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  1. Article ; Online: We Need Precise Interventions to Stem the Opioid Epidemic.

    Walco, Gary A

    American journal of preventive medicine

    2021  Volume 60, Issue 5, Page(s) e235–e236

    MeSH term(s) Analgesics, Opioid/adverse effects ; Child ; Chronic Pain/drug therapy ; Humans ; Opioid Epidemic ; Opioid-Related Disorders/drug therapy ; Opioid-Related Disorders/epidemiology ; Opioid-Related Disorders/prevention & control ; Prescriptions
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-04-22
    Publishing country Netherlands
    Document type Letter ; Comment
    ZDB-ID 632646-8
    ISSN 1873-2607 ; 0749-3797
    ISSN (online) 1873-2607
    ISSN 0749-3797
    DOI 10.1016/j.amepre.2020.12.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book: Pain in children

    Walco, Gary A.

    a practical guide for primary care

    2008  

    Author's details ed. by Gary A. Walco
    Keywords Pain / drug therapy ; Pain / therapy ; Pain Measurement / methods ; Analgesics / therapeutic use ; Child ; Infant ; Pain in children
    Language English
    Size XXI, 279 S. : Ill., graph. Darst., 26 cm
    Publisher Humana Press
    Publishing place Totowa, NJ
    Publishing country United States
    Document type Book
    HBZ-ID HT016109127
    ISBN 1-934115-31-2 ; 978-1-934115-31-2 ; 9781597454766 ; 1597454761
    Database Catalogue ZB MED Medicine, Health

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    Shelf markLoan statusLocation
    2009 A 5467 order for loan Magazin

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  3. Book ; Online: Pain in Children

    Walco, Gary A. / Berde, Charles B. / Goldschneider, Kenneth R.

    A Practical Guide for Primary Care

    2008  

    Author's details edited by Gary A. Walco, Kenneth R. Goldschneider, Charles B. Berde
    Keywords Anesthesiology ; Family medicine ; Internal medicine ; Neurology ; Pain Medicine ; Pediatrics
    Language English
    Publisher Humana Press, a part of Springer Science+Business Media, LLC
    Publishing place Totowa, NJ
    Document type Book ; Online
    HBZ-ID TT050387340
    ISBN 978-1-934115-31-2 ; 978-1-597-45476-6 ; 1-934115-31-2 ; 1-597-45476-1
    DOI 10.1007/978-1-59745-476-6
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Article ; Online: With Apologies to Lennon and McCartney, All We Need is Data: Opioid Concerns in Pediatrics.

    Krane, Elliot J / Walco, Gary A

    The Clinical journal of pain

    2018  Volume 35, Issue 6, Page(s) 461–462

    MeSH term(s) Data Collection ; Drug Overdose/epidemiology ; Drug Prescriptions ; Humans ; Narcotic-Related Disorders/epidemiology ; Opioid Epidemic ; Polypharmacy
    Language English
    Publishing date 2018-08-09
    Publishing country United States
    Document type Introductory Journal Article
    ZDB-ID 632582-8
    ISSN 1536-5409 ; 0749-8047
    ISSN (online) 1536-5409
    ISSN 0749-8047
    DOI 10.1097/AJP.0000000000000699
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2078: Show issues Location:
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  5. Article ; Online: Updated recommendations on measures for clinical trials in pediatric chronic pain: a multiphase approach from the Core Outcomes in Pediatric Persistent Pain (Core-OPPP) Workgroup.

    Palermo, Tonya M / Li, Rui / Birnie, Kathryn A / Crombez, Geert / Eccleston, Christopher / Kashikar-Zuck, Susmita / Stone, Amanda L / Walco, Gary A

    Pain

    2023  Volume 165, Issue 5, Page(s) 1086–1100

    Abstract: Abstract: Many gaps remain in finding effective, safe, and equitable treatments for children and adolescents with chronic pain and in accessing treatments in different settings. A major goal of the field is to improve assessment of pain and related ... ...

    Abstract Abstract: Many gaps remain in finding effective, safe, and equitable treatments for children and adolescents with chronic pain and in accessing treatments in different settings. A major goal of the field is to improve assessment of pain and related experience. Valid and reliable patient-reported outcome measures are critical for advancing knowledge of clinical interventions for pediatric chronic pain. Building on the work of the Ped-IMMPACT group, we previously updated a core outcome set (COS) for pediatric chronic pain clinical trials using stakeholder feedback from providers, youth, and parents. The new COS includes 3 mandatory domains: pain severity, pain-related interference with daily living, and adverse events and 4 optional domains: overall well-being, emotional functioning, physical functioning, and sleep quality. The aim of this study was to use a multiphased approach to recommend specific measures for each of the 7 domains identified in our new COS for pediatric chronic pain. We synthesized evidence through conducting the following: (1) a Delphi study of experts to identify candidate measures for the new COS domains, (2) a review phase to gather evidence for measurement properties for candidate measures, and (3) an expert consensus conference to reach agreement on measurement recommendations. Final recommendations included 9 patient-reported measures. Important contextual considerations are discussed, and guidance is provided regarding strengths and limitations of the recommendations. Implementation of these recommendations may be enhanced by widespread dissemination and ease of access to measurement tools.
    MeSH term(s) Adolescent ; Child ; Humans ; Chronic Pain/diagnosis ; Chronic Pain/therapy ; Clinical Trials as Topic ; Consensus ; Delphi Technique ; Outcome Assessment, Health Care ; Research Design ; Treatment Outcome
    Language English
    Publishing date 2023-12-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 193153-2
    ISSN 1872-6623 ; 0304-3959
    ISSN (online) 1872-6623
    ISSN 0304-3959
    DOI 10.1097/j.pain.0000000000003105
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Potential Impact on Children of the CDC Guideline for Prescribing Opioids for Chronic Pain: Above All, Do No Harm.

