ArticleBMJ open2022
Accuracy of a self-report prescription opioid use diary for patients discharge from the emergency department with acute pain: a multicentre prospective cohort study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03953534 (Quantity of Opioids for Acute Pain and Limit Unused Medication), which is not on this map. Cited by 10 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
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.
Quantity of Opioids for Acute Pain and Limit Unused Medication (OPUM Study)
Who cites it
10 citing papers in PubMed, 9 citations in OpenAlex.
- Integrating Nonpharmacological Options Into Perioperative Pain Care: A Cluster Randomized Clinical Trial.JAMA network open · 2026Trial
- What predicts postoperative opioid prescribing and consumption? A statewide analysis of surgical quality registry data.Pain medicine (Malden, Mass.) · 2026Article
- Opioid Intake and Quality of Life After Hospital Discharge From Major Surgery: A Health Economic Evaluation.Anesthesia and analgesia · 2026Observational
- The accuracy and reliability of patient-reported opioid consumption following surgical fracture management.Pain reports · 2026Article
- Implementing objective monitoring approaches to capture daily opioid usage and postoperative outcomes.Pain medicine (Malden, Mass.) · 2026Article
- Article
- Complexities and approaches for deriving longitudinal daily morphine milligram equivalents using electronic health record prescription data.JAMIA open · 2025Article
- Article
- Postoperative Opioid Consumption After Discharge: An Update From the Michigan Surgical Quality Collaborative Registry.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Opioid prescribing requirements to minimize unused medications after an emergency department visit for acute pain: a prospective cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSelf-reported approaches that assess opioid usage can be subject to social desirability and recall biases that may underestimate actual pill consumption. Our objective was to determine the accuracy of patient self-reported opioid consumption using a 14-day daily paper or electronic diary.
designProspective cohort study.
settingMulticentre study conducted in four Québec (Canada) emergency departments (ED): three university-affiliated centres, two of them Level I trauma centres and one urban community hospital.
participantsED patients aged ≥18 years with acute pain (≤2 weeks) who were discharged with an opioid prescription. Patients completed a 14-day daily diary (paper or electronic) assessing the quantity of opioids consumed. On diary completion, a random sample from the main cohort was selected for a follow-up visit to the hospital or a virtual video visit where they had to show and count the remaining pills. Patients were blinded to the main objective of the follow-up visit. OUTCOMES: Quantity of opioid pills consumed during the 2-week follow-up period self-reported in the 14-day diary (paper or electronic) and calculated from remaining pills counted during the follow-up visit. Intraclass correlation coefficient (ICC) and Bland-Altman plots were used to assess accuracy.
resultsA total of 166 participants completed the 14-day diary as well as the in-person or virtual visit; 49.4% were women and median age was 47 years (IQR=21). The self-reported consumed quantity of opioid in the 14-day diary and the one calculated from counting remaining opioid pills during the follow-up visit were very similar (ICC=0.992; 95% CI: 0.989 to 0.994). The mean difference between both measures from Bland-Altman analysis was almost zero (0.048 pills; 95% CI: -3.77 to 3.87).
conclusionSelf-reported prescription opioid use in a 14-day diary is an accurate assessment of the quantity of opioids consumed in ED discharged patients. TRIAL REGISTRATION NUMBER: NCT03953534.
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