A patient-centered approach to tapering opioids.

Simply treating opioid addiction isn't enough. Instead, reposition your patient's singular circumstances and needs at the center of efforts to end use of these agents.

The effect of toothpicks containing flavoring and flavoring plus jambu extract (spilanthol) to promote salivation in patients -diagnosed with opioid-induced dry mouth (xerostomia).

Objective: To determine if the use of toothpicks infused with flavoring and flavoring plus the food additive spilanthol (Xerosticks™) improve saliva flow in people with opioid-induced dry mouth.

Design: Time series, nonrandomized, double-blind within-subject design.

Setting: Private practice/academic multidisciplinary pain and palliative care clinic.

Improving Pain Care with Project ECHO in Community Health Centers.

Objective: Pain is an extremely common complaint in primary care, and patient outcomes are often suboptimal. This project evaluated the impact of Project ECHO Pain videoconference case-based learning sessions on knowledge and quality of pain care in two Federally Qualified Health Centers.

Design: Quasi-experimental, pre-post intervention, with comparison group.

A new paradigm for pain?

A new way of thinking about pain that occurs in the absence of a pathophysiologic process or injury may alter our approach to conditions like fibromyalgia.

Peripheral nerve field stimulation for the management of localized chronic intractable back pain: results from a randomized controlled study.

Objectives: Improved device technology has caused a renewed interest in peripheral nerve field stimulation (PNfS). This study sought to obtain preliminary estimates of the safety and efficacy of PNfS in patients with localized chronic intractable pain of the back.

Materials And Methods: This Institutional Review Board-approved, prospective, randomized, controlled, crossover study consisted of two phases.

KnowPain-50: a tool for assessing physician pain management education.

Background: Despite a need for better physician pain management education, there are no widely accepted assessment or outcome measures to support this work.

Objective: Create a self-assessment tool to measure physician educational needs and the effectiveness of chronic pain educational programs.

Design: We used expert consensus to draft a 142-item survey that covered essential areas of chronic pain management.

Educating generalist physicians about chronic pain: live experts and online education can provide durable benefits.

Objective: Determine whether lectures by national experts and a publicly available online program with similar educational objectives can improve knowledge, attitudes, and beliefs (KAB) important to chronic pain management.

Design: A pretest-posttest randomized design with two active educational interventions in two different physician groups and a third physician group that received live education on a different topic to control for outside influences, including retesting effects, on our evaluation.

Participants: A total of 136 community-based primary care physicians met eligibility criteria.