American Society of Interventional Pain Physicians | October 18, 2017
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Article Investigates Prescription Opioid Death Rates

Gomes T, Juurlink DN, Antonio T, et al have performed an assessment of Gabapentin and opioids and the risk of opioid related deaths. The study was published Oct 3 in PLOS Medicine. The authors found that among patients receiving prescribed opioids that 1 of every 550 chronic opoid users died without approximately 2.5 years of their first opioid prescription.
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ASIPP Abstract Submission for 2018 Annual Meeting is Open
 
The American Society of Interventional Pain Physicians will hold its 20th Annual Meeting March 15-17, 2018 in Orlando, Florida at Marriott Orlando World Center.
  
This year, we will be making significant changes to the Abstract and Poster Sessions. Submissions will be in two categories: Resident/Fellow and Physician.  Selected posters will be on display for all meeting participants during all breaks and meal times.
  
The Abstract Committee will select the top 25 for publication in Pain Physician and of those 10 will be selected for Abstract presentation and judging during the Annual Meeting. The top 3 will receive cash prizes.

OCTOBERR ISSUE NOW AVAILABLE!

Interventional Pain Management Reports is an Open Access online journal, a peer-reviews journal dedicated to the publication of case reports, brief commentaries and reviews and letters to the editor. It is a peer-reviewed journal written by and directed to an audience of interventional pain physicians, clinicians and basic scientists with an interest in interventional pain management and pain medicine. 

We would like to invite you to submit research case reports, brief commentaries and reviews to Interventional Pain Management Reports Journal . Your article will be published FREE’ of charge. 

Led by Editor in Chief: Kenneth Candido, MD, Chairman and Professor, Department of Anesthesiology , Advocate Illinois Masonic Medical Center in Chicago, IPM Reports focuses on the promotion of excellence in the practice of interventional pain management and clinical research. 

Interventional Pain Management Reports is an official publication of the American Society of Interventional Pain Physicians (ASIPP) and is a sister publication of Pain Physician . Interventional Pain Management Reports Interventional Pain Management Reports is an open access journal, available online with free full manuscripts.  

The benefits of publishing in an open access journal that has a corresponding print edition journal are:  
  • Your article will have the potential to obtain more citations.
  • Your article will be peer-reviewed and published faster than other journals.
  • Your article can be read by a potentially much larger audience compared with traditional subscription-only journals.  
  • Open Access journals are FREE to view, download and to print.

So submit today your:
  • Case Reports
  • Technical Reports
  • Editorials
  • Short Perspectives

Click HERE to submit
Trump Signals Opposition to Bipartisan Health-Care Deal
President’s tweet comes after he called Sen. Alexander to voice encouragement
President Donald Trump on Wednesday sent a strong signal that he opposes a  bipartisan deal on health care  after earlier expressing support, sowing confusion among some lawmakers and raising questions about the bill’s chances of success.
“I am supportive of Lamar as a person & also of the process, but I can never support bailing out ins co’s who have made a fortune w/O’Care,” Mr. Trump tweeted on Wednesday, referring to Sen. Lamar Alexander (R., Tenn.).
Mr. Trump’s tweet came after he called Mr. Alexander Wednesday morning to express encouragement of the deal between the lawmaker and Sen. Patty Murray (D., Wash.), according to Mr. Alexander. The proposal would shore up the Affordable Care Act while giving states more say in how the law is implemented.
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Addressing the Lack of Access to Palliative Care, Pain Management
In 2015, more than 25.5 million people who died worldwide experienced serious health-related suffering (SHS), and the vast majority lacked access to palliative care and pain relief, according to a report published online in  The Lancet .
Felicia Marie Knaul, PhD, from the University of Miami in Florida, and colleagues developed a conceptual framework for measuring the global burden of SHS. They analyzed the 20 health conditions and 15 symptoms usually associated with these health conditions that cause most of the global burden of SHS.
The researchers found that more than 25.5 million people who died in 2015 -- who accounted for 45% of the 56.2 million deaths recorded worldwide -- experienced SHS. More than 80% of those who died with SHS were from developing regions, and the large majority had no access to  palliative care  and pain relief. In addition, more than 2.5 million children die with SHS each year, more than 98% of whom are from developing regions.
Anthem to Launch Its Own Pharmacy-Benefit Manager
Insurer drops Express Scripts and signs deal with CVS to service new business, dubbed IngenioRx
Anthem  Inc.  ANTM  +3.34%   said it would launch its own pharmacy-benefit manager, serviced by  CVS Health  Corp.  CVS  +1.30%   , in 2020 after the conclusion of its current contract with  Express Scripts Holding  Co.  ESRX  +2.17%
Anthem’s move to create IngenioRx is a blow to Express Scripts, which is losing its biggest customer, but Express Scripts had warned in April that Anthem was unlikely to renew their 10-year pact once it expires at the end of 2019. Anthem has sued Express Scripts for allegedly overcharging on prescription drugs over several years. Express has denied the allegations and made its own counterclaims.
Anthem said it expected the new PBM to “achieve greater than $4 billion in gross savings annually.”

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Virtual Reality for Pain Relief: Understanding the Underlying Mechanisms
Virtual reality technology may relieve pain through neurophysiologic changes related to conditioning and exposure, in addition to mechanisms involving distraction, according to the results of a recent selective review published in  Pain Medicine .
The researchers evaluated articles published between 2000 and 2016 that investigated the mechanisms underlying the effects of virtual reality on pain relief. Of the 6 studies that were identified, 4 were small randomized controlled studies, and 2 were prospective studies. The mechanisms of  virtual reality  were considered to be distraction-based or nondistraction-based.
The review results confirmed that  distraction  plays a key role in the ability of virtual reality to relieve acute pain. Both the quality of virtual reality and the amount of immersion were associated with measures of pain relief.
Opioid Prescriptions Following Common Surgeries: Optimal Durations
According to recent research published in  JAMA Surgery , the optimal duration of opioid prescriptions following surgical procedures was shown to vary from 4 to 15 days, depending on the type of surgical procedure, with musculoskeletal procedures requiring the longest prescriptions and certain types of general and women's health procedures requiring the shortest prescriptions.
In this cohort study, patterns of opioid prescribing after common surgeries were evaluated for adults (mean age, 40.1±12.8 years) who had undergone one of the following procedures: appendectomy (n=34,516),  cholecystectomy  (n=48,622), inguinal hernia repair (n=39,297), hysterectomy (n=39,474), mastectomy (n=5233), anterior cruciate ligament repair (n=16,511),  rotator cuff repair (n=14,840), or discectomy (n=16,647). To determine the optimal length of initial opioid prescription, the researchers analyzed the risk for refilling an opioid prescription relative to the original prescription duration.
Physician Income Trends Are Flat or Declining
Anecdotally, physician career coaches report that physician salaries are flat at best, according to an article published in  Medical Economics .
Two physician career coaches, Robert F. Priddy and Michelle Mudge Riley, DO, report that they have been getting feedback from physicians about their reimbursements.
They have observed a downward trend for physicians' incomes, especially for specialties that have traditionally been well-paying, such as radiology. Primary care physicians, such as  pediatricians  and obstetricians, have not seen salary increases. Some physicians, even specialists, have been seeking nonclinical revenue sources to supplement their income. Changing compensation structures, Mudge Riley says, have hurt, not helped, the bottom line for most doctors. Priddy says physicians' salaries do not advance with seniority but rather based on production.
 
State Society News 
July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
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Send in your state society meeting news to Holly Long, hlong@asipp.org
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