About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Optimizing Non-Opioid Chronic Pain Medication in Telecare Program Very Effective: Study

by Himabindu Venkatakrishnan on July 16, 2014 at 9:57 PM
Font : A-A+

 Optimizing Non-Opioid Chronic Pain Medication in Telecare Program Very Effective: Study

Musculoskeletal disorders like chronic pain in the back, neck and other joints due to arthritis is extremely common, but difficult to treat. In a new study published in the July 16 issue of Journal of the American Medical Association, primary-care patients enrolled in a 12-month telecare program optimizing non-opioid medications for chronic pain were twice as likely to see improvement as patients who received usual care for chronic pain.

In addition to experiencing pain improvement, patients in the telecare arm of the pain management study reported greater satisfaction with their chronic pain treatment than patients receiving usual care.

Advertisement

The Stepped Care to Optimize Pain care Effectiveness study, or SCOPE, was a randomized trial comparing telephone-delivered collaborative care pain management versus usual care. SCOPE enrolled 250 Richard L. Roudebush Veterans Affairs Medical Center clinic patients age 18 to 65; each participant had at least three months of chronic musculoskeletal pain of moderate or greater intensity.

"Not only were chronic pain patients who received automated symptom management and calls from a nurse two times more likely to see their pain improve; patients who didn't have this interaction were two times as likely to get worse than those who had the telecare intervention," said Kurt Kroenke, M.D., who designed and led the SCOPE study. "Our results demonstrate both the effectiveness of the telecare as well as the risk of patient deterioration in the absence of systematic approaches to optimizing pain therapy."
Advertisement

A research scientist with the Richard L. Roudebush VA Medical Center in Indianapolis and the Regenstrief Institute and an Indiana University School of Medicine professor of medicine, Dr. Kroenke is an internist whose research and clinical practice focus on symptom management.

Both men and women were equally likely to benefit from telecare in the SCOPE study. The benefit did not vary by the age or race of the study participant. Although one-third of patients were on opioid therapy before the yearlong study began, few patients (4 percent) were prescribed opioids for the first time or had escalations in opioid dosage.

"Relieving Pain in America," a 2011 report from the Institute of Medicine, highlights the enormous functional and economic impact of musculoskeletal pain. According to the IOM report, pain is a leading cause of work disability and costs the United States more than $600 billion annually in health care and lost productivity.

SCOPE telecare was delivered in collaboration with the study participants' primary-care physician via two avenues.

Automated symptom monitoring -- either by interactive voice-recorded phone calls (selected by 51 percent of intervention patients) or over the Internet (selected by 49 percent) -- was scheduled weekly for the first month, every other week for months two and three, and monthly for month four through 12.
Pain management focusing on the use of non-opioid therapies by a nurse care manager/physician pain specialist team was provided throughout the course of the study. Non-opioid therapies included five categories of non-addictive pain relievers.

Unlike his previous studies of depression patients that showed rapid initial improvement with telecare, Dr. Kroenke found in the SCOPE study that for chronic pain, improvement was gradual over the year. He notes that patience by patients, families and physicians is required to see reduction in chronic pain.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
Printed Temperature Sensors help with Continuous Temperature Monitoring
Health Benefits of Giloy
Breast Cancer Awareness Month 2021 - It's time to RISE
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Drug Toxicity Healthy Living Thoracic Outlet Syndrome Telemedicine How to Cope with Cancer Pain Complex Regional Pain Syndrome (CRPS) 

Recommended Reading
Fracture of Knee Cap
Patella fracture is a kneecap injury that needs surgical correction. Undisplaced fracture can be ......
Interstitial Cystitis – A Chronic Pain Syndrome
Interstitial cystitis (IC), or painful bladder syndrome (PBS), occurs most frequently in women and ....
Vitamin D: A Possible Solution to Chronic Pain
Chronic pain may be resolved by taking vitamin D treatment, even when pain management pills do not ....
Opioid-Induced Hyperalgesia (OIH): An Emerging Treatment Challenge
Opioid induced hyperalgesia is defined as increased nociceptive sensitization caused by exposure to ...
Complex Regional Pain Syndrome (CRPS)
Complex regional pain syndrome (CRPS) is rare chronic pain disorder usually involving an arm or leg....
Drug Toxicity
Drug toxicity is an adverse reaction of the body towards a drug that results as a side effect of a d...
How to Cope with Cancer Pain
Pain occurs in about 20-50% of patients with cancer. Proper therapeutic approach can help relieve an...
Telemedicine
Telemedicine refers to the use of information and communication technology to provide health care an...
Thoracic Outlet Syndrome
Thoracic outlet syndrome (TOS) is a rare condition that occurs when blood vessels or nerves become c...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use