Evidence map›Paper›PMID 24716198›Full record

ReviewPain research & management

Overview of four prescription monitoring/review programs in Canada.

Andrea D Furlan, Peter MacDougall, Denise Pellerin, Karen Shaw, Doug Spitzig, Galt Wilson, Janet Wright

Abstract readReview
In one paragraph

Review in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trends in prescription opioid use for pain in Canada: a population-based repeated cross-sectional study of 6 provinces.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
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  4. Observational
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  6. Review
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  10. Article
  11. Article
  12. Observational
  13. Review
  14. Effective Canadian policy to reduce harms from prescription opioids: learning from past failures.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016
    Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andrea D Furlan
Peter MacDougall
Denise Pellerin
Karen Shaw
Doug Spitzig
Galt Wilson
Janet Wright

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundPrescription monitoring or review programs collect information about prescription and dispensing of controlled substances for the purposes of monitoring, analysis and education. In Canada, it is the responsibility of the provincial institutions to organize, maintain and run such programs.

objectiveTo describe the characteristics of four provincial programs that have been in place for >6 years.

methodsThe managers of the prescription monitoring⁄review programs of four provinces (British Columbia, Alberta, Saskatchewan and Nova Scotia) were invited to present at a symposium at the Canadian Pain Society in May 2012. In preparation for the symposium, one author collected and summarized the information.

resultsThree provinces have a mix of review and monitoring programs; the program in British Columbia is purely for review and education. All programs include controlled substances (narcotics, barbiturates and psychostimulants); however, other substances are differentially included among the programs: anabolic steroids are included in Saskatchewan and Nova Scotia; and cannabinoids are included in British Columbia and Nova Scotia. Access to the database is available to pharmacists in all provinces. Physicians need consent from patients in British Columbia, and only professionals registered with the program can access the database in Alberta. The definition of inappropriate prescribing and dispensing is not uniform. Double doctoring, double pharmacy and high-volume dispensing are considered to be red flags in all programs.

conclusionsThere is variability among Canadian provinces in managing prescription monitoring⁄review programs.

Indexed as

Prescription DrugsCanadaDatabases, FactualDrug MonitoringDrug UtilizationHumansPainPrescription Drugs

Identifiers

PMID24716198
PMCPMC4028653

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.