Evidence map›Paper›PMID 28970388›Full record

ArticlePharmacy (Basel, Switzerland)2016

General Practitioners and Chronic Non-Malignant Pain Management in Older Patients: A Qualitative Study.

Mary-Claire Kennedy, Martin C Henman, Gráinne Cousins

Abstract read
In one paragraph

Article in Pharmacy (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Barriers and facilitators encountered by family physicians prescribing opioids for chronic non-cancer pain: a qualitative study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2021
    Article
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

3 authors.

Mary-Claire KennedySchool of Healthcare, University of Leeds, Leeds LS2 9JT, UK. m.c.kennedy@leeds.ac.uk.ORCID 0000-0002-3835-2736
Martin C HenmanSchool of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland. mhenman@tcd.ie.ORCID 0000-0002-7922-7691
Gráinne CousinsSchool of Pharmacy, Royal College of Surgeons in Ireland, St. Stephens Green, Dublin , Ireland. gcousins@rcsi.ie.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic non-malignant pain (CNMP) is commonly managed by General Practitioners (GPs) in primary care. Analgesics are the mainstay of CNMP management in this setting. Selection of medications by GPs may be influenced by micro factors which are relevant to the practice setting, meso factors which relate to the local or regional environment or macro factors such as those arising from national or international influences. The aim of this study is to explore influences on GP practises in relation to pain management for older adults with CNMP. Semi-structured interviews were conducted with 12 GPs. Transcripts were organised using the Framework Method of Data Management while an applied thematic analysis was used to identify the themes emerging from the data. Clinical considerations such as the efficacy of analgesics, adverse effects and co-morbidities strongly influence prescribing decisions. The GPs interviewed identified the lack of guidance on this subject in Ireland and described the impact of organisational and structural barriers of the Irish healthcare system on the management of CNMP. Changes in practice behaviours coupled with health system reforms are required to improve the quality and consistency of pharmacotherapeutic management of CNMP in primary care.

Indexed as

analgesicschronic painelderlygeneral practitionersopioidsprimary care

Identifiers

PMID28970388
PMCPMC5419349

What OpenQuestion holds

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Registered trials

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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.