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Effect of Medication Optimization vs Cognitive Behavioral Therapy Among US Veterans With Chronic Low Back Pain Receiving Long-term Opioid Therapy: A Randomized Clinical Trial.


ABSTRACT:

Importance

Medication management and cognitive behavioral therapy (CBT) are commonly used treatments for chronic low back pain (CLBP). However, little evidence is available comparing the effectiveness of these approaches.

Objective

To compare collaborative care medication optimization vs CBT on pain intensity, interference, and other pain-related outcomes.

Design, setting, and participants

The Care Management for the Effective Use of Opioids (CAMEO) trial was a 12-month, comparative effectiveness randomized clinical trial with blinded outcome assessment. Recruitment of veterans with CLBP prescribed long-term opioids occurred at 7 Veterans Affairs primary care clinics from September 1, 2011, to December 31, 2014, and follow-up was completed December 31, 2015. Analyses

SUBMITTER: Bushey MA 

PROVIDER: S-EPMC9672973 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature