Evidence map›Paper›PMID 32558064›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2020

Living with opioids: A qualitative study with patients with chronic low back pain.

Helena De Sola, Amaia Maquibar, Inmaculada Failde, Alejandro Salazar, Isabel Goicolea

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Patients' perspectives about the role of primary healthcare providers in long-term opioid therapy: a qualitative study in Dutch primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  7. Becoming a secondary actor of one's own life: A qualitative study of the experiences of informal caregivers in the care of people with chronic pain.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Living with opioids: A qualitative study with patients with chronic low back pain.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  12. Review
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 3 institutions in 2 countries.

Helena De SolaThe Observatory of Pain, University of Cádiz, Cádiz, Spain.ORCID 0000-0003-0196-4875
Amaia MaquibarDepartment of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Bizkaia, Spain.ORCID 0000-0002-8256-5771
Inmaculada FaildeThe Observatory of Pain, University of Cádiz, Cádiz, Spain.ORCID 0000-0002-6603-3054
Alejandro SalazarThe Observatory of Pain, University of Cádiz, Cádiz, Spain.ORCID 0000-0001-9567-462X
Isabel GoicoleaDepartment of Epidemiology and Global Health, Umeå University, Umeå, Sweden.ORCID 0000-0002-8114-4705
Universidad de Cádiz · ESUmeå University · SEUniversity of the Basque Country · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpioids are one of the most prescribed treatments for chronic pain (CP). However, their long-term use (>3 months) has been surrounded by controversy, due to loss of beneficial effects.

objectiveTo explore the experiences of people with chronic non-malignant low back pain in Spain undergoing long-term treatment with opioids.

designQualitative study. SETTING AND

participantsWe conducted 15 semi-structured interviews at the Pain Clinic with persons taking opioid treatment.

methodsThe interviews were analysed by qualitative content analysis as described by Graneheim and Lundman, and developed categories and themes discussed in light of a biomedicalization framework. MAIN

resultsWe developed one overarching theme-Living with opioids: dependence and autonomy while seeking relief-and three categories: The long pathway to opioids due to the invisibility of pain; Opioids: from blind date to a long-term relationship; and What opioids cannot fix. DISCUSSION: The long and difficult road to find effective treatments was a fundamental part of coping with pain, involving long-term relationships with the health system. This study reflects the benefits, and drawbacks of opioids, along with struggles to maintain autonomy and make decisions while undergoing long-term treatment with opioids. The paper also highlights the consequences of pain in the economy, family and social life of patients.

conclusionsPatients' experiences should be considered to a greater extent by health-care professionals when giving information about opioids and setting treatment goals. Greater consideration of the social determinants of health that affect CP experiences might lead to more effective solutions to CP.

Indexed as

Chronic PainLow Back PainAnalgesics, OpioidHumansQualitative ResearchTreatment OutcomeAnalgesics, Opioidbiomedicalizationchronic painexperiencelow back painopioidtreatment

Identifiers

PMID32558064
PMCPMC7696128
OpenAlexW3035774769

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.