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Authors: Chad M. Brummett, M.D. et al Anesthesiology 9 2018, Vol.129, 396-398. Low back pain is one of the most common causes of chronic pain, disability, lost productivity, and cost, affecting more than 66 million Americans in 2012.1–3 A large number of treatments are available, including behavioral therapies, chiropractic care, exercise, injections, massage, medications, surgery, and others, […]
Read MoreAuthors: Michael J. Devinney, M.D., Ph.D. et al Anesthesiology 9 2018, Vol.129, 389-391. “…[is] delirium…simply a marker for other factors that may contribute to postoperative cognitive dysfunction risk…[or does] delirium itself actually contribute to longer-term postoperative cognitive dysfunction[?]” Are postoperative delirium and postoperative cognitive dysfunction entirely separate disorders, or are they two manifestations of the same […]
Read MoreNot about anesthesia but I wanted to share this with our readers. American Academy of Neurology Summary: Women with high physical fitness at middle age were nearly 90 percent less likely to develop dementia decades later, compared to women who were moderately fit, according to a new study. The study […]
Read MoreYou arrive at high quality surgical outcomes the same way you arrive at Carnegie Hall: practice, practice, practice. It may not be the only — or even the most important — driver of superlative operative results, but it’s fairly well established that people (and places) who do a lot of operations tend to have better […]
Read MorePreoperative chronic opioid use is associated with poor outcomes and continued dependence after posterior lumbar fusion, according to a study published online in Spine. Nikhil Jain, M.D., from The Ohio State University in Columbus, and colleagues used commercial insurance data (from 2007 to Q3-2015) to evaluate preoperative opioid use in 24,610 patients undergoing primary one- and two-level posterior […]
Read MorePatients with a lumbar disc herniation (LDH) and associated back pain may experience improvements in back pain, leg pain, and disability 12 months after single- or 2-level lumbar discectomy, according to a longitudinal observational cohort study published in Spine Journal. Using data from the Quality and Outcomes Database, investigators assessed 2262 adult patients with LDH with baseline scores […]
Read MoreIn a preliminary study published in Neuromodulation, high-frequency spinal cord stimulation was found to be more effective in treating chronic pain than conventional stimulation. Although spinal cord stimulation (SCS) effectively alleviates chronic axial back pain in 50% to 70% of cases, it is accompanied by adverse effects (eg, frequent paresthesias). In the current pilot study, investigators sought to […]
Read MoreAuthor(s): Jeffery MM et al. BMJ. 2018 Aug 1. Opioid use has not significantly declined over the past 10 years despite efforts to educate prescribers about the risks of opioid abuse, with over half of disabled Medicare beneficiaries using opioids each year, according to a recent retrospective cohort study published in the BMJ. “We found very high […]
Read MoreA database analysis comprising more than 25,000 patients has concluded that the STOP-BANG questionnaire has cross-sectional construct validity, in that greater proportions of patients with intermediate and high STOP-BANG risk scores had known diagnoses of obstructive sleep apnea (OSA). Despite this positive finding, the study also revealed that STOP-BANG risk strata had only weak correlations […]
Read MorePatients with chronic obstructive pulmonary disease (COPD) may be more likely to experience chronic neck pain, lower back pain, and migraine than individuals without COPD, according to a study published in The Clinical Journal of Pain. This cross-sectional study was conducted to assess the prevalence of chronic pain in patients with COPD compared with healthy adults age >35 […]
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