Evidence map›Paper›PMID 28371881›Full record

ArticlePain medicine (Malden, Mass.)2017

From Opiophobia to Overprescribing: A Critical Scoping Review of Medical Education Training for Chronic Pain.

Fiona Webster, Samantha Bremner, Eric Oosenbrug, Steve Durant, Colin J McCartney, Joel Katz

Open access · hybridAbstract readScoping Review
In one paragraph

Article in Pain medicine (Malden, Mass.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
6.1field-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

38 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
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  4. Rectal Cancer Pain Score: A prospective cohort validation study across recovery stages.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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  10. Are Queer Men Queering Consent? A Scoping Review of Sexual Consent Literature Among Gay, Bisexual, Trans, and Queer Men.International journal of sexual health : official journal of the World Association for Sexual Health · 2024
    Article
  11. Attending to Marginalization in The Chronic Pain Literature: A Scoping Review.Canadian journal of pain = Revue canadienne de la douleur · 2024
    Article
  12. Article
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  17. Flipping the hidden curriculum to transform pain education and culture.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Article
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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

6 authors at 4 institutions in 1 country.

Fiona WebsterInstitute of Health Policy Management and Evaluation and Wilson Centre for Education Research, University of Toronto, Toronto, ON, Canada.
Samantha BremnerMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Eric OosenbrugDepartment of Psychology, York University, Toronto, ON, Canada.
Steve DurantInstitute of Health Policy Management and Evaluation and Wilson Centre for Education Research, University of Toronto, Toronto, ON, Canada.
Colin J McCartneyDepartment of Psychology, York University, Toronto, ON, Canada.
Joel KatzDepartment of Anesthesiology, University of Ottawa, Ottawa, ON, Canada.
The Wilson Centre · CAYork University · CAMcMaster University · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain is a significant health problem strongly associated with a wide range of physical and mental health problems, including addiction. The widespread prevalence of pain and the increasing rate of opioid prescriptions have led to a focus on how physicians are educated about chronic pain. This critical scoping review describes the current literature in this important area, identifying gaps and suggesting avenues for further research starting from patients' standpoint.

methodsA search of the ERIC, MEDLINE, and Social Sciences Abstracts databases, as well as 10 journals related to medical education, was conducted to identify studies of the training of medical students, residents, and fellows in chronic noncancer pain.

resultsThe database and hand-searches identified 545 articles; of these, 39 articles met inclusion criteria and underwent full review. Findings were classified into four inter-related themes. We found that managing chronic pain has been described as stressful by trainees, but few studies have investigated implications for their well-being or ability to provide empathetic care. Even fewer studies have investigated how educational strategies impact patient care. We also note that the literature generally focuses on opioids and gives less attention to education in nonpharmacological approaches as well as nonopioid medications. DISCUSSION: The findings highlight significant discrepancies between the prevalence of chronic pain in society and the low priority assigned to educating future physicians about the complexities of pain and the social context of those afflicted. This suggests the need for better pain education as well as attention to the "hidden curriculum."

Indexed as

Education, MedicalAnalgesics, OpioidChronic PainHealth Services MisuseHumansPain ManagementAnalgesics, OpioidChronic Noncancer PainMedical EducationOpioidsScoping Review

Identifiers

PMID28371881
PMCPMC5914373
OpenAlexW2598333152

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.