The Effect of Patient Opioid Education on Opioid Use, Storage, and Disposal Patterns

McElyea, Julia; Sam, Belinda; Hollingsworth, Hanna; Chamberlain, Carol E.; Brown, L. Steven

doi:10.1080/15360288.2022.2049423

Cited by 3 publications

(1 citation statement)

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“…Chronic pain is associated with worse quality of life and reduced health outcomes (Mathieson et al 2020). The growing use of opioids for chronic pain has been identified internationally as an area of concern because of lack of long-term efficacy, long-term side effects, and excessive deaths and opioid diversion (McElyea et al 2022). This has led to a focus on reducing opioid prescribing for chronic nonmalignant pain and increasing regulatory controls.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and management of chronic nonmalignant pain in palliative care populations: A systematic review

et al. 2023

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Objectives To investigate the prevalence and current approaches to clinical management of chronic nonmalignant pain in patients referred to palliative care services. Methods A systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered with PROSPERO (CRD42021205432). Six databases were searched on 25 August 2020 and again on 11 July 2022: PubMed and Ovid MEDLINE, Elsevier Scopus, PsychINFO, the Cochrane Library, and CINAHL. Search included prevalence or intervention studies with patients who had chronic nonmalignant pain and were referred to palliative care services. Screening was undertaken independently by 2 reviewers. Results The searches returned 417 titles; subsequent screening identified 5 eligible studies, 4 from the USA and 1 from Hong Kong, including 2 cohort and 3 cross-sectional studies. Sample sizes ranged from 137 to 323, with a total of 1,056 patients. The prevalence of chronic nonmalignant pain ranged from 14% to 34% across different palliative care settings. There was significant crossover of pain types; 54% of patients with chronic no-malignant pain had additional cancer-related pain or cancer treatment–related pain. Opioids were used to manage stand-alone chronic nonmalignant pain for 39% of patients compared to 58% with mixed chronic nonmalignant pain and other pain diagnoses. Significance of results Five studies have documented the prevalence of chronic nonmalignant pain of 14–34% in palliative care. Further research including prevalence and treatment studies would provide clearer evidence for best practice management of chronic nonmalignant pain in the palliative care setting.

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Section: Introductionmentioning

confidence: 99%