American Society of Interventional Pain Physicians | April 18, 2018
Essentials of Interventional Techniques in Managing Chronic Pain Available for Order!
 
  • Comprehensive textbook of interventional techniques in managing chronic pain
  • Covers spinal interventional techniques, peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections and implantables
  • Step-by-step guidance backed up by the latest evidence

This comprehensive review covers the full and latest array of interventional techniques for managing chronic pain. Chapters are grouped by specific treatment modalities that include spinal interventional techniques, nonspinal and peripheral nerve blocks, sympathetic interventional techniques, soft tissue and joint injections, and implantables. Practical step-by-step and evidence-based guidance is given to each approach in order to improve the clinician's understanding. Innovative and timely, Essentials of Interventional Techniques in Managing Chronic Pain is a critical resource for anesthesiologists, neurologists, and rehabilitation and pain physicians.

JAMA published the state of U.S. health 1990-2016: Burden of Diseases, Injuries, and Risk Factors among U.S. states
 
This analysis showed some differences from their previous study.
 
The results showed that the leading causes of disability-adjusted life years (DALY) for 333 causes and 84 risk factors with 95% uncertainty intervals. The leading causes of DALYs in the Unite States for 1990 and 2016 were: ischemic heart disease and lung cancer, while the third leading cause in 1990 was low back pain, and the third leading cause in 2016 was chronic obstructive pulmonary disease.
 
Thus, low back pain is not as prominent in 2016 as it was in 1990. Opioid use disorders moved from the 11 th leading cause of DALYs in 1990 to the 7 th leading cause in 2016, representing at 74.5% change.
 
In reference 2, U.S. years lived with disability (YLDs), low back pain continued as number one as in 1990, along with major depressive disorder as number 2, diabetes mellitus moving from number 8 in 1990 to 3 in 2016 with other musculoskeletal disorders at 4, whereas migraine moved from number 3 to number 5 in 2016 with neck pain remaining as number 6. However, anxiety disorders moved from number 5 to number 7 in 2016.
 
In comparison to disability-adjusted life years (DALY) versus years lived with disability (YLDs), low back pain, major depressive disorder, other musculoskeletal disorders, migraine, neck pain, anxiety disorders, and opioid disorders remain 7 of 8 high ranking disorders.
 
The study also showed that in 2016, the following 6 risks individually accounted for more than 5% of the risk attributable DALYs:
 
  • Tobacco consumption
  • High body mass index (BMI)
  • Poor diet
  • Alcohol and drug abuse
  • High fasting plasma glucose
  • High blood pressure
 
Across all U.S. states, the top risk factors in terms of attributable DALYs were due to one of the 3 following causes:
 
  • Tobacco consumption - 32 states
  • High BMD – 10 states
  • Alcohol and drug use - 8 states
 
You can access the manuscript at
 



JAMA Viewpoint on Driving Under the Influence of Cannabis

JAMA published a Viewpoint that reviewed evidence that cannabis use impairs driving performance and emphasizes the importance of developing policies and legislation to address the resulting safety risks.

Driving is a complex task that requires integrity of sensory, motor, and cognitive function. The driving task may be compromised by factors related to the vehicle, the driving environment, and the driver. Driver impairment is a major cause of motor vehicle crashes and commonly results from alcohol intoxication. 1  Cannabis is the most frequently detected illicit drug among drivers involved in motor vehicle crashes, often in combination with alcohol. 2  Evidence from experimental and epidemiological studies indicates that cannabis also impairs driving performance and increases crash risk. 1 , 2  The prevalence of cannabis use is expected to increase following recent legalization of medical and recreational use in several countries worldwide and the introduction of a legal cannabis industry. 3  As a result, driving under the influence of cannabis has become an increasing public health concern.

JAMA. 2018;319(14): 1433-1434. doi:10.1001/jama.2018.1334

JAMA Viewpoint addresses AG Sessions memorandum to rescind Federal Limits

Published in  the recent issue of JAMA, this Viewpoint describes the 2018 rescission of federal limits on enforcement of medical marijuana and discusses its possible consequences on state laws, medical research, and legal risks for physicians prescribing and patients using medical marijuana.

On January 4, 2018, Attorney General Jeff Sessions issued a memorandum immediately rescinding the Obama Administration’s long-standing guidance limiting federal enforcement of medical marijuana. 1  Federal law creates harsh penalties for the cultivation, distribution, and possession of marijuana, which Sessions deemed a “dangerous drug” and a “serious crime.” The memorandum places physicians and patients at risk of arrest and prosecution in 29 states and the District of Columbia that have legalized medical use of marijuana.

  • In 2015 22.2 million individuals 12 and older reported cannabis use in past 30 days
  • In 2017, a national poll showed 61% support legalization of marijuana and 71% oppose federal enforcement
  • In 2016 1.2 millino adults accessed medicinal marijuana
  • Since 2016, Congress has supported state sovereignty and implemented an amendment that prohibits use of federal funding to impede state medical marijuana laws
  • Sessions asked Congress to remove this rider from the 2018 spending bill despite bipartisan support


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. 

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

Tackling the Chronic Pain and Opioid Use Disorder Crises Through Public-Private Partnerships

Attempts to address chronic pain and opioid use disorders are hampered by stigmatization of both patients and providers, as well as an inadequate understanding of both conditions and a lack of adequate treatment strategies. In a recent report by the National Academies of Sciences, Engineering, and Medicine (NASEM), the need to effectively treat patients with chronic pain while minimizing the risk for opioid addiction was emphasized. 1
Nora Volkow, MD, director of the National Institute on Drug Abuse (NIDA), stated in the report that the current crisis "may motivate companies and academic institutions to move with greater urgency toward addressing the roadblocks to progress."



