Evidence map›Paper›PMID 36944526›Full record

ArticleCanadian family physician Medecin de famille canadien2023

Chronic noncancer pain management: Integration of a nurse-led program in primary care.

Metasebia Assefa, Isabelle LeClerc, Elizabeth Muggah, Raywat Deonandan, Charles Godbout, Hillel M Finestone

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2023. 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
4.5field-weighted citation impact, top 5% 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, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. [Enhancing Chronic Pain Management: Exploring the Essential Contribution of Primary Care Nurses].Canadian journal of pain = Revue canadienne de la douleur · 2024
    Review
  5. Article
  6. Chronic pain in family practice: research and insights.Canadian family physician Medecin de famille canadien · 2023
    Article
  7. Article
  8. Article
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

6 authors at 4 institutions in 2 countries.

Metasebia AssefaResearch Project Coordinator at the Children's Aid Society in Toronto, Ont, and was a master's degree student in the Interdisciplinary School of Health Sciences at the University of Ottawa in Ontario at the time of the study.
Isabelle LeClercRegistered nurse in the Bruyère Academic Family Health Team at Bruyère Continuing Care in Ottawa.
Elizabeth MuggahFamily physician in the Bruyère Academic Family Health Team at Bruyère Continuing Care and Associate Professor in the Department of Family Medicine at the University of Ottawa.
Raywat DeonandanAssociate Professor in the Interdisciplinary School of Health Sciences at the University of Ottawa.
Charles GodboutResearch collaborator in the Department of Physical Medicine and Rehabilitation at the Bruyère Research Institute in Ottawa.
Hillel M FinestoneProfessor in the Division of Physical Medicine and Rehabilitation at the University of Ottawa, Director of Stroke Rehabilitation Research at Bruyère Continuing Care, a physiatrist in the Physical Medicine and Rehabilitation program at Élisabeth Bruyère Hospital, and a consultant at the Ottawa Hospital Rehabilitation Centre.
Bruyère · CAChildren’s Aid Society · USÉlisabeth Bruyère Hospital · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

problem addressedChronic noncancer pain is often excessively managed with medications (most notably opioids) instead of nonpharmacologic options or multidisciplinary care-the gold standards. OBJECTIVE OF PROGRAM: To offer an effective alternative to pharmacologic management of chronic noncancer pain in primary care. PROGRAM DESCRIPTION: Patients 18 years of age or older with chronic noncancer pain were referred by family physicians or nurse practitioners in a family health team (outpatient, multidisciplinary clinic) in Ottawa, Ont. A registered nurse used the Pain Explanation and Treatment Diagram with patients, taught self-management skills (related to habits [smoking, consumption of alcohol, diet], exercise, sleep, ergonomics, and psychosocial factors), and referred patients to relevant resources.

conclusionA nurse-led chronic pain program, initiated without extra funding, was successfully integrated into a primary care setting. Among the participating patients in the pilot project, outcomes related to pain intensity, pain interference with daily living, and opioid use were encouraging. This program could serve as a model for improving chronic noncancer pain management in primary care.

Indexed as

Chronic PainAdolescentAdultAnalgesics, OpioidHumansNurse's RolePilot ProjectsPrimary Health CareAnalgesics, Opioid

Identifiers

PMID36944526
PMCPMC10030130
OpenAlexW4328053844

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.