An easily misdiagnosed and rare cause of traumatic back pain: bilateral renal infarction caused by traumatic bilateral renal artery dissection

Trends in oxycodone and oxycodone-containing analgesics administration for back pain in emergency departments in the USA (2007-2018)

“…Back pain is a common cause of emergency department (ED) visits. [1] Approximately 2.63 million annual ED visits are attributed to lower back pain, which represents 2.3% of all ED visits. [2] Among the pharmacological treatments, opioids are used in almost two-thirds of patients with lower back pain, [2] despite the multiple guidelines recommending acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) as first-line pharmacotherapy for this painful syndrome.…”

“…[12] Despite its high abuse liability, oxycodone and oxycodone-containing combinations (e.g., oxycodone/ acetaminophen) remain among the most commonly prescribed opioids by ED clinicians, largely due to their comfort in prescribing them, with 12.1% of back pain visits resulting in oxycodone administration. [1,14] From 1993 to 2005, pain-related visits accounted for 42% of ED visits. [15] In 2017, 21.1% of pain-related ED visits led to an opioid prescription in the Northeast compared with 34.7% of visits in the West.…”