Initial healthcare provider and opioid use in LBP?
Stimulated by Kazis et al 2019.[1] Photo by Aiony Haust on Unsplash . This photo was chosen to represent opioids being used on back pain because the first naturally occurring opioids were discovered in a flower. Yes, it is a shame (for my purposes here) that this artistic photographer did not use poppies :-). I am sure some will interpret this photo in other ways, but my focus was the flowers and the gestalt aesthetic. This paper popped up on my PubMed searches yesterday morning, and I had a quick look at the abstract whilst walking from Paddington to the NCVO for one of our big London courses. It seemed interesting and topical but the abstract did not mention acupuncture at all, so I wasn’t sure it would be suitable to highlight here. But I was wrong! This is another huge retrospective observational study using health insurance data, rather like those I have previously highlighted on this blog from Taiwan and Korea under the ‘ big data ‘ category. This one is from the US and...