Featured Research

from universities, journals, and other organizations

Primary care doctors prefer NSAIDS for chronic pain treatment

Date:
June 25, 2013
Source:
American Pain Society
Summary:
For treating the estimated 100 million Americans with chronic pain -- a population larger than those with heart disease, cancer and diabetes combined -- research reported shows that primary care physicians overwhelmingly prefer to prescribe non-steroidal anti-inflammatory medications (NSAIDS), in accordance with published clinical practice guidelines.

For treating the estimated 100 million Americans with chronic pain -- a population larger than those with heart disease, cancer and diabetes combined -- research reported in The Journal of Pain shows that primary care physicians overwhelmingly prefer to prescribe non-steroidal anti-inflammatory medications (NSAIDS), in accordance with published clinical practice guidelines.

Related Articles


The Journal of Pain is the peer review publication of the American Pain Society.

Researchers at the University of Missouri Kansas City School of Pharmacy, Children’s Mercy Hospital, Kansas City and University Health System, San Antonio, studied factors, variations and current treatment practices in the management of chronic non-cancer pain and sought to determine if these practices are consistent with various clinical practice guidelines. The researchers utilized data from more than 690,000 patient visits to physician offices compiled for the National Ambulatory Medical Care Survey from 2000 to 2007. The sample included patients 18 and older with common non-malignant chronic pain.

The authors found than chronic pain related physician office visits comprised 13 percent of total national ambulatory care visits, of which 45 percent involved primary-care physicians. Only 0.12 percent of the visits involved pain specialists. The authors noted this disparity shows that the demand for pain services far exceeds availability due to the limited number of pain specialists practicing in the United States.

With regard to pain medicine prescribing practices, the authors reported that, in compliance with published guidelines, non-steroidal anti-inflammatory drugs were with most common medication class prescribed as a first-line option. NSAID use was surprisingly high with rates of 97 to 99 percent in all chronic pain types studied. Acetaminophen use was very low at 4 percent. The authors surmised that many chronic pain patients have not achieved sufficient pain relief from acetaminophen by the time they decide to see a doctor.

No other medication class was used in 26 percent or more of the study population, and there was a lower than anticipated utilization of opioid analgesics. They were prescribed for only 10.5 percent of the general pain group.


Story Source:

The above story is based on materials provided by American Pain Society. Note: Materials may be edited for content and length.


Journal Reference:

  1. Rafia S. Rasu, Rose Sohraby, Lindsay Cunningham, Maureen E. Knell. Assessing Chronic Pain Treatment Practices and Evaluating Adherence to Chronic Pain Clinical Guidelines in Outpatient Practices in the United States. The Journal of Pain, 2013; 14 (6): 568 DOI: 10.1016/j.jpain.2013.01.425

Cite This Page:

American Pain Society. "Primary care doctors prefer NSAIDS for chronic pain treatment." ScienceDaily. ScienceDaily, 25 June 2013. <www.sciencedaily.com/releases/2013/06/130625150738.htm>.
American Pain Society. (2013, June 25). Primary care doctors prefer NSAIDS for chronic pain treatment. ScienceDaily. Retrieved November 23, 2014 from www.sciencedaily.com/releases/2013/06/130625150738.htm
American Pain Society. "Primary care doctors prefer NSAIDS for chronic pain treatment." ScienceDaily. www.sciencedaily.com/releases/2013/06/130625150738.htm (accessed November 23, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Sunday, November 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Ebola-Hit Sierra Leone's Late Cocoa Leaves Bitter Taste

Ebola-Hit Sierra Leone's Late Cocoa Leaves Bitter Taste

AFP (Nov. 23, 2014) The arable district of Kenema in Sierra Leone -- at the centre of the Ebola outbreak in May -- has been under quarantine for three months as the cocoa harvest comes in. Duration: 01:32 Video provided by AFP
Powered by NewsLook.com
Don't Fall For Flu Shot Myths

Don't Fall For Flu Shot Myths

Newsy (Nov. 23, 2014) Misconceptions abound when it comes to your annual flu shot. Medical experts say most people older than 6 months should get the shot. Video provided by Newsy
Powered by NewsLook.com
WFP: Ebola Risks Heightened Among Women Throughout Africa

WFP: Ebola Risks Heightened Among Women Throughout Africa

AFP (Nov. 21, 2014) Having children has always been a frightening prospect in Sierra Leone, the world's most dangerous place to give birth, but Ebola has presented an alarming new threat for expectant mothers. Duration: 00:37 Video provided by AFP
Powered by NewsLook.com
Could Your Genes Be The Reason You're Single?

Could Your Genes Be The Reason You're Single?

Newsy (Nov. 21, 2014) Researchers in Beijing discovered a gene called 5-HTA1, and carriers are reportedly 20 percent more likely to be single. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins