Evidence map›Paper›PMID 42491953›Full record

ArticleCanadian journal of pain = Revue canadienne de la douleur2026

A Survey of Knowledge, Attitudes, and Behaviours of Canadian Family Physicians in Response to the Canadian Guideline on Prescribing Opioids for Chronic Non-cancer Pain.

Lillian Saberian, Nagina Parmar, Jenny Lau, Craig M Dale, Abhimanyu Sud, Lydia Hatcher, Angela Carol, Najam Mian, Nicole Bootsman, Peter Selby and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of pain = Revue canadienne de la douleur, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lillian SaberianKITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-4264-2338
Nagina ParmarKITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-1308-1295
Jenny LauDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-0947-7334
Craig M DaleLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-5042-0332
Abhimanyu SudDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-8354-6153
Lydia HatcherDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Angela CarolDepartment of Family Medicine, McMaster University, Hamilton, ON, Canada.
Najam MianDepartment of Medicine, University of British Columbia, BC, Canada.ORCID https://orcid.org/0009-0000-4541-8812
Nicole BootsmanCollege of Physicians and Surgeons of Saskatchewan, Saskatchewan, Canada.
Peter SelbyDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-5401-2996
Andrea D FurlanKITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-6138-8510

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic non-cancer pain (CNCP) is widespread in Canada, with Family Physicians (FPs) playing a crucial role in patient care and opioid stewardship amidst high prescribing rates. Two national surveys conducted in 2010 and 2018 revealed notable knowledge gaps and poor adherence to safe opioid prescribing practices among Canadian FPs. Aims: To provide an update on Canadian FPs' knowledge, attitudes, and behavior regarding opioid prescribing for CNCP. Methods: This study is the third national cross-sectional online survey of Canadian FPs. The results are presented narratively, and only descriptive statistics are offered. Results: A total of 529 responses were collected from July 2023 to June 2024, primarily from female participants (52%) and Ontario (50%). Eighteen percent of respondents did not prescribe opioids for CNCP, and 17% prescribed only weak opioids. Wait time for a pain specialist and for a non-urgent referral to an addiction specialist were less than one month among 23% and 25% of respondents, respectively. Only 27% of respondents were able to correctly identify the minimum daily dose of morphine equivalents to start prescribing a transdermal fentanyl patch. Respondents' adherence to recommended practices before starting opioids varied from 16% for "providing written information about opioid therapy" to 93% for "explaining potential harms of long-term opioid therapy." Conclusion: Several knowledge gaps and a lack of adherence to certain guideline-recommended practices were observed among respondents, along with reduced wait times for consultations with pain specialists.

Indexed as

attitudesCanadian guidelineschronic non-cancer painchronic painfamily physiciansknowledgeOpioidpractices

Identifiers

PMID42491953
PMCPMC13378719

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.