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Understanding Primary Care Physicians' Treatment of Chronic Low ...

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<strong>Chronic</strong> Pain <strong>Treatment</strong><br />

• Prevalence <strong>of</strong> chronic non‐cancer pain high h and rising ii in<br />

VA.<br />

– In one study, ~60% <strong>of</strong> VA patients discharged between<br />

10/1/01 and 11/30/07 reported pain and 26% reported<br />

moderate to severe pain. (Haskell et al, 2009)<br />

– Much variability in physicians’ treatment decisions (Somerville,<br />

Hay et al 2008)<br />

– Lack <strong>of</strong> consensus on treatment despite VA and other<br />

organizations’ guidelines<br />

• VA/DoD Guidelines specify that opioids should be used<br />

VA/DoD Guidelines specify that opioids should be used<br />

when other pain therapies are inadequate

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