Key Points Question What are the most effective pain treatments for patients prescribed opioids? Findings In this randomized clinical trial of 261 veterans with chronic low back pain prescribed opioids,… Click to show full abstract
Key Points Question What are the most effective pain treatments for patients prescribed opioids? Findings In this randomized clinical trial of 261 veterans with chronic low back pain prescribed opioids, pain improvement on the Brief Pain Inventory was greater with medication optimization (decrease of 1.10 points) than cognitive behavioral therapy (decrease of 0.68 points) for 12 months, a significant but clinically modest difference. Meaning Both pharmacological and behavioral approaches are reasonable options for treating chronic low back pain in patients prescribed opioids.
               
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