patients with osteoarthritis, rheumatoid arthritis and fibromyalgia, according to a presentation at the 2019 ACR/ARP Annual Meeting.

Significantly fewer patients undergoing cataract surgery who received intracameral Omidria experienced severe pain or required intraoperative fentanyl than did patients who received epinephrine, according to a study.

SAN FRANCISCO — Eric Donnenfeld, MD, discusses a recent study of Omidria (phenylephrine 1% and ketorolac 0.3% intraocular solution, Omeros) at the American Academy of Ophthalmology meeting. Results found 90% of patients treated with Omidria were less likely to need opioids during surgery.

SAN DIEGO — Reducing use of accepted surgical and pharmacological interventions in favor of diet and exercise may be the way forward in osteoarthritis, according to a presentation at the 2019 Congress of Clinical Rheumatology West.

HHS Secretary Alex Azar has proposed a rule that he said would improve substance use disorder treatment and reduce primary care providers’ administrative burden.

Anesthesia methods after surgical treatment of distal radial fracture significantly impact early patterns of postoperative pain and opioid consumption equivalents, according to results. However, no difference was seen between anesthesia methods with regard to total opioid equivalent consumption during the first 3 postoperative days and long-term outcomes.

Surveys using vignette-based trauma cases that were given to residents showed those from the United States prescribed more postoperative opioids at discharge than residents from two other countries.