2011
DOI: 10.1111/j.1526-4637.2011.01231.x
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Primary Care Clinician Adherence to Guidelines for the Management of Chronic Musculoskeletal Pain: Results from the Study of the Effectiveness of a Collaborative Approach to Pain

Abstract: As measured by medical record review, additional training and clinician feedback did not increase provision of documented guideline-concordant pain care, and adherence to guidelines by primary care clinicians did not improve clinical outcomes for patients with chronic musculoskeletal pain.

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Cited by 32 publications
(48 citation statements)
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“…Evidence suggests that that education programmes can help to improve this [132], but changing pain treatment patterns is challenging [133,134]. Ultimately, prescribing is not the main difficulty in opioid therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Evidence suggests that that education programmes can help to improve this [132], but changing pain treatment patterns is challenging [133,134]. Ultimately, prescribing is not the main difficulty in opioid therapy.…”
Section: Discussionmentioning
confidence: 99%
“…12,14,17,20,27 For example, a retrospective cohort study conducted in 8 university-affiliated primary care clinics found that fewer than half of patients on longterm opioids received regular office visits and only 8% received a urine drug test. 27 Studies conducted in Veterans Affairs (VA) settings have similarly found infrequent use of recommended practices, even among patients with recently diagnosed substance use disorders.…”
mentioning
confidence: 98%
“…27 Studies conducted in Veterans Affairs (VA) settings have similarly found infrequent use of recommended practices, even among patients with recently diagnosed substance use disorders. 12,17,20 Reasons for limited use of recommended opioid management practices are not well understood. The objective of this qualitative study was to better understand primary care physicians' and patients' perspectives on recommended opioid management practices and to identify potential barriers and facilitators of guidelineconcordant opioid management in primary care.…”
mentioning
confidence: 99%
“…These practices are recommended by recent clinical practice guidelines 16, 19 and have been used in prior studies evaluating guideline-concordant prescribing practices. 11, 20, 21 We focused on practices aimed at minimizing opioid-related risks and inappropriate prescribing. 22 Recent guidelines suggest that assessment of pain severity may be less important for guiding prescribing decisions in the context of chronic pam.…”
Section: Methodsmentioning
confidence: 99%