Journal article
Patient and Provider Acceptability of a Patient Preauthorized Concealed Opioid Reduction
Pain medicine (Malden, Mass.), Vol.22(7), pp.1651-1659
07/01/2021
DOI: 10.1093/pm/pnaa454
PMID: 33674821
Abstract
Limited research of how to best taper opioids brings about an ethical and clinical dilemma. Experiments using overt and concealed administration of opioids have demonstrated the benefits of a concealed reduction to eliminate negative expectations and prolong analgesic benefits. This may allow for opioid tapering without significant increases in pain. Based on this, we investigated patient and provider acceptance of a concealed opioid reduction for chronic pain.
We conducted a cross-sectional survey via REDcap with 74 patients, who are currently taking or have taken high dose opioids, and 49 providers using a validated questionnaire based on two hypothetical clinical trials comparing a patient preauthorized concealed opioid reduction vs standard tapering.
We found that patients and providers have positive attitudes toward a concealed reduction of opioid dosages. More than 60% of providers and patients surveyed viewed the hypothetical clinical trial as helpful to reduce pain, side effects, and withdrawal symptoms. Sixty-one percent of patients and 77.6% of providers recognized that there would be differences in pain relief depending upon which group the hypothetical participants would be enrolled in.
Patients and providers appear to understand the benefits of a concealed opioid reduction. Our findings support future randomized controlled trials that compare concealed and overt opioid tapering in patients with chronic pain. More research is needed to understand the difference in attitudes between research and clinical practice and to test the acceptability of a concealed reduction following a participation in an active clinical trial.
Details
- Title: Subtitle
- Patient and Provider Acceptability of a Patient Preauthorized Concealed Opioid Reduction
- Creators
- Theresa Bedford - Uniformed Services University of the Health SciencesTimileyin Adediran - University of Maryland, BaltimoreNathaniel R Haycock - University of Maryland, BaltimoreC Daniel Mullins - University of Maryland, BaltimoreMichelle Medeiros - University of Maryland, BaltimoreThelma Wright - University of Maryland, BaltimoreMichele Curatolo - University of WashingtonLynette Hamlin - Uniformed Services University of the Health SciencesLuana Colloca - University of Maryland, Baltimore
- Resource Type
- Journal article
- Publication Details
- Pain medicine (Malden, Mass.), Vol.22(7), pp.1651-1659
- DOI
- 10.1093/pm/pnaa454
- PMID
- 33674821
- NLM abbreviation
- Pain Med
- ISSN
- 1526-2375
- eISSN
- 1526-4637
- Grant note
- R01 DE025946 / NIDCR NIH HHS R24 HS022135 / AHRQ HHS R24HS022135 / AHRQ HHS
- Language
- English
- Date published
- 07/01/2021
- Academic Unit
- Epidemiology
- Record Identifier
- 9985123937502771
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