Evidence map›Paper›PMID 40578930›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2025

Shared Decision-Making and Discontinuation of Opioid Therapy for Chronic Pain.

John C Licciardone, Michaela Digilio, Subhash Aryal

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Women's Health Care, Prevention in Practice, and Common Medical Illnesses.Journal of the American Board of Family Medicine : JABFM
    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.

John C LicciardoneFrom the University of North Texas Health Science Center, Forth Worth, TX (JCL, MD); Johns Hopkins University, Baltimore, MD (SA). john.licciardone@unthsc.edu.
Michaela DigilioFrom the University of North Texas Health Science Center, Forth Worth, TX (JCL, MD); Johns Hopkins University, Baltimore, MD (SA).
Subhash AryalFrom the University of North Texas Health Science Center, Forth Worth, TX (JCL, MD); Johns Hopkins University, Baltimore, MD (SA).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch is needed to measure the effects of shared decision-making (SDM) on discontinuation of opioid therapy for chronic pain.

designTarget trial emulation.

settingNational pain research registry from September 2016 to January 2024.

participantsA total of 328 patients currently using opioid therapy for chronic low back pain at baseline, including 164 patients each in greater and lesser SDM groups matched on propensity scores. MEASUREMENTS: SDM was measured with the Communication Behavior Questionnaire. Primary outcomes involving discontinuation of opioid therapy and opioid prescribing frequency and secondary outcomes of pain, function, and health-related quality of life were measured over 12 months.

resultsThe mean (SD) age of patients was 56.1 (SD, 11.1) years and 239 (72.9%) were female. During 1178 quarterly encounters, greater SDM was associated with less frequent discontinuation of opioid therapy 3 months postbaseline (RR, 0.56; 95% CI, 0.37-0.86;

conclusionsSDM was associated with less frequent short-term discontinuation of opioid therapy and more frequent long-term opioid prescribing that was not associated with better outcomes. Thus, SDM is necessary but insufficient to improve opioid prescribing for patients with chronic pain.

Indexed as

Analgesics, OpioidChronic PainDecision Making, SharedLow Back PainWithholding TreatmentAdultAgedFemaleHumansMaleMiddle AgedPractice Patterns, Physicians'Quality of LifeRegistriesAnalgesics, OpioidAnalgesicsChronic PainCommunicationLow Back PainOpioidPain ManagementPatient-Centered CarePharmacologyPhysician's Practice PatternsPropensity ScoreQuality of LifeShared Decision-MakingSurveys and QuestionnairesTarget Trial Emulation Study

Identifiers

PMID40578930
PMCPMC12616825

What OpenQuestion holds

Textmetadata
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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.