ArticleCanadian family physician Medecin de famille canadien2011
Survey of Ontario primary care physicians' experiences with opioid prescribing.
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 38 papers, 1 of them a synthesis 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
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Opioids compared to placebo or other treatments for chronic low-back pain.The Cochrane database of systematic reviews · 2013Pooled it
- Examining Access to Primary Care for People With Opioid Use Disorder in Ontario, Canada: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Evaluation of pharmacists' opioid dispensing practices: a cross-sectional study from Pakistan.Journal of pharmaceutical policy and practice · 2025Article
- Evaluation of physicians' opioid prescribing practices, attitudes, and interactions with other healthcare professionals in optimizing opioid prescribing in Pakistan.Frontiers in pharmacology · 2025Article
- Questioning the Yelp Effect: Mixed Methods Analysis of Web-Based Reviews of Urgent Cares.Journal of medical Internet research · 2021Article
- Accepting new patients who require opioids into family practice: results from the MAAP-NS census survey study.BMC family practice · 2019Article
- Relationship between early prescription dispensing patterns and work disability in a cohort of low back pain workers' compensation claimants: a historical cohort study.Occupational and environmental medicine · 2019Article
- Understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study.BMC family practice · 2019Article
- Mortality and Morbidity in Office-Based General Anesthesia for Dentistry in Ontario.Anesthesia progress · 2019Article
- The importance of chronic pain education and awareness amongst occupational safety and health professionals.Journal of pain research · 2019Article
- Needs assessment of primary care physicians in the management of chronic pain in cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017Article
- Primary care management of opioid use disorders: Abstinence, methadone, or buprenorphine-naloxone?Canadian family physician Medecin de famille canadien · 2017Review
- Review
- Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain.Pain research & management · 2017Article
- Knowledge, beliefs, and attitudes of the Quebec population toward chronic pain: Where are we now?Canadian journal of pain = Revue canadienne de la douleur · 2017Article
- Perceptions of Community-Dwelling Patients and Their Physicians on OxyContin® Discontinuation and the Impact on Chronic Pain Management.Pain research & management · 2017Article
- Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey.Journal of pain research · 2017Article
- Effective Canadian policy to reduce harms from prescription opioids: learning from past failures.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Article
- Opioid prescribing habits of physicians in Kwara State, Nigeria.Ghana medical journal · 2016Article
- Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo measure physicians' experiences with opioid-related adverse events and their perceived level of confidence in their opioid prescribing skills and practices.
designMailed survey. Setting The province of Ontario.
participantsA total of 1000 primary care physicians randomly selected from the College of Physicians and Surgeons of Ontario registration database.
main outcome measuresOpioid-related adverse events and concerns (eg, number of patients, type of opioid, cause of the event or concern); physicians' confidence, comfort, and satisfaction with opioid prescribing; physicians' opinions on strategies to optimize their prescribing; and physicians' perspectives of their interactions with pharmacists and nurses.
resultsThe response rate was close to 66%, for a total of 658 participants. Almost all respondents reported prescribing opioids for chronic pain in the past 3 months. Eighty-six percent of respondents reported being confident in their prescribing of opioids, but 42% of respondents indicated that at least 1 patient had experienced an adverse event related to opioids in the past year, usually involving oxycodone, and 16.3% of respondents did not know if their patients had experienced any opioid-related adverse events. The most commonly cited factors leading to adverse events were that the patient took more than prescribed, the prescribed dose was too high, or the patient took alcohol or sedating drugs with the opioids. Most physicians had concerns about the opioid use of 1 or more of their patients; concerns included running out of opioids early, minimal access to pain and addiction treatment, and addiction and overdose. The reported number of physicians' patients taking opioids was positively associated with their confidence and comfort levels in opioid prescribing and negatively associated with their belief that many patients become addicted to opioids.
conclusionMost physicians have encountered opioid-related adverse events. Comprehensive strategies are required to promote safe prescribing of opioids, including guidelines and comprehensive office-system materials.
Indexed as
Identifiers
21402971PMC3056687W2098489926What 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.