Evidence map›Paper›PMID 30723795›Full record

ArticleBJGP open2018

Therapeutic alternatives for supporting GPs to deprescribe opioids: a cross-sectional survey.

Ruth A White, Chris Hayes, Allison W Boyes, Simon Chiu, Christine L Paul

Open access · goldAbstract read
In one paragraph

Article in BJGP open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 80% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Chronic noncancer pain management: Integration of a nurse-led program in primary care.Canadian family physician Medecin de famille canadien · 2023
    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

5 authors at 5 institutions in 2 countries.

Ruth A WhitePain Physiotherapist, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Chris HayesDirector, Hunter Integrated Pain Service, Hunter New England Health, Newcastle, Australia.
Allison W BoyesNHMRC Early Career Fellow, Faculty of Health & Medicine, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Simon ChiuStatistician, Hunter Medical Research Institute, Newcastle, Australia.
Christine L PaulAssociate Dean, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
Dean College · USHunter Medical Research Institute · AUHunter New England Local Health District · AUNational Health and Medical Research Council · AUPain Management Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGPs are central to opioid strategy in chronic non-cancer pain (CNCP). Lack of treatment alternatives and providers are common reasons cited for not deprescribing opioids. There are limited data about availability of multidisciplinary healthcare providers (MHCPs), such as psychologists, physiotherapists, or dietitians, who can provide broader treatments.

aimTo explore availability of MHCPs, and the association with GP opioid deprescribing and transition to therapeutic alternatives for CNCP. DESIGN &

settingCross-sectional survey of all practising GPs (

methodA self-report mailed questionnaire assessed the availability of MHCPs and management of their most recent patient on long-term opioids for CNCP.

resultsSix hundred and eighty-one (46%) valid responses were received. Most GPs (71%) had access to a pain specialist and MHCPs within 50 km. GPs' previous referral for specialist support was significantly associated with access to a greater number of MHCPs (

conclusionLack of geographical access to known MHCPs does not appear to be a major barrier to opioid deprescribing and shifting toward non-pharmacological treatments for CNCP. Considerable opportunity remains to encourage GPs' decision to deprescribe, with employment of a practice nurse appearing to play a role.

Identifiers

PMID30723795
PMCPMC6348329
OpenAlexW2901776054

What OpenQuestion holds

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LicenceCC BY
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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.