Evidence map›Paper›PMID 32071185›Full record

ArticleBMJ open2020

Risk of opioid misuse in people with cancer and pain and related clinical considerations: a qualitative study of the perspectives of Australian general practitioners.

Tim Luckett, Toby Newton-John, Jane Phillips, Simon Holliday, Karleen Giannitrapani, Gawaine Powell-Davies, Melanie Lovell, Winston Liauw, Debra Rowett, Sallie-Anne Pearson and 3 more

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

Article in BMJ open, 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
3.3field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

13 authors at 7 institutions in 4 countries.

Tim LuckettIMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia tim.luckett@uts.edu.au.ORCID 0000-0001-6121-5409
Toby Newton-JohnGraduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Jane PhillipsIMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
Simon HollidaySchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Karleen GiannitrapaniMedicine - Primary Care and Population Health, Stanford University, Stanford, California, USA.
Gawaine Powell-DaviesCentre for Primary Health Care and Equity, University of New South Wales, Kensington, New South Wales, Australia.
Melanie LovellPalliative Care, Greenwich Hospital, Greenwich, New South Wales, Australia.
Winston LiauwSaint George and Sutherland Clinical School, University of New South Wales, Kogarah, New South Wales, Australia.
Debra RowettSchool of Pharmacy and Medical Sciences, University of South Australia, Adelaide, South Australia, Australia.
Sallie-Anne PearsonMedicines Policy Research Unit, University of New South Wales, Sydney, New South Wales, Australia.
Bronwyn RaymondIMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
Nicole HenekaIMPACCT (Improving Palliative, Aged and Chronic Care through Clinical Research and Translation), Faculty of Health, University of Technology Sydney, Ultimo, New South Wales, Australia.
Karl LorenzMedicine - Primary Care and Population Health, Stanford University, Stanford, California, USA.
University of Technology Sydney · AUPrimary Health Care · QAUNSW Sydney · AUGreenwich Hospital · USSutherland Hospital · AUUniversity of Newcastle Australia · AUUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the perspectives of general practitioners (GPs) concerning the risk of opioid misuse in people with cancer and pain and related clinical considerations.

designA qualitative approach using semistructured telephone interviews. Analysis used an integrative approach.

settingPrimary care.

participantsAustralian GPs with experience of prescribing opioids for people with cancer and pain.

resultsTwenty-two GPs participated, and three themes emerged. Theme 1 (

conclusionsFindings highlight the role of specific clinical considerations in distinguishing risk of opioid misuse in the cancer versus non-cancer population, rather than diagnosis per se. Further efforts are needed to ensure continuity of care where opioid prescribing is shared. Greater evidence is needed to guide opioid prescribing in disease-free survivors and the chronic phase of cancer, especially in the context of new treatments for metastatic disease.

Indexed as

Chronic PainGeneral PractitionersNeoplasmsOpioid-Related DisordersAnalgesics, OpioidAustraliaHumansPractice Patterns, Physicians'Analgesics, Opioidcancer painpain managementprimary carequalitative research

Identifiers

PMID32071185
PMCPMC7044941
OpenAlexW3008055034

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.