Revolution Health Radio debunks mainstream myths on nutrition and health and delivers cutting-edge, yet practical information on how to prevent and reverse disease naturally. This show is brought to you by Chris Kresser, health detective and creator of chriskresser.com.
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เนื้อหาจัดทำโดย The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy เนื้อหาพอดแคสต์ทั้งหมด รวมถึงตอน กราฟิก และคำอธิบายพอดแคสต์ได้รับการอัปโหลดและจัดเตรียมโดย The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy หรือพันธมิตรแพลตฟอร์มพอดแคสต์โดยตรง หากคุณเชื่อว่ามีบุคคลอื่นใช้งานที่มีลิขสิทธิ์ของคุณโดยไม่ได้รับอนุญาต คุณสามารถปฏิบัติตามขั้นตอนที่อธิบายไว้ที่นี่ https://th.player.fm/legal
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NSAIDS And GI Events & Chronic Pain In The VA System
MP3•หน้าโฮมของตอน
Manage episode 294624001 series 2291021
เนื้อหาจัดทำโดย The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy เนื้อหาพอดแคสต์ทั้งหมด รวมถึงตอน กราฟิก และคำอธิบายพอดแคสต์ได้รับการอัปโหลดและจัดเตรียมโดย The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy หรือพันธมิตรแพลตฟอร์มพอดแคสต์โดยตรง หากคุณเชื่อว่ามีบุคคลอื่นใช้งานที่มีลิขสิทธิ์ของคุณโดยไม่ได้รับอนุญาต คุณสามารถปฏิบัติตามขั้นตอนที่อธิบายไว้ที่นี่ https://th.player.fm/legal
CF 181: NSAIDS And GI Events & Chronic Pain In The VA System
Today we’re going to talk about NSAIDS and their relation to GI events and then we’ll talk about how primaries are handling things within the VA system for their chronic pain veterans here in the US. But first, here’s that sweet sweet bumper music- Like our Facebook page,
- Join our private Facebook group and interact, and then
- go review our podcast on iTunes and other podcast platforms.
- We also have an evidence-based brochure and poster store at chiropracticforward.com
- While you’re there, join our weekly email newsletter.
- Used the Japanese Medical Data Center database to retrospectively evaluate anonymized claims data of medical insurance beneficiaries employed by middle- to large-size Japanese companies who were prescribed NSAIDs for OA and/or CLBP between 2009 and 2018.
- 180,371 patients were included in the analysis
- 32.9% had OA
- 53.8% had CLBP
- 13.4% had both OA and CLBP
- NSAIDs were administered as first-line analgesics to 161,152 (89.3%) of the patients in the sample
- The incidence of GI events was 9.97 per 10,000 person-years
- The risk of developing GI events was high in elderly patients and patients with comorbidities and remained similar for patients receiving oral vs. topical NSAIDs
- Longer treatment duration and consistent NSAID use increased the risk of GI events
- They conducted semi-structured qualitative interviews with health care providers and administrators at a national sample of Veterans Health Administration facilities that were classified as either early or late adopters of multimodal chronic pain care according to their utilization of nine pain-related treatments.
- Interviews were conducted by telephone, recorded, and transcribed verbatim. Transcripts were coded and analyzed through the use of team-based inductive and deductive content analysis.
- They interviewed 49 participants from 25 facilities from April through September of 2017
- They identified three themes
- First, the Veterans Health Administration’s integrated health care system is both an asset and a challenge for multimodal chronic pain care
- Second, participants discussed a temporal shift from managing chronic pain with opioids to multimodal treatment.
- Third, primary care teams face competing pressures from expert guidelines, facility leadership, and patients.
HomeSocial Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger Bibliography 1. Shogo Kikuchi, M., PhD, Kanae Togo, PhD, Nozomi Ebata, Koichi Fujii, MD, PhD, MBA, Naohiro Yonemoto, PhD, Lucy Abraham, MSc, CPsychol, Takayuki Katsuno, MD, PhD,, A Retrospective Database Study of Gastrointestinal Events and Medical Costs Associated with Nonsteroidal Anti-Inflammatory Drugs in Japanese Patients of Working Age with Osteoarthritis and Chronic Low Back Pain. Pain Med. 22(5): p. 1029-1038. 2. Chelsea Leonard, P., Roman Ayele, PhD, MPH, Amy Ladebue, BA, Marina McCreight, MPH, Charlotte Nolan, MPA, Friedhelm Sandbrink, MD, Joseph W Frank, MD, MPH,, Barriers to and Facilitators of Multimodal Chronic Pain Care for Veterans: A National Qualitative Study. Pain Med, 2020. 22(5): p. 1167-1173.
