Effect of a course-based intervention and effect of medical regulation on physicians' opioid prescribing

Canadian Family Physician

Volumn 59, Issue 5, 2013, Pages

  Kahan, Meldon ^a   Gomes, Tara ^b   Juurlink, David N ^c   Manno, Michael ^b   Wilson, Lynn ^d   Mailis Gagnon, Angela ^e   Srivastava, Anita ^d   Reardon, Rhoda ^f   Dhalla, Irfan A ^g   Mamdani, Muhammad M ^g  

^a WOMEN S COLLEGE HOSPITAL   (Canada)

^b INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^c Management and Evaluation at U of T   (Canada)

^d Department of Family and Community Medicine at U of T ^*  (Canada)

^e TORONTO WESTERN HOSPITAL   (Canada)

^f Ontario College of Teachers   (Canada)

^g ST MICHAEL'S HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

MORPHINE; OPIATE;

ADOLESCENT; ADULT; AGED; ARTICLE; CANADA; FEMALE; GENERAL PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; PHYSICIAN; POPULATION RESEARCH; PRESCRIPTION;

ADOLESCENT; ADULT; AGED; ANALGESICS, OPIOID; COHORT STUDIES; DRUG PRESCRIPTIONS; EDUCATION, MEDICAL, CONTINUING; FEMALE; HUMANS; MALE; MIDDLE AGED; ONTARIO; PHYSICIAN'S PRACTICE PATTERNS; RETROSPECTIVE STUDIES; YOUNG ADULT;

EID: 84877975344     PISSN: 0008350X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (28)

