ArticlePain research & management
Self-reported practices in opioid management of chronic noncancer pain: a survey of Canadian family physicians.
Article in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 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
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Guideline for opioid therapy and chronic noncancer pain.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Guideline
- A Survey of Knowledge, Attitudes, and Behaviours of Canadian Family Physicians in Response to the Canadian Guideline on Prescribing Opioids for Chronic Non-cancer Pain.Canadian journal of pain = Revue canadienne de la douleur · 2026Article
- Comparison of Different Modeling Approaches for Prescription Opioid Use and Its Association With Adverse Events.American journal of epidemiology · 2023Article
- A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- Opioid use for a first-incident upper extremity fracture in 220,440 patients without recent prior use in Ontario, Canada: a retrospective cohort study.OTA international : the open access journal of orthopaedic trauma · 2022Article
- Swallowing the pill of adverse effects: A qualitative study of patients' and pharmacists' experiences and decision-making regarding the adverse effects of chronic pain medications.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Barriers and facilitators encountered by family physicians prescribing opioids for chronic non-cancer pain: a qualitative study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2021Article
- A retrospective quantitative implementation evaluation of Safer Opioid Prescribing, a Canadian continuing education program.BMC medical education · 2021Article
- Self-Reported Practices in Opioid Management of Chronic Noncancer Pain: An Updated Survey of Canadian Family Physicians.Journal of clinical medicine · 2020Article
- Living with opioids: A qualitative study with patients with chronic low back pain.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Perceptions and Impact of the 2017 Canadian Guideline for Opioid Therapy and Chronic Noncancer Pain: A Cross-Sectional Study of Canadian Physicians.Pain research & management · 2020Article
- Prevalence of Therapeutic use of Opioids in Chronic non-Cancer Pain Patients and Associated Factors: A Systematic Review and Meta-Analysis.Frontiers in pharmacology · 2020Review
- Understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study.BMC family practice · 2019Article
- Healthcare provider knowledge, attitudes, beliefs, and practices surrounding the prescription of opioids for chronic non-cancer pain in North America: protocol for a mixed-method systematic review.Systematic reviews · 2018Article
- Medical Trainees' Experiences of Treating People With Chronic Pain: A Lost Opportunity for Medical Education.Academic medicine : journal of the Association of American Medical Colleges · 2018Article
- To take or not to take: the association between perceived addiction risk, expected analgesic response and likelihood of trying novel pain relievers in self-identified chronic pain patients.Addiction (Abingdon, England) · 2018Article
- Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain.Pain research & management · 2017Article
- Opioids for chronic pain: a knowledge assessment of nonpain specialty providers.Journal of pain research · 2016Article
- Emergency medicine providers' opioid prescribing practices stratified by gender, age, and years in practice.World journal of emergency medicine · 2016Article
- Priority interventions to improve the management of chronic non-cancer pain in primary care: a participatory research of the ACCORD program.Journal of pain research · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn May 2010, a new Canadian guideline on prescribing opioids for chronic noncancer pain (CNCP) was released. To assess changes in family physicians' (FPs) prescribing of opioids following the release of the guideline, it is necessary to know their practices before the guideline was widely disseminated.
objectivesTo determine FPs' practices and knowledge in prescribing opioids for CNCP in relation to the Canadian guideline, and to determine factors that hinder or enable FPs in prescribing opioids for CNCP.
methodsAn online survey was developed and FPs who manage CNCP were electronically contacted through the College of Family Physicians of Canada, university continuing medical education offices and provincial regulatory colleges.
resultsA total of 710 responses were received. FPs followed a precautionary approach to prescribing opioids and already practiced in accordance with Canadian guideline recommendations by discussing adverse effects, monitoring for aberrant drug-related behaviour and advising caution when driving. However, FPs seldom discontinued opioids even if they were ineffective and were unaware of the 'watchful dose' of opioids, the daily dose at which patients may need reassessment or closer monitoring. Only two of nine knowledge questions were answered correctly by more than 40% of FPs. The main enabler to optimal opioid prescribing was having access to a patient's opioid history from a provincial prescription monitoring program. The main barriers to optimal prescribing were concerns about addiction and misuse.
conclusionsWhile FPs follow a precautionary approach to prescribing opioids for CNCP, there are substantial practice and knowledge gaps, with implications for patient safety and costs.
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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.