ArticleCanadian family physician Medecin de famille canadien2011
Chronic noncancer pain: characteristics of patients prescribed opioids by community physicians and referred to a tertiary pain clinic.
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 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review.PloS one · 2020Pooled it
- Sex differences in the response to opioids for pain relief: A systematic review and meta-analysis.Pharmacological research · 2019Pooled it
- Pain Resilience and Coping Behaviors in Individuals in a Collectivist Social Context.Healthcare (Basel, Switzerland) · 2024Article
- Five-Year Trajectories of Prescription Opioid Use.JAMA network open · 2023Article
- The relationship between patients' income and education and their access to pharmacological chronic pain management: A scoping review.Canadian journal of pain = Revue canadienne de la douleur · 2022Article
- Demographics, Pain Characteristics and Diagnostic Classification Profile of Chronic Non-Cancer Pain Patients Attending a Canadian University-Affiliated Community Pain Clinic.Pain and therapy · 2021Article
- Article
- Prevalence and incidence of prescription opioid analgesic use in Australia.British journal of clinical pharmacology · 2019Article
- In silico (computed) modelling of doses and dosing regimens associated with morphine levels above international legal driving limits.Palliative medicine · 2018Article
- Effect of chronic opioid therapy on actual driving performance in non-cancer pain patients.Psychopharmacology · 2017Article
- Dependence on Prescription Opioids.Deutsches Arzteblatt international · 2016Review
- [Recommendations of the updated LONTS guidelines. Long-term opioid therapy for chronic noncancer pain].Schmerz (Berlin, Germany) · 2015Review
- Factors Associated with Opioid Use in a Cohort of Patients Presenting for Surgery.Pain research and treatment · 2015Article
- Narcotic analgesic utilization amongst injured workers: using concept mapping to understand current issues from the perspectives of physicians and pharmacists.BMC health services research · 2011Article
- Opioids, pain, and personality: the story of a substitute physician.Canadian family physician Medecin de famille canadien · 2011Article
- Canadian Orofacial Pain Team workshop report on the global year against orofacial pain.Pain research & managementArticle
- Use of a modified Comprehensive Pain Evaluation Questionnaire (CPEQ): characteristics and functional status of patients on entry to a tertiary care pain clinic.Pain research & managementArticle
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the characteristics of patients with chronic noncancer pain (CNCP) prescribed opioids by community physicians and referred to a tertiary pain clinic.
designCross-sectional, descriptive study.
settingA tertiary care, hospital-based pain clinic in Toronto, Ont.
participantsA total of 455 consecutive patients newly referred to the pain clinic by community physicians.
main outcome measuresData on demographic characteristics, pain ratings, and medication intake were obtained using standardized collection forms and retrospective chart review. Patients were classified by diagnosis: group 1 patients had biomedical disorders only, group 2 patients had biomedical disorders and psychological factors, and group 3 patients had psychological factors only. Patients were also categorized based on opioid use: no opioid use (NOU); low opioid use (LOU), with a daily morphine-equivalent dosage (MED) of 200 mg or less; or high opioid use (HOU), with a daily MED of more than 200 mg.
resultsIn the general study population, 63% of patients were taking opioids, with 1 in 5 exceeding an MED of 200 mg daily. In group 1, 59% of patients used opioids and 10% had HOU; 66% of patients in groups 2 and 3 were taking opioids, with 21% and 26% classified as having HOU. The mean (SD) daily MED for groups 2 and 3 HOU patients combined was significantly higher than that of group 1 HOU patients: 575.7 (472.9) mg/d versus 284.9 (74.6) mg/d, respectively. Men were twice as likely as women to have HOU; Canadian-born patients were 3 times as likely as foreign-born patients to have HOU. Psychoactive drugs were coprescribed in 61% of LOU patients and 76% of HOU patients. Greater opioid use was associated with group 2 and 3 diagnoses, male sex, Canadian-born origin, and high pain scores.
conclusionOur results indicate that male, Canadian-born CNCP patients presenting with psychological morbidity or comorbidity and reporting higher pain severity ratings were more likely to receive opioids. Additionally, many CNCP patients referred to our tertiary care pain clinic were receiving opioids in excess of a 200-mg/d MED. More studies are needed to determine which factors lead to high-dose opioid prescribing in a subset of this CNCP population.
Indexed as
Identifiers
21402957PMC3056702W2158266286What 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.