The post NSAIDS And GI Events & Chronic Pain In The VA System appeared first on Chiropractic Forward.
301 ตอน
NSAIDS And GI Events & Chronic Pain In The VA System
The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy
MP3•หน้าโฮมของตอน
Manage episode 294624001 series 2291021
เนื้อหาจัดทำโดย The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy เนื้อหาพอดแคสต์ทั้งหมด รวมถึงตอน กราฟิก และคำอธิบายพอดแคสต์ได้รับการอัปโหลดและจัดเตรียมโดย The Chiropractic Forward Podcast: Evidence-based Chiropractic Advocacy หรือพันธมิตรแพลตฟอร์มพอดแคสต์โดยตรง หากคุณเชื่อว่ามีบุคคลอื่นใช้งานที่มีลิขสิทธิ์ของคุณโดยไม่ได้รับอนุญาต คุณสามารถปฏิบัติตามขั้นตอนที่อธิบายไว้ที่นี่ https://th.player.fm/legal
CF 181: NSAIDS And GI Events & Chronic Pain In The VA System
Today we’re going to talk about NSAIDS and their relation to GI events and then we’ll talk about how primaries are handling things within the VA system for their chronic pain veterans here in the US. But first, here’s that sweet sweet bumper music- Like our Facebook page,
- Join our private Facebook group and interact, and then
- go review our podcast on iTunes and other podcast platforms.
- We also have an evidence-based brochure and poster store at chiropracticforward.com
- While you’re there, join our weekly email newsletter.
- Used the Japanese Medical Data Center database to retrospectively evaluate anonymized claims data of medical insurance beneficiaries employed by middle- to large-size Japanese companies who were prescribed NSAIDs for OA and/or CLBP between 2009 and 2018.
- 180,371 patients were included in the analysis
- 32.9% had OA
- 53.8% had CLBP
- 13.4% had both OA and CLBP
- NSAIDs were administered as first-line analgesics to 161,152 (89.3%) of the patients in the sample
- The incidence of GI events was 9.97 per 10,000 person-years
- The risk of developing GI events was high in elderly patients and patients with comorbidities and remained similar for patients receiving oral vs. topical NSAIDs
- Longer treatment duration and consistent NSAID use increased the risk of GI events
- They conducted semi-structured qualitative interviews with health care providers and administrators at a national sample of Veterans Health Administration facilities that were classified as either early or late adopters of multimodal chronic pain care according to their utilization of nine pain-related treatments.
- Interviews were conducted by telephone, recorded, and transcribed verbatim. Transcripts were coded and analyzed through the use of team-based inductive and deductive content analysis.
- They interviewed 49 participants from 25 facilities from April through September of 2017
- They identified three themes
- First, the Veterans Health Administration’s integrated health care system is both an asset and a challenge for multimodal chronic pain care
- Second, participants discussed a temporal shift from managing chronic pain with opioids to multimodal treatment.
- Third, primary care teams face competing pressures from expert guidelines, facility leadership, and patients.
HomeSocial Media Links https://www.facebook.com/chiropracticforward/ Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/ Twitter Tweets by Chiro_Forward YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2 Player FM Link https://player.fm/series/2291021 Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/ About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger Bibliography 1. Shogo Kikuchi, M., PhD, Kanae Togo, PhD, Nozomi Ebata, Koichi Fujii, MD, PhD, MBA, Naohiro Yonemoto, PhD, Lucy Abraham, MSc, CPsychol, Takayuki Katsuno, MD, PhD,, A Retrospective Database Study of Gastrointestinal Events and Medical Costs Associated with Nonsteroidal Anti-Inflammatory Drugs in Japanese Patients of Working Age with Osteoarthritis and Chronic Low Back Pain. Pain Med. 22(5): p. 1029-1038. 2. Chelsea Leonard, P., Roman Ayele, PhD, MPH, Amy Ladebue, BA, Marina McCreight, MPH, Charlotte Nolan, MPA, Friedhelm Sandbrink, MD, Joseph W Frank, MD, MPH,, Barriers to and Facilitators of Multimodal Chronic Pain Care for Veterans: A National Qualitative Study. Pain Med, 2020. 22(5): p. 1167-1173.
The post NSAIDS And GI Events & Chronic Pain In The VA System appeared first on Chiropractic Forward.
301 ตอน
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