Evidence map›Paper›PMID 38378544›Full record

SynthesisBMC medicine2024

Efficacy of interventions targeted at physician prescribers of opioids for chronic non-cancer pain: an overview of systematic reviews.

Katya Peri, Lucy Honeycutt, Erica Wennberg, Sarah B Windle, Kristian B Filion, Genevieve Gore, Irina Kudrina, Elena Paraskevopoulos, Areesha Moiz, Marc O Martel and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

11 authors.

Katya PeriLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Lucy HoneycuttLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Erica WennbergLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Sarah B WindleLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Kristian B FilionLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Genevieve GoreSchulich Library of Science and Engineering, McGill University, Montreal, QC, Canada.
Irina KudrinaDepartments of Family Medicine and of Anesthesia, McGill University, Montreal, QC, Canada.
Elena ParaskevopoulosDepartments of Family Medicine, Royal Ottawa Mental Health Center and Queensway Carleton Hospital, Ottawa, ON, Canada.
Areesha MoizLady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Marc O MartelFaculty of Dentistry and Department of Anesthesia, McGill University, Montreal, QC, Canada.
Mark J EisenbergDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada. mark.eisenberg@ladydavis.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo combat the opioid crisis, interventions targeting the opioid prescribing behaviour of physicians involved in the management of patients with chronic non-cancer pain (CNCP) have been introduced in clinical settings. An integrative synthesis of systematic review evidence is required to better understand the effects of these interventions. Our objective was to synthesize the systematic review evidence on the effect of interventions targeting the behaviours of physician opioid prescribers for CNCP among adults on patient and population health and prescriber behaviour.

methodsWe searched MEDLINE, Embase, and PsycInfo via Ovid; the Cochrane Database of Systematic Reviews; and Epistemonikos. We included systematic reviews that evaluate any type of intervention aimed at impacting opioid prescriber behaviour for adult CNCP in an outpatient setting.

resultsWe identified three full texts for our review that contained 68 unique primary studies. The main interventions we evaluated were structured prescriber education (one review) and prescription drug monitoring programmes (PDMPs) (two reviews). Due to the paucity of data available, we could not determine with certainty that education interventions improved outcomes in deprescribing. There is some evidence that PDMPs decrease the number of adverse opioid-related events, increase communication among healthcare workers and patients, modify healthcare practitioners' approach towards their opioid prescribed patients, and offer more chances for education and counselling.

conclusionsOur overview explores the possibility of PDMPs as an opioid deprescribing intervention and highlights the need for more high-quality primary research on this topic.

Indexed as

Analgesics, OpioidChronic PainPractice Patterns, Physicians'Drug PrescriptionsHumansPhysiciansAnalgesics, OpioidOpioidOverviewPrescribingSystematic reviewUmbrella review

Identifiers

PMID38378544
PMCPMC10877926

What OpenQuestion holds

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Registered trials

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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.