Evidence map›Paper›PMID 39466553›Full record

ArticleJournal of bioethical inquiry2025

Clinicians' Perspectives and an Ethical Analysis of Safer Supply Opioid Prescribing.

Kathleen Bird, Quentin Genuis, Sarah Ickowicz

Abstract read
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In one paragraph

Article in Journal of bioethical inquiry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Kathleen BirdBritish Columbia Centre On Substance Use, 400-1045 Howe Street, Vancouver, BC, V6Z 2A9, Canada.
Quentin GenuisDepartment of Emergency Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, B.C, V6Z 1Y6, Canada.
Sarah IckowiczDepartment of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, B.C, V6Z 1Y6, Canada. sickowicz@providencehealth.bc.ca.ORCID 0000-0003-0562-8035

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In British Columbia, Canada, many physicians providing care to individuals with high-risk opioid use disorder adopted safer supply (SS) opioid prescribing in the spring of 2020 with the goal of facilitating public health measures for COVID-19. This prescribing practice continued after measures were lifted. This study aimed to explore prescribers' perspectives following several years of local experience in prescribing SS opioids, primarily in the form of hydromorphone tablets, and to apply ethical concepts to explore current challenges and ongoing sources of provider distress. Addiction medicine SS prescribers participated in individual or small group semi-structured interviews. Each interview was transcribed and analysed for recurrent themes. Themes were then integrated into a narrative ethics discussion. Eleven addiction medicine physicians practicing in various settings within Vancouver participated in this study. Six themes were identified: clinical assessment, clinician distress, gaps in care, models of safer supply, research, and special populations. Ethical dilemmas in prescribing SS are identified and explored through a discussion of biomedical ethics principles and the physician role.

Indexed as

Analgesics, OpioidAttitude of Health PersonnelDrug PrescriptionsOpioid-Related DisordersPhysiciansPractice Patterns, Physicians'British ColumbiaCOVID-19Ethical AnalysisFemaleHumansMaleSARS-CoV-2Analgesics, OpioidBioethicsClinical ethicsCOVID-19Harm reductionOpiate overdoseOpioid use disorder

Identifiers

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.