No pain, all gain? Interim analyses from a longitudinal, observational study examining the impact of medical cannabis treatment on chronic pain and related symptoms.

2021 ◽  
Author(s):  
Staci A. Gruber ◽  
Rosemary T. Smith ◽  
M. Kathryn Dahlgren ◽  
Ashley M. Lambros ◽  
Kelly A. Sagar
Keyword(s):  
Chronic Pain ◽  
Observational Study ◽  
Medical Cannabis ◽  
Interim Analyses ◽  
Longitudinal Observational Study ◽  
The Impact

scholarly journals Effect of the comprehensive smoke-free law on time trends in smoking behaviour in primary healthcare patients in Spain: a longitudinal observational study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e020120 ◽  
Author(s):  
Mariona Pons-Vigués ◽  
Yolanda Rando-Matos ◽  
Teresa Rodriguez-Blanco ◽  
Josep Lluís Ballvé-Moreno ◽  
Joana Ripoll ◽  
...  
Keyword(s):  
Observational Study ◽  
Primary Healthcare ◽  
Prevalence Rate ◽  
Smoking Behaviour ◽  
Incidence Rates ◽  
Balearic Islands ◽  
Annual Percent Change ◽  
Longitudinal Observational Study ◽  
Significant Downward Trend ◽  
The Impact

ObjectiveThis study aimed to analyse the impact of comprehensive smoke-free legislation (SFL) on the prevalence and incidence of adult smoking in primary healthcare (PHC) patients from three Spanish regions, overall and stratified by sex.DesignLongitudinal observational study conducted between 2008 and 2013.Setting66 PHC teams in Catalonia, Navarre and the Balearic Islands (Spain).ParticipantsPopulation over 15 years of age assigned to PHC teams.Primary and secondary outcomes measuresQuarterly age-standardised prevalence of non-smoker, smoker and ex-smoker and incidence of new smoker, new ex-smoker and ex-smoker relapse rates were estimated with data retrieved from PHC electronic health records. Joinpoint analysis was used to analyse the trends of age-standardised prevalence and incidence rates. Trends were expressed as annual percentage change and average annual percent change.ResultsThe overall standardised smoker prevalence rate showed a significant downward trend (higher in men than women) and the overall standardised ex-smoker prevalence rate showed a significant increased trend (higher in women than men) in the three regions. Standardised smoker and ex-smoker prevalence rates were higher for men than women in all regions. With regard to overall trends of incidence rates, new smokers decreased significantly in Catalonia and Navarre and similarly in men and women, new ex-smokers decreased significantly and more in men in Catalonia and the Balearic Islands, and ex-smoker relapse increased in Catalonia (particularly in women) and decreased in Navarre.ConclusionsTrends in smoking behaviour in PHC patients remain unchanged after the implementation of comprehensive SFL. The impact of the comprehensive SFL might have been lessened by the effect of the preceding partial SFL.

scholarly journals Mandatory pharmacist-led education session for patients seeking medical cannabis

2020 ◽  
Vol 18 (4) ◽  
pp. 2088
Author(s):  
Vikas Parihar ◽  
Laura Katz ◽  
Mahmoud A. Siyam ◽  
Anna Rogers ◽  
Lisa Patterson ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Perceived Benefits ◽  
Medical Cannabis ◽  
Education Session ◽  
Chi Square ◽  
Mandatory Education ◽  
Chronic Pain Patients ◽  
The Future ◽  
The Impact ◽  
Pain Patients

Objective: The primary objectives of this pre-post session study, was to evaluate the impact of a pharmacist-led education session on the perceived benefits and safety of cannabis among patients with chronic pain, as well as determine the influence of pharmacist education on the selection of safer cannabis products and dosage forms for medical use among patients. Methods: A retrospective analysis of completed pre-post session questionnaires was conducted among chronic pain patients attending a mandatory education session led by a pharmacist, prior to being authorized cannabis in clinic. All questionnaire data was analyzed using SPSS v. 25. Demographic and sample characteristics were reviewed using univariate analyses. Chi-Square tests were employed to determine if the group-based education significantly affected knowledge, perception of efficacy and safety of cannabis. Results: Of the 260 session participants, 203 completed pre-post session questionnaires. After the session, a majority of current cannabis users (33.8%) and cannabis naïve/past users (56.9%) reported they would use a low THC product in the future, and a majority of current users (54.5%) would use a high CBD product in the future. After education, participants were more likely to report cannabis as having the potential for addiction (chi-square =42.6, p <0.0001) and harm (chi-square =34.0, p <0.0001). Conclusions: Pharmacist counselling and education has the potential to influence patient selection and use of cannabis, from more harmful to safer products, as well as moderate the potential perceived benefits of use.

scholarly journals Orthopaedic Services during Nationwide COVID-19 Lockdown: Dhulikhel Hospital, Kathmandu University Hospital Experience and Review

2020 ◽  
Vol 18 (2) ◽  
pp. 29-35
Author(s):  
S.R. Kayastha ◽  
B. Parajuli ◽  
A. Basi ◽  
D. Shrestha
Keyword(s):  
Emergency Department ◽  
Observational Study ◽  
Great Reduction ◽  
University Hospital ◽  
Outpatient Department ◽  
Trauma Patients ◽  
Operation Theatre ◽  
Longitudinal Observational Study ◽  
Hospital Experience ◽  
The Impact

Background The Nepal government issued a nationwide lockdown due to COVID-19 from 24 March to 21 July 2020. This halted elective medical services in our hospital. A number of modifications in the orthopaedic practices at our department were made. Objective This article discusses the impact on orthopaedic load at the Department of Orthopaedics and Trauma, Dhulikhel Hospital, Kathmandu University Hospital during the lockdown. Method This is a longitudinal observational study done during the nation-wide lockdown including all the patients who presented to the hospital requiring orthopaedic consultation. For comparison purposes, the patient numbers from the same date in previous year (2019) were retrieved. Result We received no COVID-19 cases requiring orthopaedics consultation. A total of 1828 patients were seen in the Orthopaedic Outpatient Department, 1077 trauma patients in the Emergency Department, 216 patients were admitted and 210 orthopaedics procedures were performed at the operation theatre. There was 82.21% decrease in OPD patients and 56% less surgeries in OT compared to the same duration of last year. Conclusion There was a great reduction in the patient numbers visiting the hospital, which reflected in decreased number of admission and surgery. A greater part of our work during the lockdown was trauma.

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