    Schechter, Neil L / Walco, Gary A

    JAMA pediatrics

    2016  Volume 170, Issue 5, Page(s) 425–426

    Language English
    Publishing date 2016-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2016.0504
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The National Opioid Epidemic and the Risk of Outpatient Opioids in Children.

    Krane, Elliot J / Weisman, Steven J / Walco, Gary A

    Pediatrics

    2018  Volume 142, Issue 2

    MeSH term(s) Ambulatory Care/trends ; Analgesics, Opioid/adverse effects ; Epidemics/prevention & control ; Humans ; Opioid-Related Disorders/diagnosis ; Opioid-Related Disorders/epidemiology ; Opioid-Related Disorders/therapy ; Outpatients ; Risk Factors
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2018-07-16
    Publishing country United States
    Document type Editorial
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2018-1623
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 357: Show issues

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  8. Article ; Online: Can Use of Default Dispensing Quantities in Electronic Medical Record Lower Opioid Prescribing?

    Chua, Wee-Jhong / Groenewald, Cornelius B / Varakitsomboon, Shing / Harris, Jacob / Faino, Anna V / Quan, Linda / Walco, Gary A / Sousa, Ted C

    Pediatric emergency care

    2022  Volume 38, Issue 2, Page(s) e600–e604

    Abstract: Objectives: Leftover opioids can contribute to misuse and abuse. Recommended dosing quantities in the electronic medical record can guide prescribing patterns. We hypothesized that decreasing the default from 30 doses to 12 doses would decrease the ... ...

    Abstract Objectives: Leftover opioids can contribute to misuse and abuse. Recommended dosing quantities in the electronic medical record can guide prescribing patterns. We hypothesized that decreasing the default from 30 doses to 12 doses would decrease the overall number of opioids prescribed without increasing second opioid prescriptions or additional health utilization.
    Methods: We performed a single-center retrospective study of children with forearm and elbow fractures who presented to the emergency department for evaluation and subsequent orthopedic follow-up between January 15, and September 19, 2017. The default dispensing quantity was decreased on June 1, 2016 from 30 doses to 12 doses. Patients were categorized to preintervention and postintervention groups. We compared the number of opioids prescribed, second opioid prescriptions, emergency department visits, and pain-related telephone calls and orthopedic visits with χ2 and logistic regression analyses.
    Results: There were 1107 patients included. Rates of opioid prescribing were similar preintervention and postintervention (61% vs 56%, P = 0.13). After the change to the default quantity, the median number of doses decreased from 18 to 12 doses, with opioid prescriptions of 30 or more doses dropping from 35% to 11%. No significant association was found between preintervention versus postintervention, opioid prescription at discharge, and having 1 or more pain-related or unexpected follow-up visits.
    Conclusions: Lowering the default dispensing quantity of opioids in the electronic medical record decreases the number of opioids prescribed without increasing second prescriptions or additional health care utilization. These findings suggest that a further reduction in the number of opioids prescribed for upper-extremity fractures may be possible.
    MeSH term(s) Analgesics, Opioid/therapeutic use ; Child ; Drug Prescriptions ; Electronic Health Records ; Humans ; Practice Patterns, Physicians' ; Retrospective Studies
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2022-01-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000002411
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Needle pain in children: contextual factors.

    Walco, Gary A

    Pediatrics

    2008  Volume 122 Suppl 3, Page(s) S125–9

    Abstract: Pediatric pain experiences result from a complex interplay of genetic, experiential, and developmental factors. These elements, as they relate to needle-stick procedures and other relevant painful phenomena, are explored in this article so that the ... ...

    Abstract Pediatric pain experiences result from a complex interplay of genetic, experiential, and developmental factors. These elements, as they relate to needle-stick procedures and other relevant painful phenomena, are explored in this article so that the context of possible interventions may be more fully appreciated. Clinical implications are discussed incorporating ethical perspectives.
    MeSH term(s) Animals ; Anxiety/etiology ; Anxiety/prevention & control ; Anxiety/psychology ; Catheterization, Peripheral/adverse effects ; Child ; Humans ; Needles/adverse effects ; Pain/etiology ; Pain/prevention & control ; Pain/psychology ; Pain Measurement/methods
    Language English
    Publishing date 2008-11
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2008-1055d
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Religion, spirituality, and the practice of pediatric oncology.

    Walco, Gary A

    Journal of pediatric hematology/oncology

    2007  Volume 29, Issue 11, Page(s) 733–735

    MeSH term(s) Child ; Humans ; Medical Oncology ; Pediatrics ; Religion and Medicine ; Spirituality
    Language English
    Publishing date 2007-11
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 1231152-2
    ISSN 1536-3678 ; 1077-4114 ; 0192-8562
    ISSN (online) 1536-3678
    ISSN 1077-4114 ; 0192-8562
    DOI 10.1097/MPH.0b013e31815a0e4d
    Database MEDical Literature Analysis and Retrieval System OnLINE

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