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The U.S. epidemic of prescription opioid medication abuse may be starting to reverse course

Epidemic of Rx Opioid Abuse May Be Waning in U.S.

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Heroin abuse/overdoses on the rise may be one reason prescription-drug abuse is down
The increasing use of medical scribes should not be a replacement for improving electronic health records

Impact of Medical Scribes on EHR Advancement Discussed

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Use of medical scribes should not be replacement for improvement of EHRs
Working long hours may raise the risk for alcohol abuse

Working Long Hours? Beware Risky Alcohol Consumption

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Researchers find link between long hours on the job and excess alcohol consumption
Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

Guidelines Presented for Clinical Documentation in 21st Century

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Recommendations provided for clinicians, provider institutions, government regulators, payers
The long-term effectiveness and harms of opioids for chronic pain are unclear

Major Risks of Long-Term Opioid Rx Deemed Dose-Dependent

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In review, serious harms of long-term therapy seemed to depend on opioid dose
Male and female general practitioners prescribe analgesics to older patients in a similar manner but differ in their prescribing habits for antineuropathic pain drugs and symptomatic slow-acting drugs for osteoarthritis

Gender of Provider May Impact Pain Management Practices

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GP prescribing behavior differs for antineuropathic drugs, symptomatic slow-acting drugs for OA
Clinicians are increasingly ordering advanced imaging and referring to other physicians for headache but less often providing counseling

Clinicians Increasingly Ordering Imaging for Headaches

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From 1999-2000 to 2009-2010, increases seen in use of CT/MRI, referrals to other physicians
Evidence is insufficient for opioid use in chronic pain

NIH: Insufficient Evidence for Opioid Use in Chronic Pain

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Insufficient evidence for every clinical decision that a provider needs to make about use of opioids