Top

Published in:

Open Access 01-12-2020 | Opioids | Correspondence

Response to “understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study”

Authors: Jason W. Busse, David Juurlink, D. Norman Buckley, Gordon H. Guyatt

Published in: BMC Primary Care | Issue 1/2020

Abstract

The 2017 Canadian opioid Guideline made both strong recommendations, indicating that all or almost all fully informed patients would choose the recommended course of action, and weak recommendations, in which different choices are appropriate for individual patients based on their values and preferences. The Guideline’s recommendation to taper legacy patients prescribed high-dose opioid therapy is weak, and mandatory tapering is expressly discouraged.

Desveaux L, Saragosa M, Kithulegoda N, Ivers NM. Understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study. BMC Fam Pract. 2019;20:59.CrossRef

Busse JW, Craigie S, Juurlink DN, Buckley DN, Wang L, Couban RJ, Agoritsas T, Akl EA, Carrasco-Labra A, Cooper L, Cull C, da Costa BR, Frank JW, Grant G, Iorio A, Persaud N, Stern S, Tugwell P, Vandvik PO, Guyatt GH. Guideline for opioid therapy and chronic noncancer pain. CMAJ. 2017;189(18):E659–66.CrossRef

Furlan AD, Reardon R, Weppler C, National Opioid use Guideline Group. Opioids for chronic noncancer pain: a new Canadian practice guideline. CMAJ. 2010;182(9):923–30.CrossRef

Klimas J, Gorfinkel L, Fairbairn N, Amato L, Ahamad K, Nolan S, Simel DL, Wood E. Strategies to identify patient risks of prescription opioid addiction when initiating opioids for pain: a systematic review. JAMA Netw Open. 2019;2(5):e193365.CrossRef

Busse JW, Juurlink D, Guyatt GH. Addressing the limitations of the CDC guideline for prescribing opioids for chronic noncancer pain. CMAJ. 2016;188(17–18):1210–1.CrossRef

Dowell D, Haegerich T, Chou R. No shortcuts to safer opioid prescribing. N Engl J Med. 2019;380(24):2285–7.CrossRef

HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of long-Term Opioid Analgesics. U.S. Department of Health and Human Services. 2019. Available: https://www.hhs.gov/opioids/sites/default/files/2019-10/8-Page%20version__HHS%20Guidance%20for%20Dosage%20Reduction%20or%20Discontinuation%20of%20Opioids.pdf (Accessed 2020 Feb 14).

2017 Canadian Guideline for Opioids for Chronic Non-cancer Pain Values & Preferences statement. Hamilton (ON): McMaster University; 2017. Available: http://nationalpaincentre.mcmaster.ca/documents/Values%20and%20Preferences%20Statement%20English.pdf (Accessed 2019 May 14).

Title: Response to “understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study”
Authors: Jason W. Busse
David Juurlink
D. Norman Buckley
Gordon H. Guyatt
Publication date: 01-12-2020
Publisher: BioMed Central
Keywords: Opioids
Opioids
Morphine
Published in: BMC Primary Care / Issue 1/2020
Electronic ISSN: 2731-4553
DOI: https://doi.org/10.1186/s12875-020-01187-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Response to “understanding the behavioural determinants of opioid prescribing among family physicians: a qualitative study”

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2020

A study of knowledge, attitudes, and practices of primary care physicians toward anticoagulant therapy in patients with non-valvular atrial fibrillation in Shanghai, China

Home-based palliative care management: what are the useful resources for general practitioners? a qualitative study among GPs in France

Digital consultations in Swedish primary health care: a qualitative study of physicians’ job control, demand and support

Navigating complexity of child abuse through intuition and evidence-based guidelines: a mix-methods study among child and youth healthcare practitioners

“We’re in good hands there.” - Acceptance, barriers and facilitators of a primary care-based health coaching programme for children and adolescents with mental health problems: a qualitative study (PrimA-QuO)

Identifying high-need patients with multimorbidity from their illness perceptions and personal resources to manage their health and care: a longitudinal study