Evidence map›Paper›PMID 29633138›Full record

ArticleJournal of general internal medicine2018

Correlates of Use and Perceived Effectiveness of Non-pharmacologic Strategies for Chronic Pain Among Patients Prescribed Long-term Opioid Therapy.

Crystal C Lozier, Shannon M Nugent, Ning X Smith, Bobbi Jo Yarborough, Steven K Dobscha, Richard A Deyo, Benjamin J Morasco

Open access · bronzeAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Neuroprotective Pathway Modulation by a NovelInternational journal of molecular sciences · 2025
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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

7 authors at 3 institutions in 1 country.

Crystal C LozierVA Portland Health Care System, Portland, OR, USA. crystal.lozier@va.gov.
Shannon M NugentVA Portland Health Care System, Portland, OR, USA.
Ning X SmithKaiser Permanente Northwest Center for Health Research, Portland, OR, USA.
Bobbi Jo YarboroughKaiser Permanente Northwest Center for Health Research, Portland, OR, USA.
Steven K DobschaVA Portland Health Care System, Portland, OR, USA.
Richard A DeyoOregon Health & Science University, Portland, OR, USA.
Benjamin J MorascoVA Portland Health Care System, Portland, OR, USA.
Kaiser Permanente Center for Health Research · USVA Portland Health Care System · USOregon Health & Science University · US

Funding

Correlates and outcomes of opioid dose escalation among chronic pain patientsR01DA034083 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI MORASCO, BENJAMIN J. · 2013 to 2017
$2.4M
NIDA NIH HHS R01 DA034083
6 · The paper itself

Abstract

objectiveNon-pharmacologic treatments (NPTs) are recommended for chronic pain. Information is limited on patient use or perceptions of NPTs. We examined the frequency and correlates of use and self-rated helpfulness of NPTs for chronic pain among patients who are prescribed long-term opioid therapy (LTOT).

methodsParticipants (n = 517) with musculoskeletal pain who were prescribed LTOT were recruited from two integrated health systems. They rated the frequency and utility of six clinician-directed and five self-directed NPTs for chronic pain. We categorized NPT use at four levels based on number of interventions used and frequency of use (none, low, moderate, high). Analyses examined clinical and demographic factors that differed among groups for both clinician-directed and self-directed NPTs.

resultsSeventy-one percent of participants reported use of any NPT for pain within the prior 6 months. NPTs were rated as being helpful by more than 50% of users for all treatments assessed (range 51-79%). High users of clinician-directed NPTs were younger than non-users or low-frequency users and had the most depressive symptoms. In both clinician-directed and self-directed categories, high NPT users had significantly higher pain disability compared to non-NPT users. No significant group differences were detected on other demographic or clinical variables. In multivariable analyses, clinician-directed NPT use was modestly associated with younger age (OR = 0.97, 95% CI = 0.96-0.98) and higher pain disability (OR = 1.01, 95% CI = 1.00-1.02). Variables associated with greater self-directed NPT use were some college education (OR = 1.80, 95% CI = 1.13-2.84), college graduate or more (OR = 2.02, 95% CI = 1.20-3.40), and higher pain disability (OR = 1.01, 95% CI = 1.01-1.02).

conclusionsNPT use was associated with higher pain disability and younger age for both clinician-directed and self-directed NPTs and higher education for self-directed NPTs. These strategies were rated as helpful by those that used them. These results can inform intervention implementation and be used to increase engagement in NPTs for chronic pain.

Indexed as

Patient Reported Outcome MeasuresAgedAnalgesics, OpioidChronic PainFemaleHumansMaleMiddle AgedMusculoskeletal PainPain ManagementPain MeasurementPatient ParticipationProspective StudiesAnalgesics, Opioidchronic painlong-term opioid therapynon-pharmacologic pain management

Identifiers

PMID29633138
PMCPMC5902344
OpenAlexW2797644200

What OpenQuestion holds

Textmetadata
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.