P&T Digest: Pain Management

Randall P. Brewer, MD, Chief Medical Editor

Chronic pain is a significant public health issue in the United States and an important concern for MCOs. Untreated or undertreated pain can evolve from a symptom to a chronic condition in its own right, one that has serious comorbid, economic, and quality-of-life consequences. As scientific understanding of the mechanisms involved in chronic pain increases, so too does the opportunity to manage affected patients in a cost-effective manner.

This peer-reviewed digest discusses the clinical and economic implications of chronic and acute pain, current guidelines for treatment, therapeutic approaches to care, and patient-management strategies. It also discusses legal and clinical considerations of opioid and nonopioid therapies for adult and geriatric populations. In consolidating the state of the art about this increasingly important subspecialty of medical care, this is a valuable tool for physicians and other clinicians, managed care clinical executives, and P&T committee members.

Highlights:

  • Addressing Pain Management Challenges in Managed Care
  • Conceptualizing Pain and Improving Pain Diagnosis and Assessment
  • Prevalence and Economic Implications of Chronic Pain the United States
  • Guidelines for Pain Management
  • Balancing Patient Needs and Provider Responsibilities in the Use of Opioids
  • Delivery Systems: Advantages and Disadvantages
  • Benefits of Pain Management in the Elderly
  • The Value of Multidisciplinary Care

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