Evidence map›Paper›PMID 30424800›Full record

ArticleSystematic reviews2018

Healthcare provider knowledge, attitudes, beliefs, and practices surrounding the prescription of opioids for chronic non-cancer pain in North America: protocol for a mixed-method systematic review.

Joshua A Rash, Norman Buckley, Jason W Busse, Tavis S Campbell, Kim Corace, Lynn Cooper, David Flusk, Alfonso Iorio, Kim L Lavoie, Patricia A Poulin and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Systematic reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

11 authors at 7 institutions in 1 country.

Joshua A RashDepartment of Psychology, Memorial University of Newfoundland, 230 Elizabeth Ave, St. John's, NL, A1B 3X9, Canada. jarash@mun.ca.ORCID 0000-0003-0927-0712
Norman BuckleyDepartment of Anesthesia, McMaster University, Hamilton, ON, Canada.
Jason W BusseDepartment of Anesthesia, McMaster University, Hamilton, ON, Canada.
Tavis S CampbellDepartment of Psychology, University of Calgary, Calgary, AB, Canada.
Kim CoraceThe Royal Ottawa Mental Health Centre, Ottawa, ON, Canada.
Lynn CooperCanadian Injured Workers Alliance, Thunder Bay, ON, Canada.
David FluskDepartment of Anesthesia, Memorial University of Newfoundland, St. John's, NL, Canada.
Alfonso IorioDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Kim L LavoieDepartment of Psychology, University of Quebec at Montreal, Montreal, QC, Canada.
Patricia A PoulinThe Ottawa Hospital Research Institute, Ottawa, ON, Canada.
B SkidmoreIndependent Information Specialist, Ottawa, ON, Canada.
Impact · CAMemorial University of Newfoundland · CAUniversity of Ottawa · CACanada Auto Workers · CAMcMaster University · CAUniversité du Québec à Montréal · CAUniversity of Calgary · CA

Funding

CIHR RN347524-397972
6 · The paper itself

Abstract

backgroundEvidence from diverse areas of medicine (e.g., cardiovascular disease, diabetes) indicates that healthcare providers (HCPs) often do not adhere to clinical practice guidelines (CPGs) despite a clear indication to implement recommendations-a phenomenon commonly termed clinical inertia. There are a variety of reasons for clinical inertia, but HCP-related factors (e.g., knowledge, motivation, agreement with guidelines) are the most salient and amenable to intervention aimed to improve adherence. CPGs have been developed to support the safe and effective prescription of opioid medication for the management of chronic non-cancer pain. The extent of physician uptake and adherence to such guidelines is not yet well understood. The purpose of this review is to synthesize the published evidence about knowledge, attitudes, beliefs, and practices that HCPs hold regarding the prescription of opioids for chronic non-cancer pain.

methodsAn experienced information specialist will perform searches of CINAHL, Embase, MEDLINE, and PsycINFO bibliographic databases. The Cochrane library, PROSPERO, and the Joanna Briggs Institute will be searched for systematic reviews. Searches will be performed from inception to the present. Quantitative and qualitative study designs that report on HCP knowledge, attitudes, beliefs, or practices in North America will be eligible for inclusion. Studies reporting on interventions to improve HCP adherence to opioid prescribing CPGs will also be eligible for inclusion. Two trained graduate-level research assistants will independently screen articles for inclusion, perform data extraction, and perform risk of bias and quality assessment using recommended tools. Confidence in qualitative evidence will be evaluated using the Grades of Recommendation, Assessment, Development, and Evaluation-Confidence in the Evidence from Qualitative Reviews (GRADE-CERQual) approach. Confidence in quantitative evidence will be assessed using the GRADE approach. DISCUSSION: The ultimate goal of this work is to support interventions aiming to optimize opioid prescribing practices in order to prevent opioid-related morbidity and mortality without restricting a HCP's ability to select the most appropriate treatment for an individual patient. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018091640 .

Indexed as

Health Knowledge, Attitudes, PracticeAnalgesics, OpioidChronic PainHumansNorth AmericaPractice Guidelines as TopicPractice Patterns, Physicians'PrescriptionsSystematic Reviews as TopicAnalgesics, OpioidChronic painClinical inertiaClinical practice guideline adherenceOpioidsSystematic review

Identifiers

PMID30424800
PMCPMC6234680
OpenAlexW2900721390

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.