Prescriber adherence to guidelines for chronic noncancer pain management with opioids: Systematic review and meta-analysis.

2020 ◽  
Vol 39 (5) ◽  
pp. 430-451 ◽  
Author(s):  
Mohammad A. Hossain ◽  
Michael Asamoah-Boaheng ◽  
Oluwatosin A. Badejo ◽  
Louise V. Bell ◽  
Norman Buckley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Meta Analysis ◽  
Adherence To Guidelines ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Outcomes Associated with Opioid Use in the Treatment of Chronic Noncancer Pain in Older Adults: A Systematic Review and Meta-Analysis

2010 ◽  
Vol 58 (7) ◽  
pp. 1353-1369 ◽  
Author(s):  
Maria Papaleontiou ◽  
Charles R. Henderson Jr ◽  
Barbara J. Turner ◽  
Alison A. Moore ◽  
Yelena Olkhovskaya ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Meta Analysis ◽  
Opioid Use ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

Interventions to Influence Opioid Prescribing Practices for Chronic Noncancer Pain: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 60 (1) ◽  
pp. e15-e26
Author(s):  
Michael Asamoah-Boaheng ◽  
Oluwatosin A. Badejo ◽  
Louise V. Bell ◽  
Norman Buckley ◽  
Jason W. Busse ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Prescribing Practices ◽  
Chronic Noncancer Pain ◽  
Opioid Prescribing ◽  
Noncancer Pain

How Can We Best Reduce Pain Catastrophizing in Adults With Chronic Noncancer Pain? A Systematic Review and Meta-Analysis

2018 ◽  
Vol 19 (3) ◽  
pp. 233-256 ◽  
Author(s):  
Robert Schütze ◽  
Clare Rees ◽  
Anne Smith ◽  
Helen Slater ◽  
Jared M. Campbell ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Catastrophizing ◽  
Meta Analysis ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals Trigger Point Manual Therapy for the Treatment of Chronic Noncancer Pain in Adults: A Systematic Review and Meta-analysis

2019 ◽  
Vol 100 (3) ◽  
pp. 562-577 ◽  
Author(s):  
Diarmuid Denneny ◽  
Helena C. Frawley ◽  
Katrine Petersen ◽  
Rebecca McLoughlin ◽  
Suzanne Brook ◽  
...  
Keyword(s):  
Systematic Review ◽  
Manual Therapy ◽  
Trigger Point ◽  
Meta Analysis ◽  
Chronic Noncancer Pain ◽  
Noncancer Pain

scholarly journals A Systematic Review of the Effectiveness of Knowledge Translation Interventions for Chronic Noncancer Pain Management

2013 ◽  
Vol 18 (6) ◽  
pp. e129-e141 ◽  
Author(s):  
Maria B Ospina ◽  
Paul Taenzer ◽  
Saifee Rashiq ◽  
Joy C MacDermid ◽  
Eloise Carr ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Management ◽  
Knowledge Translation ◽  
Risk Of Bias ◽  
Care Providers ◽  
Chronic Noncancer Pain ◽  
Positive Effects ◽  
Interactive Education ◽  
Study Results ◽  
Noncancer Pain

BACKGROUND: Reliable evidence detailing effective treatments and management practices for chronic noncancer pain exists. However, little is known about which knowledge translation (KT) interventions lead to the uptake of this evidence in practice.OBJECTIVES: To conduct a systematic review of the effectiveness of KT interventions for chronic noncancer pain management.METHODS: Comprehensive searches of electronic databases, the gray literature and manual searches of journals were undertaken. Randomized controlled trials, controlled clinical trials and controlled before-and-after studies of KT interventions were included. Data regarding interventions and primary outcomes were categorized using a standard taxonomy; a risk-of-bias approach was adopted for study quality. A narrative synthesis of study results was conducted.RESULTS: More than 8500 titles and abstracts were screened, with 230 full-text articles reviewed for eligibility. Nineteen studies were included, of which only a small proportion were judged to be at low risk of bias. Interactive KT education for health care providers has a positive effect on patients’ function, but its benefits for other health provider- and patient-related outcomes are inconsistent. Interactive education for patients leads to improvements in knowledge and function. Little research evidence supports the effectiveness of structural changes in health systems and quality improvement processes or coordination of care.CONCLUSIONS: KT interventions incorporating interactive education in chronic noncancer pain led to positive effects on patients’ function and knowledge about pain. Future studies should provide implementation details and use consistent theoretical frameworks to better estimate the effectiveness of such interventions.

All-Cause and Overdose Mortality Risk Among People Prescribed Opioids: A Systematic Review and Meta-analysis

Pain Medicine ◽  
2020 ◽  
Vol 21 (12) ◽  
pp. 3700-3711
Author(s):  
Sarah Larney ◽  
Amy Peacock ◽  
Lucy T Tran ◽  
Emily Stockings ◽  
Damian Santomauro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Mortality Rates ◽  
Chronic Noncancer Pain ◽  
Crude Mortality Rate ◽  
Crude Mortality ◽  
Standardized Mortality Ratios ◽  
Noncancer Pain ◽  
Overdose Mortality ◽  
Substantial Heterogeneity

Abstract Objective To estimate all-cause and overdose crude mortality rates and standardized mortality ratios among people prescribed opioids for chronic noncancer pain and risk of overdose death in this population relative to people with similar clinical profiles but not prescribed opioids. Design Systematic review and meta-analysis. Methods Medline, Embase, and PsycINFO were searched in February 2018 and October 2019 for articles published beginning 2009. Due to limitations in published studies, we revised our inclusion criteria to include cohort studies of people prescribed opioids, excluding those studies where people were explicitly prescribed opioids for the treatment of opioid use disorder or acute cancer or palliative pain. We estimated pooled all-cause and overdose crude mortality rates using random effects meta-analysis models. No studies reported standardized mortality ratios or relative risks. Results We included 13 cohorts with 6,029,810 participants. The pooled all-cause crude mortality rate, based on 10 cohorts, was 28.8 per 1000 person-years (95% CI = 17.9–46.4), with substantial heterogeneity (I2 = 99.9%). The pooled overdose crude mortality rate, based on six cohorts, was 1.1 per 1000 person-years (95% CI = 0.4–3.4), with substantial heterogeneity (I2 = 99.5%), but indications for opioid prescribing and opioid exposure were poorly ascertained. We were unable to estimate mortality in this population relative to clinically similar populations not prescribed opioids. Conclusions Methodological limitations in the identified literature complicate efforts to determine the overdose mortality risk of people prescribed opioids. There is a need for large-scale clinical trials to assess adverse outcomes in opioid prescribing, especially for chronic noncancer pain.

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