Journal article
Characteristics of physicians who prescribe opioids for chronic pain: a meta-narrative systematic review
Journal of pain research, Vol.12, pp.2261-2289
07/01/2019
DOI: 10.2147/JPR.S202376
PMCID: PMC6662164
PMID: 31413625
Abstract
Background:
The primary objective of this systematic review was to identify the characteristics of physicians who prescribe opioids to adults with chronic pain. This review was limited to studies examining fully-trained physicians, as relevant characteristics of resident physicians and non-physician clinicians may differ.
Methods:
A comprehensive search of databases from January 1, 1980 to December 5, 2017 was conducted. Eligible study designs included (1) randomized trials; (2) nonrandomized prospective and retrospective studies; and (3) cross-sectional observational studies. The risk of bias in the included studies was assessed using an adapted version of the Newcastle-Ottawa Scale for cross-sectional studies. A total of 2508 records were screened and 22 studies met inclusion criteria. The majority of studies were cross-sectional (n=20) and the total number of participants was 8433.
Results:
The risk of bias was high overall. The majority of physicians were confident managing and prescribing opioids for chronic pain but had high levels of dissatisfaction. Physicians reported high awareness of the potential for opioid misuse and were concerned about inadequate prior training in pain management. The majority of physicians were less likely to prescribe for patients with a history of substance abuse and reported major concerns about regulatory scrutiny.
Conclusion:
This systematic review provides the foundation for the development of prospective studies aimed at further elucidating the constellation of mechanisms that influence physicians who manage pain and prescribe opioids.
Details
- Title: Subtitle
- Characteristics of physicians who prescribe opioids for chronic pain: a meta-narrative systematic review
- Creators
- W Michael Hooten - Mayo ClinicJodie Dvorkin - Institute for Clinical Systems ImprovementNafisseh S Warner - Mayo ClinicAmy CS Pearson - University of IowaM Hassan Murad - Department of Medicine, Mayo Clinic College of MedicineDavid O Warner - Mayo Clinic
- Resource Type
- Journal article
- Publication Details
- Journal of pain research, Vol.12, pp.2261-2289
- DOI
- 10.2147/JPR.S202376
- PMID
- 31413625
- PMCID
- PMC6662164
- NLM abbreviation
- J Pain Res
- ISSN
- 1178-7090
- eISSN
- 1178-7090
- Publisher
- Dove
- Alternative title
- Hooten et al
- Language
- English
- Date published
- 07/01/2019
- Academic Unit
- Anesthesia
- Record Identifier
- 9984425246202771
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