ArticleCanadian family physician Medecin de famille canadien2013
Effect of a course-based intervention and effect of medical regulation on physicians' opioid prescribing.
Article in Canadian family physician Medecin de famille canadien, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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
10 citing papers in PubMed.
- Successful implementation of a quality improvement bundle to reduce opioid overprescribing following total hip and knee arthroplasty.BMJ open quality · 2023Article
- Evaluations of Continuing Health Provider Education Focused on Opioid Prescribing: A Scoping Review.Academic medicine : journal of the Association of American Medical Colleges · 2022Article
- A retrospective quantitative implementation evaluation of Safer Opioid Prescribing, a Canadian continuing education program.BMC medical education · 2021Article
- Changes in Opioid Prescribing Behaviors among Family Physicians Who Participated in a Weekly Tele-Mentoring Program.Journal of clinical medicine · 2019Article
- Experience with a Nonopioid Protocol in Ambulatory Breast Surgery: Opioids are Rarely Necessary and Use is Surgeon-Dependent.The Permanente journal · 2019Article
- Impact of Opioid Dose Reduction and Risk Mitigation Initiatives on Chronic Opioid Therapy Patients at Higher Risk for Opioid-Related Adverse Outcomes.Pain medicine (Malden, Mass.) · 2018Article
- Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain.Pain research & management · 2017Article
- Evaluation of Health Plan Interventions to Influence Chronic Opioid Therapy Prescribing.The Clinical journal of pain · 2015Article
- What we know, and don't know, about the impact of state policy and systems-level interventions on prescription drug overdose.Drug and alcohol dependence · 2014Review
- Academic detailing to improve appropriate opioid prescribing: a mixed-methods process evaluation.CMAJ openArticle
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the effects of an intensive 2-day course on physicians' prescribing of opioids.
designPopulation-based retrospective observational study.
settingCollege of Physicians and Surgeons of Ontario (CPSO) in Toronto.
participantsOntario physicians who took the course between April 1, 2000, and May 30, 2008.
interventionA 2-day opioid-prescribing course with a maximum of 12 physician participants. Educational methods included didactic presentations, case discussions, and standardized patients. A detailed syllabus and office materials were provided.
main outcome measuresParticipants were matched with control physicians using specific variables. The primary outcome was the rate of opioid prescribing, expressed as milligrams of morphine equivalent per quarter.
resultsOne hundred thirty-eight course participants (120 family physicians, 15 specialists, and 3 physicians whose status was uncertain) were eligible for analysis. Of these, 68.1% were self-referred and 31.9% were referred by the CPSO. Overall, among physicians referred by the CPSO, the rate of opioid prescribing decreased dramatically in the year before course participation compared with matched control physicians. The course had no added effect on the rate of physicians' opioid prescribing in the subsequent 2 years. There was no statistically significant effect on the rate of opioid prescribing observed among the self-referred physicians. Among 15 of the self-referred physicians who, owing to the high quantities of opioids they prescribed, were not matched with control physicians, the rate of opioid prescribing decreased by 43.9% in the year following course completion.
conclusionPhysicians markedly reduced the quantities of opioids they prescribed after medical regulators referred them to an opioid-prescribing course. The course itself did not lead to significant additional reductions; however, a subgroup of physicians who prescribed high quantities of opioids might have responded to what was taught in the course.
Indexed as
Identifiers
23673603PMC3653672What 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.