ArticlePrimary health care research & development2020
Factors influencing trends in opioid prescribing for older people: a scoping review.
Article in Primary health care research & development, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
The trial behind it
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Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- Opioid Room of Horrors: a simulation approach to strengthen drug administration safety.BMJ open quality · 2025Article
- Understanding the first prescription: clinical and demographic drivers of strong opioid use in primary care.Pain medicine (Malden, Mass.) · 2025Article
- Sleep-Disordered Breathing and Interactions with Opioids: A Narrative Review.Journal of clinical medicine · 2025Review
- Article
- Ongoing Opioid Treatment and Symptoms of Myocardial Infarction in Calls to the Emergency Medical Services.JACC. Advances · 2024Article
- Medications Associated with Geriatric Syndromes and Prescribing Patterns: The Impact of Excessive Polypharmacy in Older Adult Patients.Therapeutics and clinical risk management · 2024Article
- Are Opioids Agitating? A Data Analysis of Baseline Data from the STAN Study.Journal of Alzheimer's disease reports · 2024Article
- Opioid prescribing among aged care residents during the first year of the COVID-19 pandemic: an analysis using general practice health records in Australia.BMC geriatrics · 2023Article
- Nursing Home Characteristics Associated with High and Low Levels of Antipsychotic, Benzodiazepine, and Opioid Prescribing to Residents with Alzheimer's Disease and Related Dementias: A Cross-Sectional Analysis.Journal of the American Medical Directors Association · 2022Article
- The use and safety of corticosteroid injections for shoulder pain in general practice: a retrospective cohort study.Family practice · 2022Article
- We Must Consider a Growing Opioid Epidemic in Older People.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Understanding management of poorly controlled pain in community-dwelling analgesic users: a qualitative study.International journal of clinical pharmacy · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThe review aimed to identify factors influencing opioid prescribing as regular pain-management medication for older people.
backgroundChronic pain occurs in 45%-85% of older people, but appears to be under-recognised and under-treated. However, strong opiate prescribing is more prevalent in older people, increasing at the fastest rate in this age group.
methodsThis review included all study types, published 1990-2017, which focused on opioid prescribing for pain management among older adults. Arksey and O'Malley's framework was used to scope the literature. PubMed, EBSCO Host, the UK Drug Database, and Google Scholar were searched. Data extraction, carried out by two researchers, included factors explaining opioid prescribing patterns and prescribing trends.
findingsA total of 613 papers were identified and 53 were included in the final review consisting of 35 research papers, 10 opinion pieces and 8 grey literature sources. Factors associated with prescribing patterns were categorised according to whether they were patient-related, prescriber-driven, or system-driven. Patient factors included age, gender, race, and cognition; prescriber factors included attitudes towards opioids and judgements about 'normal' pain; and policy/system factors related to the changing policy landscape over the last three decades, particularly in the USA.
conclusionsA large number of context-dependent factors appeared to influence opioid prescribing for chronic pain management in older adults, but the findings were inconsistent. There is a gap in the literature relating to the UK healthcare system; the prescriber and the patient perspective; and within the context of multi-morbidity and treatment burden.
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Registered trials
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.