ArticlePain medicine (Malden, Mass.)2012
Do patients know they are on pain medication agreements? Results from a sample of high-risk patients on chronic opioid therapy.
Article in Pain medicine (Malden, Mass.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Impacts of social determinants of health on chronic opioid therapy for chronic non-cancer pain.Pain management · 2024Article
- Primary care management of Long-Term opioid therapy.Annals of medicine · 2022Review
- Evaluating the Effects of Opioid Prescribing Policies on Patient Outcomes in a Safety-net Primary Care Clinic.Journal of general internal medicine · 2022Article
- A National Survey on Patient Provider Agreements When Prescribing Opioids for Chronic Pain.Journal of general internal medicine · 2021Article
- Controlled Substance Agreements for Opioids in a Primary Care Practice.Journal of pharmaceutical policy and practice · 2017Article
- The Medicinal Cannabis Treatment Agreement: Providing Information to Chronic Pain Patients Through a Written Document.The Clinical journal of pain · 2015Review
- Using health information technology to improve adherence to opioid prescribing guidelines in primary care.The Clinical journal of pain · 2015Article
- Validation of a brief Opioid Compliance Checklist for patients with chronic pain.The journal of pain · 2014Article
- Emergency Department Utilization Among People Living With HIV on Chronic Opioid Therapy.Journal of the International Association of Providers of AIDS CareObservational
- Factors Associated with Pain Treatment Satisfaction Among Patients with Chronic Non-Cancer Pain and Substance Use.Journal of the American Board of Family Medicine : JABFMArticle
- It made my life a little easier: primary care providers' beliefs and attitudes about using opioid treatment agreements.Journal of opioid managementArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivePain medicine agreements are frequently recommended for use with high-risk patients on chronic opioid therapy. We assessed how consistently pain medicine agreements were used and whether patients were aware that they had signed a pain medicine agreement in a sample of HIV-infected adults prescribed chronic opioid treatment.
designWe recruited patients from a longitudinal cohort of community-based HIV-infected adults and recruited the patients' primary care providers (PCPs). The patients completed in-person interviews and PCPs completed mail-based questionnaires about the patients' use of pain medicine agreements. Among patients prescribed chronic opioid therapy, we analyzed the prevalence of pain medicine agreement use, patient factors associated with their use, and agreement between patient and clinician reports of pain agreements.
resultsWe had 84 patient-clinician dyads, representing 38 PCPs. A total of 72.8% of patients fit the diagnostic criteria for a lifetime substance use disorder. PCPs reported using pain medicine agreements with 42.9% of patients. Patients with pain medicine agreements were more likely to be smokers (91.7% vs 58.3%; P = 0.001) and had higher mean scores on the Screener and Opioid Assessment for Patients with Pain (µ = 26.0 [standard deviation, SD] = 9.7) vs µ = 19.5 [SD = 9.3]; P = 0.003). Patients reported having a pain medicine agreement with a sensitivity of 61.1% and a specificity of 64.6%.
conclusionsIn a high-risk sample, clinicians were using agreements at a low rate, but were more likely to use them with patients at highest risk of misuse. Patients exhibited low awareness of whether they signed a pain medicine agreement.
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Registered trials
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