1. Maxwell JC. The prescription drug epidemic in the United States: a perfect storm. Drug Alcohol Rev 2011;30(3):264-70. DOI:10.1111/j.1465- 3362.2011.00291.x.
2. Dhalla IA, Mamdani MM, Sivilotti ML, Kopp A, Qureshi O, Juurlink DN. Prescribing of opioid analgesics and related mortality before and after the introduction of long-acting oxycodone. CMAJ 2009;181(12):891-6. Epub 2009 Dec 7.
3. Fischer B, Nakamura N, Rush B, Rehm J, Urbanoski K. Changes in and characteristics of admissions to treatment related to problematic prescription opioid use in Ontario, 2004-2009. Drug Alcohol Depend 2010;109(1-3):257-60. Epub 2010 Mar 1.
4. Sproule B, Brands B, Li S, Catz-Biro L. Changing patterns in opioid addiction. Characterizing users of oxycodone and other opioids. Can Fam Physician 2009;55:68-9.e1-5. Available from: www.cfp.ca/content/55/1/68.full. pdf+html Accessed 2013 Apr 11.
5. College of Physicians and Surgeons of Ontario. Avoiding abuse, achieving a balance: tackling the opioid public health crisis. Toronto, ON: College of Physicians and Surgeons of Ontario; 2010. Available from: www.cpso.on.ca/ uploadedFiles/policies/positions/Opioid%20report%20final.pdf Accessed 2013 Apr 11.
6. National Opioid Use Guideline Group. Canadian guideline for safe and effective use of opioids for chronic non-cancer pain. Hamilton, ON: National Opioid Use Guideline Group; 2010.
7. Bregnhoj L, Thirstrup S, Kristensen MB, Bjerrum L, Sonne J. Combined intervention programme reduces inappropriate prescribing in elderly patients exposed to polypharmacy in primary care. Eur J Clin Pharmacol 2009;65(2):199-207. Epub 2008 Sep 21.
8. Goren JL, Beck SE, Mills BJ, Shtasel DL, Dufresne RL. Development and delivery of a quality improvement program to reduce antipsychotic polytherapy. J Manag Care Pharm 2010;16(6):393-401.
9. Henriksson S, Isacsson G. Increased antidepressant use and fewer suicides in Jamtland county, Sweden, after a primary care educational programme on the treatment of depression. Acta Psychiatr Scand 2006;114(3):159-67.
10. Kasje WN, Denig P, Stewart RE, de Graeff PA, Haaijer-Ruskamp FM. An educational programme for peer review groups to improve treatment of chronic heart failure and diabetes mellitus type 2 in general practice. J Eval Clin Pract 2006;12(6):613-21.
11. Lanas A, Esplugues JV, Zapardiel J, Sobreviela E. Education-based approach to addressing non-evidence-based practice in preventing NSAID-associated gastrointestinal complications. World J Gastroenterol 2009;15(47):5953-9.
12. O'Connor PJ, Sperl-Hillen JM, Johnson PE, Rush WA, Asche SE, Dutta P, et al. Simulated physician learning intervention to improve safety and quality of diabetes care: a randomized trial. Diabetes Care 2009;32(4):585-90. Epub 2009 Jan 26.
13. Peters-Klimm F, Campbell S, Muller-Tasch T, Schellberg D, Gelbrich G, Herzog W, et al. Primary care-based multifaceted, interdisciplinary medical educational intervention for patients with systolic heart failure: lessons learned from a cluster randomised controlled trial. Trials 2009;10:68. DOI:10.1186/1745-6215-10-68.
14. Steinman MA, Ranji SR, Shojania KG, Gonzales R. Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies. Med Care 2006;44(7):617-28.
15. O'Brien MA, Rogers S, Jamtvedt G, Oxman AD, Odgaard-Jensen J, Kristoffersen DT, et al. Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2007;(4):CD000409.
16. Zillich AJ, Ackermann RT, Stump TE, Ambuehl RJ, Downs SM, Holmes AM, et al. An evaluation of educational outreach to improve evidence-based prescribing in Medicaid: a cautionary tale. J Eval Clin Pract 2008;14(5):854-60. DOI:10.1111/j.1365-2753.2008.01035.x.
17. Midmer D, Kahan M, Marlow B. Effects of a distance learning program on physicians' opioid- and benzodiazepine-prescribing skills. J Contin Educ Health Prof 2006;26(4):294-301.
18. Anderson JF, McEwan KL, Hrudey WP. Effectiveness of notification and group education in modifying prescribing of regulated analgesics. CMAJ 1996;154(1):31-9.
19. Anderson JF, McEwan KL. Modifying prescribing of regulated analgesics. CMAJ 1997;156(5):636.
20. Furlan AD, Reardon R, Weppler C; National Opioid Use Guideline Group. Opioids for chronic noncancer pain: a new Canadian practice guideline. CMAJ 2010;182(9):923-30. Epub 2010 May 3.
21. Toms JD, Lesperance ML. Piecewise regression: a tool for identifying ecological thresholds. Ecology 2003;84(8):2034-41.
22. Verbeke G, Molenberghs G. Linear mixed models for longitudinal data. New York, NY: Springer-Verlag; 2000. p. 569.
23. Mamdani M, Sykora K, Li P, Normand SL, Streiner DL, Austin PC, et al. Reader's guide to critical appraisal of cohort studies: 2. Assessing potential for confounding. BMJ 2005;330(7497):960-2.
24. Statistical Analysis System [software]. Version 9.2. Cary, NC: SAS Institute; 2010.
25. Dhalla IA, Mamdani MM, Gomes T, Juurlink DN. Clustering of opioid prescribing and opioid-related mortality among family physicians in Ontario. Can Fam Physician 2011;57:e92-6. Available from: www.cfp.ca/content/57/3/e92.full. pdf+html Accessed 2013 Apr 11.
26. Franklin GM, Mai J, Turner J, Sullivan M, Wickizer T, Fulton-Kehoe D. Bending the prescription opioid dosing and mortality curves: impact of the Washington State opioid dosing guideline. Am J Ind Med 2012;55(4):325-31. Epub 2011 Dec 27.
27. Cochella S, Bateman K. Provider detailing: an intervention to decrease prescription opioid deaths in Utah. Pain Med 2011;12(Suppl 2):S73-6. DOI:10.1111/j.1526-4637.2011.01125.x.
28. Johnson EM, Porucznik CA, Anderson JW, Rolfs RT. State-level strategies for reducing prescription drug overdose deaths: Utah's prescription safety program. Pain Med 2011;12(Suppl 2):S66-72. DOI:10.1111/j.1526- 4637.2011.01126.x.