Pain News

Friday, June 10, 2005 High Doses of All NSAIDs Reportedly Increase Heart Attack Risk
The largest study to date on the association between cardiovascular events and the use of NSAIDs has found that the increase in risk is not limited to selective inhibitors of COX-2, and that, in fact, some nonselective NSAIDs confer the greatest risks...Presented at: Annual European Congress of Rheumatology of EULAR; June 8-11, 2005; Vienna, Austria.

Friday, June 10, 2005 Treatment of RA Reduces Cardiovascular Mortality
Analysis of a large RA database reveals that treatment with MTX or anti-TNF-α drugs causes a significant decrease in mortality, specifically in death due to cardiovascular and pulmonary disease... Presented at: Annual European Congress of Rheumatology of EULAR; June 8-11, 2005; Vienna, Austria.

Thursday, June 09, 2005 Dr. Gary Williams Weighs in on the Coxib Controversy
Gary Williams MD, PhD, chairman of the department of medicine at Scripps Clinic Medical Group, and co-chair of the symposium Clarifying the Risk/Benefit of COX-2 Selective Inhibitor Use at the 6th EULAR Annual European Congress of Rheumatology, spoke with CIAOMed on Wednesday regarding the current controversy over the fate of the COX-2 inhibitors

Tuesday, June 07, 2005 Radiographic Assessment Effective in Predicting Progression of Hip Osteoarthritis
A Kellgren and Lawrence score of 2 or higher at baseline is a strong predictor for progression of hip OA, particularly in patients with hip pain...Reijman M, et al. BMJ. 2005;330:1183-1188.

Wednesday, June 01, 2005 More Evidence for the 'FitzGerald Hypothesis' on the Relationship of Coxibs and Cardiovascular Disease Risk
Vascular remodeling may interact with a predisposition to hypertension and atherosclerosis, contributing to the gradual increase in cardiovascular risk during extended periods of treatment with COX-2 inhibitors...Rudic RD, et al. Circ Res. Published online May 19, 2005.

Thursday, May 26, 2005 African-American and Hispanic Osteoarthritis Patients Less Likely Than Caucasians to Undergo Knee Replacement Surgery
These minority populations are significantly less likely to consider knee arthroplasty compared with their Caucasian counterparts regardless of health status, a finding that researchers attribute to differences in the perception of benefit, trust in the physician, and personal experience with the procedure...Suarez-Almazor ME, et al. Arch Intern Med. 2005;165:1117-1124.

Tuesday, May 24, 2005 Rehabilitation Is as Beneficial and More Cost-Effective Than Spinal Fusion in Chronic Low Back Pain Patients
Contrary to previous reports and often physicians' advice, rehabilitation utilizing cognitive behavior principles is as effective as fusion for chronic low back pain, and should be offered as a first-line therapy...Fairbank J, et al. BMJ. May 23, 2005; [Epub ahead of print].

Thursday, May 12, 2005 More Evidence for Cardiovascular Risk Among Selective and Nive Nonsteroidals
Several weeks after the US Food and Drug Administration called for sweeping changes to the labels of prescription and over-the-counter NSAIDs reflecting a potential cardiovascular risk, a Danish study confirms that they increase the chances of hospitalization for MI...Johnsen SP, et al. Arch Intern Med. 2005;165:978-984.

Tuesday, May 10, 2005 Exercise Benefits Chronic, but Not Necessarily Acute Nonspecific Back Pain
Two meta-analyses reveal that for lower back pain lasting longer than 6 weeks, individualized exercise therapy programs are effective for reducing pain and improving function...Hayden, JA et al. Ann Intern Med. 2005;142:765-775

Friday, May 06, 2005 Use of DMARDs and Referral to Rheumatologists Too Low in Rheumatoid Arthritis Patients
A pre-biologic therapy era population study in British Columbia suggests that too few physicians are adhering to treatment guidelines for rheumatoid arthritis for early and aggressive intervention, delaying the "window of opportunity" when effective therapy can induce radiographic regression... Lacaille D, et al. Arthritis Rheum. 2005;53:241-248.