ArticlePain medicine (Malden, Mass.)2012
Primary care providers' views on chronic pain management among high-risk patients in safety net settings.
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 16 papers.
What it found
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Who cites it
16 citing papers in PubMed.
- Improving the Delivery of Chronic Opioid Therapy Among People Living With Human Immunodeficiency Virus: A Cluster Randomized Clinical Trial.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021Trial
- Psychosocial Outcomes of Pain and Pain Management in Adults with Osteogenesis Imperfecta: A Qualitative Study.Journal of clinical psychology in medical settings · 2024Article
- Examining Racial/Ethnic Differences in Patterns of Opioid Prescribing: Results from an Urban Safety-Net Healthcare System.Journal of racial and ethnic health disparities · 2024Article
- Examining Racial/Ethnic Disparities in Tobacco Dependence Treatment Among Medicaid Beneficiaries Using Fifty State Medicaid Claims, 2009-2014.Journal of racial and ethnic health disparities · 2024Article
- Experiences of Military Primary Care Providers During Chronic Pain Visits: A Qualitative Descriptive Study.Pain medicine (Malden, Mass.) · 2022Article
- Article
- Study protocol for the targeting effective analgesia in clinics for HIV (TEACH) study - a cluster randomized controlled trial and parallel cohort to increase guideline concordant care for long-term opioid therapy among people living with HIV.HIV research & clinical practice · 2019Article
- Gaps in the Public's Knowledge About Chronic Pain: Representative Sample of Hispanic Residents From 5 States.The journal of pain · 2017Article
- Provider confidence in opioid prescribing and chronic pain management: results of the Opioid Therapy Provider Survey.Journal of pain research · 2017Article
- Opioids for chronic pain: a knowledge assessment of nonpain specialty providers.Journal of pain research · 2016Article
- Can we not work together to help family practitioners become more effective pain managers?Journal of pain research · 2016Article
- Exploring the experience of chronic pain among female Survival Sex Workers: a qualitative study.BMC family practice · 2015Article
- Using electronic health records data to identify patients with chronic pain in a primary care setting.Journal of the American Medical Informatics Association : JAMIA · 2013Article
- It made my life a little easier: primary care providers' beliefs and attitudes about using opioid treatment agreements.Journal of opioid managementArticle
- Multidisciplinary Approach for Managing Complex Pain and Addiction in Primary Care: A Qualitative Study.Annals of family medicineReview
- 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
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveWe examined chronic pain management practices and confidence and satisfaction levels in treating chronic pain among primary care providers (PCPs) who cared for high-risk patients in safety net health settings.
designWe recruited PCPs (N = 61) through their HIV-infected patients who were enrolled in a longitudinal study on pain, use, and misuse of opioid analgesics (Pain Study). We asked PCPs to complete a questionnaire about all of their patients in their practice on the prevalence of chronic pain and illicit substance use, use of opioid analgesics, confidence and satisfaction levels in treating chronic pain, and likelihood of prescribing opioid analgesics in response to clinical vignettes.
resultsAll PCPs cared for at least some patients with chronic pain, and the majority prescribed opioid analgesics for its treatment. All PCPs cared for at least some patients who used illicit substances. PCPs reported low confidence and satisfaction levels in treating chronic pain. The majority (73.8%) of PCPs were highly likely to prescribe opioid analgesics to a patient without a history of substance use who had chronic pain. The majority (88.5%) were somewhat to highly likely to prescribe opioid analgesics to a patient with a prior history of substance use but not active use. Most (67.2%) were somewhat to highly likely to prescribe opioids to a patient with active substance use.
conclusionIn order to improve PCPs' confidence and satisfaction in managing chronic pain, further work should explore the root causes of low confidence and satisfaction and also explore possible remedies.
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