ArticleCanadian family physician Medecin de famille canadien2011
Clustering of opioid prescribing and opioid-related mortality among family physicians in Ontario.
Article in Canadian family physician Medecin de famille canadien, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
61 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health harms of non-medical prescription opioid use: A systematic review.Drug and alcohol review · 2022Pooled it
- Determinants of increased opioid-related mortality in the United States and Canada, 1990-2013: a systematic review.American journal of public health · 2014Pooled it
- Trial
- Does Physicians' Clinical Competence, Communication Ability, or Cultural Background Influence Potentially Inappropriate Prescribing of Benzodiazepines and Z-Drugs Among Older Adults With Insomnia?Pharmacoepidemiology and drug safety · 2024Article
- Clinician approaches to new spine pain cases in primary care: Balance of opioid prescribing and early linkage to exercise therapy and spinal manipulation.Journal of evaluation in clinical practice · 2024Article
- Prescribed safer supply during dual public health emergencies: a qualitative study examining service providers perspectives on early implementation.Substance abuse treatment, prevention, and policy · 2024Article
- The Association between COVID-19 and Changes in Opioid Prescribing Patterns and Opioid-Related Overdoses: A Retrospective Cohort Study.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Variation in prescribing of opioids for emergency department encounters: A cohort study in the Military Health System.Journal of evaluation in clinical practice · 2022Article
- Determinants of long-term opioid prescribing in an urban population: A cross-sectional study.British journal of clinical pharmacology · 2022Article
- Association of clinical competence, specialty and physician country of origin with opioid prescribing for chronic pain: a cohort study.BMJ quality & safety · 2022Article
- Association between 1-year patient outcomes and opioid-prescribing group of emergency department clinicians: A cohort study with Army active-duty soldiers.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- Patterns, trends and determinants of medical opioid utilization in Canada 2005-2020: characterizing an era of intensive rise and fall.Substance abuse treatment, prevention, and policy · 2021Article
- Positive Toxicology Results Are Not Associated with Emergency Physicians' Opioid Prescribing Behavior.The western journal of emergency medicine · 2021Article
- Postpartum Analgesia in New Mothers (PAIN) Study: A Survey of Canadian Obstetricians' Post-Delivery Opioid-Prescribing Practices.Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC · 2021Article
- A retrospective quantitative implementation evaluation of Safer Opioid Prescribing, a Canadian continuing education program.BMC medical education · 2021Article
- Comparative Effectiveness of Cognitive Behavioral Therapy for Chronic Pain and Chronic Pain Self-Management within the Context of Voluntary Patient-Centered Prescription Opioid Tapering: The EMPOWER Study Protocol.Pain medicine (Malden, Mass.) · 2020Article
- Article
- Accepting new patients who require opioids into family practice: results from the MAAP-NS census survey study.BMC family practice · 2019Article
- Review of Coroner Inquest Recommendations into Opioid Prescribing Practices in Ontario: Ongoing Health Policy Gaps.Healthcare policy = Politiques de sante · 2019Article
- Understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study.BMC family practice · 2019Article
1 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine whether variation in prescribing at the level of the individual physician is associated with opioid-related mortality.
designA population-based cross-sectional analysis linking prescription data with records from the Office of the Chief Coroner.
settingThe province of Ontario. Participants Family physicians in Ontario and Ontarians aged 15 to 64 who were eligible for prescription drug coverage under the Ontario Public Drug Program.
main outcome measuresVariation in family physicians' opioid prescribing and opioid-related mortality among their patients.
resultsThe 20% of family physicians (n = 1978) who prescribed opioids most frequently issued opioid prescriptions 55 times more often than the 20% who prescribed opioids least frequently. Family physicians in the uppermost quintile also wrote the final opioid prescription before death for 62.7% of public drug plan beneficiaries whose deaths were related to opioids. Physician characteristics associated with greater opioid prescribing were male sex (P = .003), older age (P < .001), and a greater number of years in practice (P < .001).
conclusionOpioid prescribing varies remarkably among family physicians, and opioid-related deaths are concentrated among patients treated by physicians who prescribe opioids frequently. Strategies to reduce opioid-related harm should include efforts focusing on family physicians who prescribe opioids frequently.
Indexed as
Identifiers
21402956PMC3056701What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.