Will New Payment Model For Treating Opioid Abuse Help Meet Demand for Treatment?

The American Medical Association and the American Society of Addiction Medicine on Monday  advocated  for a new way to reimburse physicians who treat patients for opioid use disorder, hoping it will help meet the increasing demand for medication-assisted therapies.
The new alternative payment model, called Patient-Centered Opioid Addiction Treatment, would give providers an initial, one-time payment to cover the costs associated with evaluating, diagnosing and planning treatment for a patient, as well as a month of outpatient medication-assisted treatment.
After the initial payment, subsequent reimbursement would come in the form of monthly "maintenance" payments to cover the cost of providing ongoing outpatient medication-assisted treatment, psychological care and social services.



Three Big Reasons U.S. Healthcare Spending Outpaces Other High-Income Countries

Higher healthcare spending in the United States compared to other high-income countries is, in part, due to administrative complexity and high prices across a wide range of healthcare services.
That’s according to a new study in The Journal of the American Medical Association from Harvard T.H. Chan School of Public Health, the  Harvard Global Health Institute , and the  London School of Economics .
Here are some key findings from the study, which compared the U.S. to 10 other high-income countries, and reactions from healthcare experts.

  • Key finding #1: Administrative costs
  • Key finding #2: Per capita spending for pharmaceuticals
  • Key finding #3: The average salary for a general practice physician




March/April 2018 Issue Features

Systematic Reviews
  • Discography in Chronic Spinal Pain
  • Neuropathic Pain in Acute and Subacute Neuropathies
  • Vitamin D Supplementation for Low Back Pain
Comprehensive Review
  • Chronic Pelvic Pain: A Review
Randomized Trials
  • Fluoroscopic Guided Radiofrequency of Genicular Nerves
  • Effects of a Sustained Release Formulation of Sodium Nitrite on Patients with Diabetic Neuropathy
  • Pulsed Radiofrequency in an Animal Model of Neuropathic Pain
  • Pulsed Radiofrequency Treatment for Chronic Post-Surgical Orchialgia

The best (and worst) states to be a doctor, according to WalletHub

South Dakota is the best state in which to practice medicine, according to a new analysis from WalletHub—but other states might be better fits for doctors depending on their priorities.
About the list
WalletHub ranked the 50 states and Washington, D.C. based on 16 weighted metrics in two categories:
·     Opportunity and competition, which encompassed metrics such as physicians' average annual wage, hospitals per capita, insured population rate, projected share of elderly population, and presence of interstate medical licensure compact law; and
   Medical environment, which encompassed metrics such as quality of public hospital system, punitiveness of state medical board, and annual malpractice liability insurance rates.



DEA NEWS
04/17/2018 12:00 AM EDT
 
United States Attorney Mike Stuart announced today a major takedown of drug traffickers and related drug networks recently indicted by a federal grand jury in Huntington, as well as other narcotics, violent crime and firearm related targets. Joining United States Attorney Stuart in the announcement were Drug Enforcement Administration Special Agent in Charge (SAC) Chris Evans, Federal Bureau of Investigation Assistant Special Agent in Charge (ASAC) Nick Boshears, Bureau of Alcohol, Tobacco, Firearms and Explosives Special Agent in Charge (SAC) Stuart Lowrey, Homeland Security Investigations Assistant Special Agent in Charge (ASAC) Dave Abbate, Huntington Mayor Steve Williams, Huntington Interim Police Chief Hank Dial, West Virginia State Police Captain Mike LaFauci, West Virginia National Guard Adjutant General James Hoyer, Cabell County Prosecuting Attorney Sean “Corky” Hammers, U.S. Marshal Michael Baylous, Cabell County Sheriff Chuck Zerkle, Wayne County Sheriff Rick Thompson, Marshall University Police Chief Jim Terry and AHIDTA State Director Kenny Burner.
 
 
Attorney General Jeff Sessions today announced that the Drug Enforcement Administration (DEA) has issued a Notice of Proposed Rulemaking (NPRM) that would affect its limits on annual opioid production.
 

 
Attorney General Jeff Sessions announced today that the Drug Enforcement Administration (DEA) has reached a prescription drug information-sharing agreement with 48 Attorneys General.

State Society News 
June 9-10, 2018
Midwest Societies of Interventional Pain Management Meeting
State Societies from Illinois, Indiana, Kentucky, Michigan, Missouri, Wisconsin, and Iowa .
Westin Michigan Avenue Chicago
Early registration rates are available through 5/9/18 - REGISTER NOW.
Hotel accommodations are available at the conference facility the Chicago Westin, Michigan Avenue. The link for rooms in the hotel block is available at:   MidWest SIPP hotel reservations

April 18-22, 2018
GSIPP 2018 Annual Meeting
Georgia Society of Interventional Pain Physicians
The Ritz Carlton Reynolds, Lake Oconee

July 19-22, 2018
FSIPP 2018 Annual Meeting, Conference, and Trade Show
Florida Society of Interventional Pain Physicians
One South County Road, Palm Beach, FL 33480
Click Here for more information

Send in your state society meeting news to Holly Long, hlong@asipp.org
ASIPP | Pain Physician Journal | Phone | Fax | Email