Evidence map›Paper›PMID 28363316›Full record

ReviewDrug and alcohol dependence2017

Targeting practitioners: A review of guidelines, training, and policy in pain management.

Kelly S Barth, Constance Guille, Jenna McCauley, Kathleen T Brady

Open access · hybridAbstract readReview
In one paragraph

Review in Drug and alcohol dependence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.4field-weighted citation impact, top 3% of its field
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

24 citing papers in PubMed, 52 citations in OpenAlex.

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  10. Evaluations of Continuing Health Provider Education Focused on Opioid Prescribing: A Scoping Review.Academic medicine : journal of the Association of American Medical Colleges · 2022
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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

4 authors at 1 institution in 1 country.

Kelly S BarthDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC, United States. Electronic address: stephen@musc.edu.
Constance GuilleDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC, United States. Electronic address: guille@musc.edu.
Jenna McCauleyDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC, United States. Electronic address: mccaule@musc.edu.
Kathleen T BradyDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC, United States. Electronic address: bradyk@musc.edu.
Medical University of South Carolina · US

Funding

Vocational Training for Drug Dependent WomenP50DA016511 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2002 to 2017
$14.5M
Interdisciplinary Women's Health Research at MUSCK12HD055885 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCGINTY, JACQUELINE F. · 2007 to 2021
$7.2M
Drug Abuse Research Training (DART) ProgramR25DA020537 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Sudie E Back · 2006 to 2026
$6.3M
Reducing Prescription Opioid Misuse: Dental Provider Intervention DevelopmentK23DA036566 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCCAULEY, JENNA L. · 2015 to 2019
$980k
Discontinuation From Chronic Opioid Therapy For Pain Using a Buprenorphine TaperK23DA039328 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BARTH, KELLY S. · 2016 to 2019
$787k
A Novel Approach to Reduce Pain, Prescription Opioid Use & Misuse in PregnancyK23DA039318 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GUILLE, CONSTANCE · 2015 to 2017
$567k
NICHD NIH HHS K12 HD055885NIDA NIH HHS K23 DA036566NIDA NIH HHS K23 DA039318NIDA NIH HHS K23 DA039328NIDA NIH HHS P50 DA016511NIDA NIH HHS R25 DA020537
6 · The paper itself

Abstract

This paper reviews the current literature on clinical guidelines, practitioner training, and government/payer policies that have come forth in response to the national rise in prescription opioid overdoses. A review of clinical opioid prescribing guidelines highlights the need for more research on safe and effective treatment options for chronic pain, improved guidance for the best management of post-operative pain, and evaluation of the implementation and impact of guideline recommendations on patient risk and outcomes. Although there is increasing attention to training in pain management in medical schools and medical residency programs, educational opportunities remain highly variable, and the need for additional clinician training in the recognition and treatment of pain as well as opioid use disorder has been recognized. Mandated use of private, federal and state educational and clinical initiatives such as Risk Evaluation and Mitigation Strategies (REMS) and Prescription Drug Monitoring Programs (PDMPs) generally increase utilization of these initiatives, but more research is needed to determine the impact of these initiatives on provider behaviors, treatment access, and patient outcomes. Finally, there is an acute need for more research on safe and effective treatments for chronic pain as well as an increased multi-level focus on improving training and access to evidence-based treatment for opioid use disorder as well as non-pharmacologic and non-interventional chronic pain treatments, so that these guideline-recommended interventions can become mainstream, accessible, first-line interventions for chronic pain and/or opioid use disorders.

Indexed as

Education, Medical, ContinuingGuideline AdherenceHealth PolicyInternship and ResidencyAnalgesics, OpioidChronic PainDrug MonitoringDrug OverdoseHumansOpioid-Related DisordersPain ManagementPostoperative PainPrescription DrugsRisk AssessmentTreatment OutcomeUnited StatesAnalgesics, OpioidPrescription DrugsGuidelinesOpioidsPainPolicyTraining

Identifiers

PMID28363316
PMCPMC5555357
OpenAlexW2602200846

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.