Observational studyJournal of medical toxicology : official journal of the American College of Medical Toxicology2016
Pilot Study of the Importance of Factors Affecting Emergency Department Opioid Analgesic Prescribing Decisions.
Observational study in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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
7 citing papers in PubMed.
- Article
- Testing the Decision Support Tool for Responsible Pain Management for Headache and Facial Pain Diagnosis with Opioid-Risk-Stratified Treatment.SN comprehensive clinical medicine · 2023Article
- Provider perceptions of system-level opioid prescribing and addiction treatment policies.Current opinion in psychology · 2019Review
- Liposomal Bupivacaine Does Not Reduce Inpatient Opioid Prescription or Related Complications after Knee Arthroplasty: A Database Analysis.Anesthesiology · 2018Observational
- Global prescription "opioi-demic:" what about provider prescribing behaviors?Internal and emergency medicine · 2016Article
- Opioid Prescribing: How Well Do We Know Ourselves?Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2016Article
- What Factors Affect Physicians' Decisions to Prescribe Opioids in Emergency Departments?MDM policy & practiceArticle
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3 authors.
Funding
Abstract
introductionLittle is known about the factors driving decision-making among emergency department (ED) providers when prescribing opioid analgesics (OA). The aim of this pilot study was to identify the importance of factors influencing OA-prescribing decisions and to determine how this varied among different types of providers.
methodsThis was an observational cross-sectional survey study of 203 ED providers. The importance of decisional factors was rated on a 5-point Likert scale. Differences between provider groups were tested using Chi-squared or ANOVA tests where applicable.
resultsOverall, 142/203 (69.9 %) potential respondents participated in the study. The five highest-rated factors were (mean ± SD) patient's opioid prescription history (4.4 ± 0.8), patient's history of substance abuse or dependence (4.4 ± 0.7), diagnosis thought to be the cause of patient's pain (4.2 ± 0.8), clinical gestalt (4.2 ± 0.7), and provider's concern about unsafe use of the medication (4.0 ± 0.9). The importance of 6 of 21 decisional factors varied significantly between different groups of providers.
conclusionIn this pilot study of ED providers, the self-reported importance of several factors influencing OA-prescribing decisions were significantly different among attending physicians, resident physicians, and advanced practice providers. Further investigation into how ED providers make OA-prescribing decisions is needed to help guide interventions aimed at improving appropriate pain management.
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