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AAPM: Most Chronic Opioid Users Likely Nonadherent (with video)

This is a discussion on AAPM: Most Chronic Opioid Users Likely Nonadherent (with video) within the Pain Management forums, part of the General Spine Discussion Forums category; SAN ANTONIO (MedPage Today) -- Almost 80% of patients on chronic opioid therapy had urine drug tests indicating nonadherence, which ...

  1. 02-10-2010, 04:20 PM #1
    Justin
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    Post AAPM: Most Chronic Opioid Users Likely Nonadherent (with video)

    SAN ANTONIO (MedPage Today) -- Almost 80% of patients on chronic opioid therapy had urine drug tests indicating nonadherence, which significantly increased healthcare costs, data from a large managed care population showed...

    AAPM: Most Chronic Opioid Users Likely Nonadherent (with video) (click here for the full article at MedPage Today)

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  2. 02-11-2010, 09:04 PM #2
    Jack-of-all-trades
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    Default re: AAPM: Most Chronic Opioid Users Likely Nonadherent (with video)

    This group must have been prisoners. I doubt my PM would tolerate 80% without dumping some or all of the non-compliant patients. He has a one strike and you are out if you have any illicit drugs or he suspects diversion. What proprietary algorithm was used and how credible is it? If I wasn't so aware of the bias against chronic opioid use in the medical community I would give more credence to a story written by what amounts to a reporter who found a doc to review it. Sadly I was trained this way as well. To many people in my past suffered needlessly before I had to deal with chronic pain.
    Low back pain became somewhat dehabilitating in 2005
    Have had 11 steroid injections, IDET, Trial for nerve stimulator, PT, chiropractic trial, practically every med known to mankind. Discogram indicated three diseased levels with L5-S1 being the most likely pain generator. Post minimally invasive PLIF with internal fixation (titanium) on 12-28-09 of L5-S1. Doing better than expected. Last opioid 7/9/10. Five months pain free, then my neck turned against me. MRI on 12/1/10-- disease at C2 to C7. Only surgical alternative is to fuse entire C-spine. Diagnosed now with Aggressive Relapsing-Remitting Multiple Sclerosis with cord & brainstem active lesions
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