Evidence map›Paper›PMID 34032934›Full record

Trial reportClinical rheumatology2021

Clinical impact of a personalized pharmaceutical plan on opioid management in non-cancer pain: a pilot study.

Claire Lattard, Catherine Chenailler, Annaelle Soubieux, Andre Gillibert, Henri Gondé, Marie Kozyreff-Meurice, Sophie Pouplin, Thierry Lequerré, Rémi Varin, Olivier Vittecoq

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical rheumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

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

  1. Pooled it
  2. 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

10 authors at 2 institutions in 1 country.

Claire LattardPharmacy Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France. Claire.lattard@gmail.com.
Catherine ChenaillerPharmacy Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
Annaelle SoubieuxPharmacy Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
Andre GillibertDepartment of Biostatistics, Rouen University Hospital, 76031, Rouen, France.
Henri GondéPharmacy Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
Marie Kozyreff-MeuriceRheumatology Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
Sophie PouplinRheumatology Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
Thierry LequerréNormandie Univ, UNIROUEN, Rouen University Hospital, 76031, Rouen, France.
Rémi VarinPharmacy Department, Rouen University Hospital, 1 rue de Germont, 76031, Rouen, France.
Olivier VittecoqNormandie Univ, UNIROUEN, Rouen University Hospital, 76031, Rouen, France.
Université de Rouen Normandie · FRNormandie Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-cancer pain of the locomotor apparatus is the main symptom justifying referral to a rheumatologist with potential introduction of opioids, leading to addiction if misused. The objective was to evaluate the impact of a personalized pharmaceutical plan on patients' knowledge of their opioid treatment and its duration. This prospective non-randomized pilot study was conducted during 7 months with standardized data collected in a French rheumatology department. Patients with rheumatic diseases and non-cancer pain requiring opioid treatment were included. The intervention group had a 30-min opioid-targeted pharmaceutical interview and received a full medication plan and the control group received usual care. A total of 17 patients were included in the intervention group and 18 in the control group. Among patients in the intervention group, only 6 (35%) knew that immediate-release opioids have a rapid and short action, 9 (53%) were worried about taking opioids, and 13 (76%) reported that they would refer to the information document provided if side effects occurred. A trend toward a shorter duration of treatment was observed in the study group (HR = 1.87, 95% CI 0.93 to 3.76, p = 0.08), but this trend was attenuated when adjusting on hospital duration (HR = 1.53, 95% CI 0.74 to 3.15, p = 0.25). This pilot study provides preliminary evidence on the role of the clinical pharmacist in the management of non-cancer pain with strong opioids. Clinical benefits will be assessed in a randomized study. Key Points • Knowledge of opioids is insufficient in rheumatology patients with non-cancer pain. • Pharmaceutical interviews may improve patients' knowledge of opioids.

Indexed as

Analgesics, OpioidPharmaceutical PreparationsHumansPainPilot ProjectsProspective StudiesAnalgesics, OpioidPharmaceutical PreparationsClinical pharmacyOpioidsPain managementPharmaceutical carePharmaceutical interviewRheumatic disease

Identifiers

PMID34032934
OpenAlexW3164434175

What OpenQuestion holds

Textmetadata
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.