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Treating Low Back Pain Amid an Opioid Crisis
Time to Complete:
60 minutes
Maximum Credits:
1.00 / AMA PRA Category 1 CreditTM
1.00 / CNE Contact Hour
Program Description
Chronic pain is a serious and common disorder. Approximately one-third of Americans suffer from chronic pain, with 25.5 million Americans reporting daily chronic pain and 23.4 million experiencing a great deal of pain. Undertreated pain is common.1,2,3 The treatment of chronic pain is complicated by the opioid crisis. In 2017, opioids, both prescription and illegal, were involved in 47,600 overdose deaths; the vast majority of these deaths were unintentional.4 Given the ongoing opioid crisis, it is absolutely essential that health care providers who treat patients with chronic pain are aware of the risks associated with opioids. These professionals must be knowledgeable about and have the opportunity to consider all pain management options, including nonpharmacologic and pharmacologic modalities.

With this goal in mind, this educational activity reviews best practices for a 32-year-old male who presents to his primary care provider with low back pain (LBP). Strategies for identifying risks for potential opioid misuse and abuse will be presented as well as approaches to diagnosing and managing this patient’s chronic LBP.
Intended Audience
Physicians, nurse practitioners, physician assistants, pharmacists, podiatrists and other health care providers who care for patients with pain and employ opioid analgesics as a pain mitigation strategy.
Commercial Supporters
This activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please see https://ce.opioidanalgesicrems.com/RpcCEUI//rems/pdf/resources/List_of_RPC_Companies.pdf for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the US Food and Drug Administration.
Educational Objectives
  1. Perform a comprehensive initial assessment of a patient in pain
  2. Identify risk factors for opioid-related aberrant behavior
Accredited Providers

Provided by Horizon CME

AMA PRA Category 1 CreditTM

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Horizon CME and St. John's University College of Pharmacy and Health Sciences. Horizon CME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

Horizon CME designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CNE Contact Hours

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the American Nurses Credentialing Center’s Commission on Accreditation through the joint providership of the Nurse Practitioner Healthcare Foundation and Horizon CME.




Designation Statement

The Nurse Practitioner Healthcare Foundation is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Upon completion, NPs and RNs will be awarded 1.0 contact hours.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities.
Speakers
Speakers 


Oscar de Leon-Casasola, MD
Professor of Anesthesiology and Medicine
The Jacobs School of Medicine at University at Buffalo
Chief, Division of Pain Medicine and Professor of Oncology
Roswell Park Cancer Center
Buffalo, NY

Dr. de Leon-Casasola has served on Advisory Boards for Esteve Pharma, Stimgenics and Medtronic.

Conflict of Interest Disclosure Policy
Learner Assurance Statement
Horizon CME requires instructors, planners, managers and other individuals who are in a position to influence the content of this activity to disclose any real or apparent conflict of interest (COI) which may arise as a result of prospective faculty members' relevant relationships with drug or device manufacturer(s). Horizon CME is committed to resolving all conflicts of interest and retaining only those speakers with financial interest conflicts that can be reconciled with the goals and educational integrity of the CME activity.

Non-faculty Contributors/Planners
Non-faculty contributors and others involved in the planning, development, and editing/review of the content disclose no relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients during the past 12 months. Dr. Shafeeq has no relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or under on, patients during the past 12 months.
Instructions
  • This activity is offered at no cost to participants.
  • Please proceed with the activity until you have successfully completed the entire activity, including the activity pre-assessment and post-assessment.
  • Partial credit will not be awarded.
  • Complete the post-activity evaluation.
  • Your online certificate will be saved on Intiva Health within your Transcript or Certificate Section, which you can access at any time.

If you have any questions relating to the accreditation of this activity, please contact Horizon CME at [email protected] or (503)-659-5558.

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Summary
Availability: On-Demand
Available Oct 21, 2020 to Oct 21, 2021
Cost: FREE
Credit Offered: 1 AMA PRA Category 1 Credit™ Credit
1 ANCC Credit
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