Evidence map›Paper›PMID 28831278›Full record

ArticlePain research & management2017

Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain.

Élise Roy, Richard J Côté, Denis Hamel, Pierre-André Dubé, Éric Langlois, Maud Emmanuelle Labesse, Christiane Thibault, Aline Boulanger

Abstract read
In one paragraph

Article in Pain research & management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Article
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  4. Prevalence of opioid prescriptions in Taiwan (2008-2018).Journal of the Chinese Medical Association : JCMA · 2022
    Article
  5. Article
  6. Transitional Pain Care in Quebec: Did We Forget Our Youths? A Brief Research Report.Frontiers in pain research (Lausanne, Switzerland) · 2022
    Article
  7. Article
  8. Article
  9. 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

8 authors.

Élise RoyFaculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-Le Moyne, Room 200, Longueuil, QC, Canada J4K 0A8.
Richard J CôtéDirection des Risques Biologiques et de la Santé au Travail, Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal, QC, Canada H2P 1E2.
Denis HamelBureau d'Information et d'Études en Santé des Populations, Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec City, QC, Canada G1B5 5V3.ORCID 0000-0001-9403-791X
Pierre-André DubéDirection de la Santé Environnementale et de la Toxicologie, Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec City, QC, Canada G1B5 5V3.
Éric LangloisDirection de la Santé Environnementale et de la Toxicologie, Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal, QC, Canada H2P 1E2.
Maud Emmanuelle LabesseDirection de la Santé Environnementale et de la Toxicologie, Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal, QC, Canada H2P 1E2.ORCID 0000-0002-2345-7252
Christiane ThibaultDirection de la Santé Environnementale et de la Toxicologie, Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal, QC, Canada H2P 1E2.
Aline BoulangerClinique Antidouleur du Centre Hospitalier de l'Université de Montréal, 1560 rue Sherbrooke Est., Montréal, QC, Canada H2L 4M1.ORCID 0000-0002-7979-7408

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine medical practices and training needs of Québec family physicians with respect to pain management and opioid prescription for chronic noncancer pain (CNCP). METHODOLOGY: An online survey was carried out in 2016.

resultsOf 636 respondents (43.0% men; 54.3% ≥ 50 years old), 15.2% and 70.9% felt very or somewhat confident that they could properly prescribe opioids for CNCP. Concerns related to abuse (72.5% strongly/somewhat agree), dependence (73.2%), and lack of support (75.4%) were the main barriers reported. Only 19.7% always/often screened their patients for risks of abuse and dependence using a screening tool. About two-thirds of participants (65.7%) had recently (last five years) taken part in continuing education programs on opioid use for CNCP and 73.4% on CNCP management. Patient evaluation and differential diagnoses of chronic pain syndromes were rated as a top priority for further training.

conclusionsThis study provides insights into Québec family physicians' concerns, practices, and needs with respect to the management of CNCP. Physicians' difficulties around the application of strategies to mitigate the problem of opioid abuse and addiction are worrying. The need to better train physicians in the field of pain and addiction cannot be emphasized enough.

Indexed as

Physicians, FamilyPractice Patterns, Physicians'AdultAgedAnalgesics, OpioidChronic PainFemaleHumansMaleMiddle AgedOpioid-Related DisordersPain ManagementQuebecSurveys and QuestionnairesAnalgesics, Opioid

Identifiers

PMID28831278
PMCPMC5555017

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.