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Pain Res Manag. 2017;2017:1365910. doi: 10.1155/2017/1365910. Epub 2017 Jul 31.

Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain.

Author information

1
Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Campus de Longueuil, 150 place Charles-Le Moyne, Room 200, Longueuil, QC, Canada J4K 0A8.
2
Direction des Risques Biologiques et de la Santé au Travail, Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal, QC, Canada H2P 1E2.
3
Bureau d'Information et d'Études en Santé des Populations, Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec City, QC, Canada G1B5 5V3.
4
Direction de la Santé Environnementale et de la Toxicologie, Institut National de Santé Publique du Québec, 945 avenue Wolfe, Québec City, QC, Canada G1B5 5V3.
5
Direction de la Santé Environnementale et de la Toxicologie, Institut National de Santé Publique du Québec, 190 Crémazie Est., Montréal, QC, Canada H2P 1E2.
6
Clinique Antidouleur du Centre Hospitalier de l'Université de Montréal, 1560 rue Sherbrooke Est., Montréal, QC, Canada H2L 4M1.

Abstract

AIM:

To examine medical practices and training needs of Québec family physicians with respect to pain management and opioid prescription for chronic noncancer pain (CNCP).

METHODOLOGY:

An online survey was carried out in 2016.

RESULTS:

Of 636 respondents (43.0% men; 54.3% ≥ 50 years old), 15.2% and 70.9% felt very or somewhat confident that they could properly prescribe opioids for CNCP. Concerns related to abuse (72.5% strongly/somewhat agree), dependence (73.2%), and lack of support (75.4%) were the main barriers reported. Only 19.7% always/often screened their patients for risks of abuse and dependence using a screening tool. About two-thirds of participants (65.7%) had recently (last five years) taken part in continuing education programs on opioid use for CNCP and 73.4% on CNCP management. Patient evaluation and differential diagnoses of chronic pain syndromes were rated as a top priority for further training.

CONCLUSIONS:

This study provides insights into Québec family physicians' concerns, practices, and needs with respect to the management of CNCP. Physicians' difficulties around the application of strategies to mitigate the problem of opioid abuse and addiction are worrying. The need to better train physicians in the field of pain and addiction cannot be emphasized enough.

PMID:
28831278
PMCID:
PMC5555017
DOI:
10.1155/2017/1365910
[Indexed for MEDLINE]
Free PMC Article

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