Opioid prescribing attitudes of palliative care physicians versus other specialists: a questionnaire-based survey
Purpose of the studyWhile opioid overuse is a public health crisis in the USA, opioid analgesics are used suboptimally in Central and Eastern Europe, causing many pain cases to remain untreated or undertreated.Study designThis questionnaire study aimed to identify the prevalent prescribing patterns...
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| Veröffentlicht in: | Postgraduate medical journal 2022-02, Vol.98 (1156), p.119-123 |
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| description | Purpose of the studyWhile opioid overuse is a public health crisis in the USA, opioid analgesics are used suboptimally in Central and Eastern Europe, causing many pain cases to remain untreated or undertreated.Study designThis questionnaire study aimed to identify the prevalent prescribing patterns and attitudes and the possible internal impediments to optimal opioid use among palliative care physicians and other specialists in Poland.ResultsTramadol was the most commonly preferred opioid. While palliative care physicians (n=81) used various strong opioids, other physicians (n=87) prescribed mostly buprenorphine, accessible with standard prescription forms. Neither internal prejudices and beliefs nor administrative regulations impede prescribing opioids by palliative care physicians, unlike specialists other than palliative medicine. Special prescription forms for psychoactive medications, fear of drug addiction of their patients and penalties for possible errors on prescriptions affect the latter’s optimal prescribing. They also revealed significant gaps in the knowledge of prescribing opioids and would take part in additional training. Palliative care physicians appeared optimally prepared for cancer pain management and report fewer internal barriers than other specialists.ConclusionsContinuous medical education on cancer pain treatment should be provided to all specialists to ensure optimal opioid pharmacotherapy and avoid overprescribing or underprescribing opioids. Administrative restrictions are the main barrier to optimal pain treatment. |
| doi_str_mv | 10.1136/postgradmedj-2020-139152 |
| format | Article |
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While palliative care physicians (n=81) used various strong opioids, other physicians (n=87) prescribed mostly buprenorphine, accessible with standard prescription forms. Neither internal prejudices and beliefs nor administrative regulations impede prescribing opioids by palliative care physicians, unlike specialists other than palliative medicine. Special prescription forms for psychoactive medications, fear of drug addiction of their patients and penalties for possible errors on prescriptions affect the latter’s optimal prescribing. They also revealed significant gaps in the knowledge of prescribing opioids and would take part in additional training. Palliative care physicians appeared optimally prepared for cancer pain management and report fewer internal barriers than other specialists.ConclusionsContinuous medical education on cancer pain treatment should be provided to all specialists to ensure optimal opioid pharmacotherapy and avoid overprescribing or underprescribing opioids. Administrative restrictions are the main barrier to optimal pain treatment.</description><identifier>ISSN: 0032-5473</identifier><identifier>EISSN: 1469-0756</identifier><identifier>DOI: 10.1136/postgradmedj-2020-139152</identifier><identifier>PMID: 33414178</identifier><language>eng</language><publisher>England: The Fellowship of Postgraduate Medicine</publisher><subject>Addictive behaviors ; Adult ; adult palliative care ; Analgesics ; Analgesics, Opioid - therapeutic use ; Attitude of Health Personnel ; Attitudes ; Cancer ; cancer pain ; Cancer Pain - drug therapy ; Drug addiction ; Drug Prescriptions ; Drug Utilization - statistics & numerical data ; Female ; Fentanyl ; health policy ; Health Services Accessibility - statistics & numerical data ; Humans ; Likert scale ; Male ; Medicine ; Middle Aged ; Morphine ; Narcotics ; Original research ; Pain ; Palliative care ; Palliative Care - methods ; Palliative Care - psychology ; Physicians ; Physicians - psychology ; Poland ; Practice Patterns, Physicians' - statistics & numerical data ; Prescription drugs ; Public health ; Quality of Health Care ; Quantitative psychology ; Questionnaires ; Surveys and Questionnaires</subject><ispartof>Postgraduate medical journal, 2022-02, Vol.98 (1156), p.119-123</ispartof><rights>Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b432t-82505aab88c0baba02ba1b39e7db7624bc297e950a368ca8116c24e74790d9483</citedby><cites>FETCH-LOGICAL-b432t-82505aab88c0baba02ba1b39e7db7624bc297e950a368ca8116c24e74790d9483</cites><orcidid>0000-0001-5719-5695 ; 0000-0003-1380-1598</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33414178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dzierzanowski, Tomasz</creatorcontrib><creatorcontrib>Kozlowski, Michael</creatorcontrib><title>Opioid prescribing attitudes of palliative care physicians versus other specialists: a questionnaire-based survey</title><title>Postgraduate medical journal</title><addtitle>Postgrad Med J</addtitle><addtitle>Postgrad Med J</addtitle><description>Purpose of the studyWhile opioid overuse is a public health crisis in the USA, opioid analgesics are used suboptimally in Central and Eastern Europe, causing many pain cases to remain untreated or undertreated.Study designThis questionnaire study aimed to identify the prevalent prescribing patterns and attitudes and the possible internal impediments to optimal opioid use among palliative care physicians and other specialists in Poland.ResultsTramadol was the most commonly preferred opioid. While palliative care physicians (n=81) used various strong opioids, other physicians (n=87) prescribed mostly buprenorphine, accessible with standard prescription forms. Neither internal prejudices and beliefs nor administrative regulations impede prescribing opioids by palliative care physicians, unlike specialists other than palliative medicine. Special prescription forms for psychoactive medications, fear of drug addiction of their patients and penalties for possible errors on prescriptions affect the latter’s optimal prescribing. They also revealed significant gaps in the knowledge of prescribing opioids and would take part in additional training. Palliative care physicians appeared optimally prepared for cancer pain management and report fewer internal barriers than other specialists.ConclusionsContinuous medical education on cancer pain treatment should be provided to all specialists to ensure optimal opioid pharmacotherapy and avoid overprescribing or underprescribing opioids. Administrative restrictions are the main barrier to optimal pain treatment.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>adult palliative care</subject><subject>Analgesics</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Attitude of Health Personnel</subject><subject>Attitudes</subject><subject>Cancer</subject><subject>cancer pain</subject><subject>Cancer Pain - drug therapy</subject><subject>Drug addiction</subject><subject>Drug Prescriptions</subject><subject>Drug Utilization - statistics & numerical data</subject><subject>Female</subject><subject>Fentanyl</subject><subject>health policy</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Humans</subject><subject>Likert scale</subject><subject>Male</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Morphine</subject><subject>Narcotics</subject><subject>Original research</subject><subject>Pain</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Palliative Care - psychology</subject><subject>Physicians</subject><subject>Physicians - psychology</subject><subject>Poland</subject><subject>Practice Patterns, Physicians' - statistics & numerical data</subject><subject>Prescription drugs</subject><subject>Public health</subject><subject>Quality of Health Care</subject><subject>Quantitative psychology</subject><subject>Questionnaires</subject><subject>Surveys and Questionnaires</subject><issn>0032-5473</issn><issn>1469-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqVkU1v1DAQhi0EokvhLyBLXLgE_Bk73FDFl1SpFzhbY2e29SqbpB5npf33TdlSEBfEaSTP845f6WGMS_FOSt2-nyeq1wX6Pfa7RgklGqk7adUTtpGm7RrhbPuUbYTQqrHG6TP2gmgnhNTOyOfsTGsjjXR-w26v5jzlns8FKZUc83jNodZclx6JT1s-wzBkqPmAPEFBPt8cKacMI_EDFlpWqN5g4TTj-jpkqvSBA79dkGqexhFywSYCYc9pKQc8vmTPtjAQvnqY5-zH50_fL742l1dfvl18vGyi0ao2XllhAaL3SUSIIFQEGXWHro-uVSYm1TnsrADd-gReyjYpg864TvSd8fqcvT3dncv0s03YZ0o4DDDitFBQxrXWdp2yK_rmL3Q3LWVc2wXVKmms9s6tlD9RqUxEBbdhLnkP5RikCPdawp9awr2WcNKyRl8_fLDEdfkY_OVhBfQJiPvd_5w1v1OPlf8ZuwPFqrCE</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Dzierzanowski, Tomasz</creator><creator>Kozlowski, Michael</creator><general>The Fellowship of Postgraduate Medicine</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5719-5695</orcidid><orcidid>https://orcid.org/0000-0003-1380-1598</orcidid></search><sort><creationdate>20220201</creationdate><title>Opioid prescribing attitudes of palliative care physicians versus other specialists: a questionnaire-based survey</title><author>Dzierzanowski, Tomasz ; Kozlowski, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b432t-82505aab88c0baba02ba1b39e7db7624bc297e950a368ca8116c24e74790d9483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>adult