Evidence map›Paper›PMID 31594772›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020

Acceptability of a primary care-based opioid and pain review service: a mixed-methods evaluation in England.

Joanna M Kesten, Kyla Thomas, Lauren J Scott, Kevin Bache, Matthew Hickman, Rona Campbell, Anthony E Pickering, Sabi Redwood

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Evaluation of a primary care-based opioid and pain review service: a mixed-methods evaluation in two GP practices in England.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020
    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

8 authors.

Joanna M KestenNIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) West, University Hospitals Bristol NHS Foundation Trust; NIHR Health Protection Research Unit in Evaluation of Interventions, University of Bristol, Bristol.
Kyla ThomasPopulation Health Sciences, Bristol Medical School, University of Bristol; South Gloucestershire Council, Bristol.
Lauren J ScottNIHR CLAHRC West, University Hospitals Bristol NHS Foundation Trust; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol.
Kevin BacheDeveloping Health and Independence, Bristol.
Matthew HickmanPopulation Health Sciences, Bristol Medical School; NIHR Health Protection Research Unit in Evaluation of Interventions, University of Bristol, Bristol.
Rona CampbellPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol.
Anthony E PickeringDepartment of Anaesthesia, University Hospitals Bristol NHS Foundation Trust; School of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol.
Sabi RedwoodNIHR CLAHRC West, University Hospitals Bristol NHS Foundation Trust; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol.

Funding

British Heart FoundationDepartment of Health 12/136/105Department of Health DRF-2010-03-138Department of Health HTA/15/58/18Department of Health PDF-2017-10-068Department of Health RP-DG-0610-10055Medical Research Council MR/K023233/1Wellcome Trust
6 · The paper itself

Abstract

backgroundPrimary care opioid prescribing to treat chronic non-cancer pain (CNCP) has progressively increased despite a lack of evidence for long-term safety and effectiveness. Developing primary care interventions to reduce opioid dependence in patients with CNCP is a public health priority.

aimTo report the acceptability of the South Gloucestershire pain and opioid review service for patients with CNCP, which aimed to help patients understand their relationship with prescribed opioids and support non-drug-based pain management strategies. DESIGN AND

settingA mixed-methods evaluation was performed on the service, which was based in two GP practices in South Gloucestershire, England, and delivered by project workers.

methodDescriptive data were collected on delivered-within-service and community-based interventions. Twenty-five semi-structured interviews (

resultsThe enrolment process, person-centred primary care-based delivery, and service content focused on psychological issues underlying CNCP were found to be acceptable to patients and service providers. Patients welcomed having time to discuss their pain, its management, and related psychological issues. Maintaining a long-term approach was desired as CNCP is a complex issue that takes time to address. GPs recommended that funding was needed to ensure they have dedicated time to support a similar service and to ensure that project workers received adequate clinical supervision.

conclusionThis service model was acceptable and may be a useful means to manage patients with CNCP who develop opioid dependence after long-term use of opioids. A randomised controlled trial is needed to formally test the effectiveness of the service.

Indexed as

General PracticePain ManagementPatient Acceptance of Health CarePrimary Health CareAdultAnalgesics, OpioidChronic PainEnglandFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'Analgesics, Opioidchronic painhealth promotionopioid-related disorderspainpain managementprimary health care

Identifiers

PMID31594772
PMCPMC6783137

What OpenQuestion holds

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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.