The Evidence for Complementary and Alternative Medicine for Low-back Pain
This activity consists of recorded presentations from the "27th Annual National Conference" held Oct. 15–17, 2018, in Minneapolis, Minn.
Low-back pain (LBP) is one of the most common health problems in the United states, with approximately 25 percent of adults experiencing at least one day of LBP in the last three months. The economic burden of LBP is significant, with costs totaling $100 billion per year, two-thirds of which are accounted for by lost productivity. In 2017, the American College of Physicians (ACP) issued updated guidelines for the management of LBP, recommending nonpharmacologic treatment as first-line therapy for acute or subacute LBP. Although opioids are not recommended for acute LBP and are considered a last-resort option for chronic LBP, 60 percent of emergency department visits for LBP are treated with opioids. This presentation will outline the most current guideline recommendations for the treatment of LBP, including the evidence supporting nonpharmacologic treatments for LBP, and the role and risks of using opioids to treat LBP.
This activity is provided by OptumHealth Education.
There was no commercial support received for this activity.
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This activity is designed to meet the educational needs of case managers, nurses, pharmacists, pharmacy technicians, physicians and other health care professionals who are interested in LBP.
At the end of this educational activity, participants should be able to:
- Discuss the evidence for nonpharmacologic treatments for acute, subacute and chronic LBP.
- Outline the current guideline recommendations for the use of nonpharmacologic and pharmacologic therapies for LBP.
- Describe the appropriate use and potential risks of opioids as a treatment for LBP in order to minimize harms related to adverse events and opioid misuse and addiction.
Robert B. Saper, MD
Director of Integrative Medicine
Assistant Professor of Family Medicine
Boston University School of Medicine
Michael Abecassis, MD, MBA
J. Roscoe Miller Distinguished Professor
Departments of Surgery and Microbiology/Immunology
Feinberg School of Medicine, Northwestern University;
Chief, Division of Organ Transplantation
Northwestern Memorial Hospital;
Founding Director, Comprehensive Transplant Center
Sarah Chart, RN
Eden Prairie, MN
Dixon B. Kaufman, MD, PhD, FACS
Ray D. Owens Professor of Surgery
Chief, Division of Transplantation
University of Wisconsin School of Medicine and Public Health;
Rebecca Gleason, RN, CCM
Eden Prairie, MN
Tina Rydland, PharmD
Crystal Clear Rx
Crystal Wong, MD
President Propoint Medical Writing
Disclosures of relevant financial relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education (OHE) requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or his/her spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services relate to the activity content. OHE ensures that the content is independent of commercial bias.
Ms. Chart and Ms. Gleason have indicated that they are employees of and own stock in UnitedHealth Group.
Dr. Wong has indicated that she has received grant/research support from MyoKardia.
The remaining activity faculty or planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.
Credit Designation Statements
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
This activity is approved for 1.00 contact hour(s) ([0.10] CEU) in states that recognize ACPE.
Attending the full program will earn 1.00 contact hour(s).
Unique Activity Number(s): JA0007123-0000-19-035-H01-P/T
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
The Commission for Case Manager Certification has approved this program for a maximum of 1.00 clock hour(s) for Certified Case Managers (CCM).
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.
- 1.00 ACPE - Pharmacists
- 1.00 ACPE - Pharmacy Technicians
- 1.00 AMA - Physicians
- 1.00 ANCC - Nurses
- 1.00 Attendance - General Attendance
- 1.00 CCMC - General - Case Managers
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