Resources for Management of Pain
Articles
With financial support from the Board of Licensure in Medicine, the Maine Medical Association has prepared educational material on treatment of chronic pain and prevention of prescription drug abuse for placement on the MMA website. Physicians will find the Board's Chapter 11 rules, sample narcotic contracts, information on the Prescription Monitoring Program and a description of best practices. Links to other appropriate sites are available as well. Suggestions for additional resources should be directed to Gordon Smith, Esq., at MMA. No cost office consultations and live educational presentations on the same topics are also available by contacting Mr. Smith.
- http://www.painphysicianjournal.com
Full text articles regarding treatment of pain - http://www.agencymeddirectors.wa.gov/Files/OpioidGdline.pdf
An interesting guideline from Washington state (WA state) - http://www.iasp-pain.org
The International Association for the Study of Pain has Clinical Updates available free of charge, available on-line - http://www.annals.org/cgi/content/full/147/7/478
An excellent review of Diagnosis and Treatment of Low Back Pain is available as a clinical practice guideline from the American Pain Society and the American College of Physicians (Oct, 2007) - http://www.nida.nih.gov/pdf/ascp/vol4no2/Challenges.pdf
A good article regarding treatment of pain in patients with histories of substance abuse - http://www.mayoclinicproceedings.com
A good article summarizing use and interpretation of urine drug screens is available in full text. Look for Moeller, KE, Lee, KC, and Kissack, JC; Urine Drug Screening: Practical Guide for Clinicians; Mayo Clinic Proceedings; Jan, 2008; 83(1):66-76 - http://www.ama-cmeonline.com/pain_mgmt/
On-line CME, or simply viewing the modules
Maine Newspaper Articles
- Report Shows Teen Abuse of Rx Drugs
Bangor Daily News - 2/15/07 - Rx Drug Abuse Surging in Maine
Bangor Daily News - 10/28-29/06 -
Maine Earns "B" in Pain Management
Sun Journal - 9/13/03
Educational Presentations
- Preventing Prescription Drug Abuse
Gordon H. Smith, Esq. - Narcotics - Therapy or Addiction
Guy Raymond, M.D - Maine's Prescription Monitoring Program - Preventing Prescription Drug Abuse
Daniel J. Eccher, MPH - Maine's Prescription Monitoring Program- How to Use it and What We Have Learned
Daniel J. Eccher, MPH - Pain and Prescription Opioid Abuse
Nathaniel Katz, MD, MS - Not According to Prescription
Ralph Bridges, MDEA
References
McLellan, Thomas A, and Turner, Barbara; Prescription Opioids, Overdose Deaths, and Physician Responsibility; JAMA; Vol 300, No 22; 2008.
Hall, AJ, Logan, JE, Toblin, RL, et al; Patterns of Abuse Among Unintentional Pharmaceutical Overdose Fatalities; JAMA; Vol 300, No 22, 2008.
Phillips, DP, Barker, GE, Eguchi, MM; A Steep Increase in Domestic and Fatal Medication Errors With Use of Alcohol and/or Street Drugs; Archives of Internal Medicine; Vol 168 No 14; 2008.
Gourlay, DL, Heit, H, and Almahrezi, A; Universal Precautions in Pain Medicine: A Rational Approach to the Treatment of Chronic Pain; Pain Medicine; 2005; Vol. 6, #2; 107-112.
Webster, LR and Webster, RM; Predicting Aberrant Behaviors in Opioid-Treated Patients: Preliminary Validation of the Opioid Risk Tool; Pain Medicine; 2005; Vol.6. #6; 432-442.
A Recent Guideline
Chou R, Fanciullo GJ, Fine PG, et al; Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain; The Journal of Pain; Vol. 10, No. 2 (February), 2009; pp. 113-130.