Evidence map›Paper›PMID 35132707›Full record

ArticleJournal of clinical nursing2022

A scoping review of outpatient interventions to support the reduction of prescription opioid medication for chronic non cancer pain.

Kathie Nickerson, Gena Lieschke, Hema Rajappa, Angela Smith, Kerry Jill Inder

Open access · hybridAbstract readScoping Review
In one paragraph

Article in Journal of clinical nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-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

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

  1. Pooled it
  2. Implementation of pharmaceutical strategies using the PDCA cycle for standardized management of cancer pain medications.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
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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 2 institutions in 1 country.

Kathie NickersonHunter Integrated Pain Service, Hunter New England Local Health District, New Lambton, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4381-4464
Gena LieschkeHunter Integrated Pain Service, Hunter New England Local Health District, New Lambton, New South Wales, Australia.
Hema RajappaHunter Integrated Pain Service, Hunter New England Local Health District, New Lambton, New South Wales, Australia.
Angela SmithHunter New England Health Libraries, New Lambton, New South Wales, Australia.
Kerry Jill InderSchool of Nursing and Midwifery, University of Newcastle, Callaghan, New South Wales, Australia.
Hunter New England Local Health District · AUHunter Medical Research Institute · AU

Funding

The University of Newcastle
6 · The paper itself

Abstract

backgroundPrescription opioid use is a global health issue. Previous systematic reviews have not identified that any specific intervention supports prescription opioid reduction effectively. In keeping with the nature of a scoping review, this review details an overview of the existing literature on this topic, with quality of evidence being discussed rather than formally analysed.

aimThis review aimed to examine and describe outpatient interventions that support the reduction of prescription opioid medication for chronic non cancer pain. ELIGIBILITY CRITERIA: Abstracts were reviewed against the inclusion criteria of outpatient clinical interventions, for the purpose of prescription opioid dose reduction, offered to adults with CNCP. SOURCES OF EVIDENCE: Following a structured review approach an electronic database search, of Medline, Embase, Cochrane, Cinahl, and Proquest and grey literature was undertaken. Search results were screened by title for relevance. CHARTING

methodsTwo reviewers adhering to the PRISMA-ScR checklist charted and assessed studies for quality using Critical Appraisal Skills Programme checklist assessment tools. Extracted data were collated and synthesised for presentation as a tabular and narrative review.

resultsFrom the initial search of 5089 papers, 19 underwent full-text review and quality appraisal. A variety of interventions were described to support reduction in prescription opioid use, however only one study of at least fair quality was able to demonstrate a demonstrated a statistically significant benefit in reducing measured opioid dose compared with a control group. Interventions were implemented in both specialist pain services and in primary care with multidisciplinary and interdisciplinary clinician care. Barriers and facilitators were observed in both settings. CONCLUSION AND IMPLICATIONS FOR CLINICAL PRACTICE: Further rigorous research needs to be conducted to conclusively answer the question of what outpatient interventions support opioid reduction in chronic non cancer pain. This scoping review is the first step of inquiry in the development of a nursing intervention to support reduction of prescription opioids.

Indexed as

Chronic PainOpioid-Related DisordersPrescription DrugsAdultAnalgesics, OpioidHumansOutpatientsPrescriptionsAnalgesics, OpioidPrescription Drugschronic paininterventionnurse lednurse supportpersistent painprescription opioidsreductiontaperingweaning

Identifiers

PMID35132707
PMCPMC9790561
OpenAlexW4210840359

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.