Self-Reported Practices in Opioid Management of Chronic Noncancer Pain: A Survey of Canadian Family Physicians

Allen, Michael; Asbridge, Mark; MacDougall, Peter; Furlan, Andrea D.; Tugalev, Oleg

doi:10.1155/2013/528645

Cited by 35 publications

(59 citation statements)

References 18 publications

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“…This is consistent with the finding [11] that in a family practice setting, providers were concerned whether system limitations increased the risk of patient opioid misuse, thus serving as barriers to appropriate analgesia. [12] Hospital system limitations in our department include absence of social workers/substance abuse specialists and demand for operational effi ciency.…”

Section: Discussionsupporting

confidence: 88%

Emergency medicine providers' opioid prescribing practices stratified by gender, age, and years in practice

Varney¹,

Bebarta²,

Mannina³

et al. 2016

World Journal of Emergency Medicine

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BACKGROUND: Emergency medicine providers (EMPs) prescribe about 25% of opioids, but the effect of EMP risk perception on decisions to prescribe opioids is unknown. This study was undertaken to identify factors that infl uence EMP risk and opioid prescribing practices. METHODS:We distributed an anonymous questionnaire to EMPs at a military trauma and referral center. Response frequencies and distributions were assessed for independence using the Chi-square test.RESULTS: Eighty-nine EMPs completed the questionnaire (100% response). Respondents were primarily younger male physicians (80%) in practice under fi ve years (55%). Male EMPs were more likely to prescribe more opioid tablets than female ones both when and when not concerned for opioid misuse (P<0.001, P<0.007, respectively). Of the providers, 70% stated that patient age would infl uence their prescribing decisions. Hydrocodone and oxycodone were the opioids prescribed most frequently. About 60% of the providers reported changing their prescribing behavior would not prevent opioid misuse. Additionally, 40% of the providers believed at least 10% of patients seen at this military ED misused opioids.CONCLUSION: Female EM providers reported prescribing fewer opioid tablets. Patient age infl uenced prescribing behavior, but the effect is unknown. Finally, EM providers reported that altering their prescribing behavior would not prevent prescription opioid misuse.

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Section: Discussionsupporting

confidence: 88%

Emergency medicine providers' opioid prescribing practices stratified by gender, age, and years in practice

Varney¹,

Bebarta²,

Mannina³

et al. 2016

World Journal of Emergency Medicine

View full text Add to dashboard Cite

show abstract

“…The quality assessment results for included studies are summarized in Table . It shows that most studies have a low risk of bias in all domains of risk appraisal with an overall assessment value higher or equal to 6 . Only one of the included studies showed a moderate risk of bias (score of 5 points).…”

Section: Resultsmentioning

confidence: 91%

“…The 14 articles meeting the inclusion criteria are presented in Table , according to country of publication origin . These studies included 10 prospective cross‐sectional questionnaire‐based studies, 2 prospective cross‐sectional interview‐based studies, and 2 retrospective cross‐sectional studies with chart review.…”

Section: Resultsmentioning

confidence: 99%

Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence

et al. 2015

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“…Although very effective to treat acute pain, opioids comprise a number of serious adverse events; including misuse, abuse and/or addiction, as well as the possibility of inappropriately prolonged opioid use, and diversion (11,16). Therefore, various screening tools have been developed to assess the potential vulnerability of patients to develop aberrant behaviours.…”

Section: Discussionmentioning

confidence: 99%

Long-term opioid use after discharge from inpatient musculoskeletal rehabilitation

Furlan¹,

Hassan²,

Famiyeh³

et al. 2016

J Rehabil Med

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Objective: To determine: (i) the prevalence of opioid-naïve patients discharged on opioids from a musculoskeletal rehabilitation inpatient unit; (ii) the prevalence of opioid use 6 months after discharge; and (iii) the efficacy of the Opioid Risk Tool in identifying long-term opioid use. Design: Prospective study. Participants: Sixty-four opioid-naïve patients who were exposed to opioids during admission and who were discharged on an opioid. Methods: Potentially eligible patients' charts were reviewed. Participants were interviewed during admission to obtain the opioid risk score and contacted 6 months after discharge via a semi-structured telephone interview. Results: Twenty-eight percent of opioid-naïve patients, who were discharged on opioids were still using opioids 6 months after discharge from rehabilitation. There was a trend for higher Opioid Risk Tool scores in those still using opioids than in individuals who were not using opioids at 6 months (p = 0.053). Conclusion:Patients who are prescribed opioids during a hospital admission should be screened for risk of opioid misuse. This data suggests that the Opioid Risk Tool could identify a patient's potential for becoming a long-term user of opioids.

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Self-Reported Practices in Opioid Management of Chronic Noncancer Pain: A Survey of Canadian Family Physicians

Abstract: While FPs follow a precautionary approach to prescribing opioids for CNCP, there are substantial practice and knowledge gaps, with implications for patient safety and costs.

Cited by 35 publications

References 18 publications

Emergency medicine providers' opioid prescribing practices stratified by gender, age, and years in practice

Emergency medicine providers' opioid prescribing practices stratified by gender, age, and years in practice

Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence

Long-term opioid use after discharge from inpatient musculoskeletal rehabilitation

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