palliative care</topic><topic>Analgesics</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Attitude of Health Personnel</topic><topic>Attitudes</topic><topic>Cancer</topic><topic>cancer pain</topic><topic>Cancer Pain - drug therapy</topic><topic>Drug addiction</topic><topic>Drug Prescriptions</topic><topic>Drug Utilization - statistics & numerical data</topic><topic>Female</topic><topic>Fentanyl</topic><topic>health policy</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Humans</topic><topic>Likert scale</topic><topic>Male</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Morphine</topic><topic>Narcotics</topic><topic>Original research</topic><topic>Pain</topic><topic>Palliative care</topic><topic>Palliative Care - methods</topic><topic>Palliative Care - psychology</topic><topic>Physicians</topic><topic>Physicians - psychology</topic><topic>Poland</topic><topic>Practice Patterns, Physicians' - statistics & numerical data</topic><topic>Prescription drugs</topic><topic>Public health</topic><topic>Quality of Health Care</topic><topic>Quantitative psychology</topic><topic>Questionnaires</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dzierzanowski, Tomasz</creatorcontrib><creatorcontrib>Kozlowski, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Postgraduate medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dzierzanowski, Tomasz</au><au>Kozlowski, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Opioid prescribing attitudes of palliative care physicians versus other specialists: a questionnaire-based survey</atitle><jtitle>Postgraduate medical journal</jtitle><stitle>Postgrad Med J</stitle><addtitle>Postgrad Med J</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>98</volume><issue>1156</issue><spage>119</spage><epage>123</epage><pages>119-123</pages><issn>0032-5473</issn><eissn>1469-0756</eissn><abstract>Purpose of the studyWhile opioid overuse is a public health crisis in the USA, opioid analgesics are used suboptimally in Central and Eastern Europe, causing many pain cases to remain untreated or undertreated.Study designThis questionnaire study aimed to identify the prevalent prescribing patterns and attitudes and the possible internal impediments to optimal opioid use among palliative care physicians and other specialists in Poland.ResultsTramadol was the most commonly preferred opioid. While palliative care physicians (n=81) used various strong opioids, other physicians (n=87) prescribed mostly buprenorphine, accessible with standard prescription forms. Neither internal prejudices and beliefs nor administrative regulations impede prescribing opioids by palliative care physicians, unlike specialists other than palliative medicine. Special prescription forms for psychoactive medications, fear of drug addiction of their patients and penalties for possible errors on prescriptions affect the latter’s optimal prescribing. They also revealed significant gaps in the knowledge of prescribing opioids and would take part in additional training. Palliative care physicians appeared optimally prepared for cancer pain management and report fewer internal barriers than other specialists.ConclusionsContinuous medical education on cancer pain treatment should be provided to all specialists to ensure optimal opioid pharmacotherapy and avoid overprescribing or underprescribing opioids. Administrative restrictions are the main barrier to optimal pain treatment.</abstract><cop>England</cop><pub>The Fellowship of Postgraduate Medicine</pub><pmid>33414178</pmid><doi>10.1136/postgradmedj-2020-139152</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-5719-5695</orcidid><orcidid>https://orcid.org/0000-0003-1380-1598</orcidid></addata></record> |
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| subjects | Addictive behaviors Adult adult palliative care Analgesics Analgesics, Opioid - therapeutic use Attitude of Health Personnel Attitudes Cancer cancer pain Cancer Pain - drug therapy Drug addiction Drug Prescriptions Drug Utilization - statistics & numerical data Female Fentanyl health policy Health Services Accessibility - statistics & numerical data Humans Likert scale Male Medicine Middle Aged Morphine Narcotics Original research Pain Palliative care Palliative Care - methods Palliative Care - psychology Physicians Physicians - psychology Poland Practice Patterns, Physicians' - statistics & numerical data Prescription drugs Public health Quality of Health Care Quantitative psychology Questionnaires Surveys and Questionnaires |
| title | Opioid prescribing attitudes of palliative care physicians versus other specialists: a questionnaire-based survey |
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