Literature DB >> 22084473

Characteristics of chronic pain patients in a rural teaching practice.

W E Osmun1, Julie Copeland, Jennifer Parr, Leslie Boisvert.   

Abstract

OBJECTIVE: To describe the characteristics of chronic noncancer pain (CNCP) patients taking oxycodone or its derivatives in a rural teaching practice.
DESIGN: Characteristics of CNCP patients taking oxycodone over a 5-year period (September 2003 to September 2008) were compared with those of patients not taking opioid medications using a retrospective chart audit.
SETTING: A rural teaching practice in southwestern Ontario. PARTICIPANTS: A total of 103 patients taking chronic oxycodone therapy for CNCP and a random sample of 104 patients not taking opioid medication. MAIN OUTCOME MEASURES: Number of visits, health problems, sex, and previous history of addiction and mental illness.
RESULTS: Patients with CNCP taking oxycodone had significantly more health problems (P < .001), including drug and tobacco addictions. They had more than 3 times as many clinic visits during the same period of time as patients not taking opioid medication (mean of 39.0 vs 12.8 visits, P < .001).
CONCLUSION: Patients with CNCP in this rural teaching practice had significantly more health issues (P < .001) and were more likely to have a history of addiction than other patients were. They created more work with significantly more visits over the same period compared with the comparison group.

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Year:  2011        PMID: 22084473      PMCID: PMC3215627     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  12 in total

1.  Prevalence and determinants of pain and pain-related disability in urban and rural settings in southeastern Ontario.

Authors:  Dean A Tripp; Elizabeth G VanDenKerkhof; Margo McAlister
Journal:  Pain Res Manag       Date:  2006       Impact factor: 3.037

2.  What are the qualities of dilemmas experienced when prescribing opioids in general practice?

Authors:  Preben Bendtsen; Gunnel Hensing; Charlotte Ebeling; Anna Schedin
Journal:  Pain       Date:  1999-07       Impact factor: 6.961

3.  Survey of select practice behaviors by primary care physicians on the use of opioids for chronic pain.

Authors:  Bhushan Bhamb; David Brown; Jaishree Hariharan; Jane Anderson; Stacey Balousek; Michael F Fleming
Journal:  Curr Med Res Opin       Date:  2006-09       Impact factor: 2.580

4.  Canadian guideline for safe and effective use of opioids for chronic noncancer pain: clinical summary for family physicians. Part 1: general population.

Authors:  Meldon Kahan; Angela Mailis-Gagnon; Lynn Wilson; Anita Srivastava
Journal:  Can Fam Physician       Date:  2011-11       Impact factor: 3.275

5.  Opioids for chronic nonmalignant pain. Attitudes and practices of primary care physicians in the UCSF/Stanford Collaborative Research Network. University of California, San Francisco.

Authors:  M Potter; S Schafer; E Gonzalez-Mendez; K Gjeltema; A Lopez; J Wu; R Pedrin; M Cozen; R Wilson; D Thom; M Croughan-Minihane
Journal:  J Fam Pract       Date:  2001-02       Impact factor: 0.493

6.  Exploring physicians' comfort level with opioids for chronic noncancer pain.

Authors:  Martin N Scanlon; Urmil Chugh
Journal:  Pain Res Manag       Date:  2004       Impact factor: 3.037

7.  Use of opioid medications for chronic noncancer pain syndromes in primary care.

Authors:  M Carrington Reid; Laura L Engles-Horton; MaryAnn B Weber; Robert D Kerns; Elizabeth L Rogers; Patrick G O'Connor
Journal:  J Gen Intern Med       Date:  2002-03       Impact factor: 5.128

8.  Attitudes toward opioid use for chronic pain: a Canadian physician survey.

Authors:  Patricia K Morley-Forster; Alexander J Clark; Mark Speechley; Dwight E Moulin
Journal:  Pain Res Manag       Date:  2003       Impact factor: 3.037

9.  Pain characteristics and demographics of patients attending a university-affiliated pain clinic in Toronto, Ontario.

Authors:  A Mailis-Gagnon; B Yegneswaran; S F Lakha; K Nicholson; A J Steiman; D Ng; M Papagapiou; M Umana; T Cohodarevic; M Zurowski
Journal:  Pain Res Manag       Date:  2007       Impact factor: 3.037

10.  Predictors of opioid misuse in patients with chronic pain: a prospective cohort study.

Authors:  Timothy J Ives; Paul R Chelminski; Catherine A Hammett-Stabler; Robert M Malone; J Stephen Perhac; Nicholas M Potisek; Betsy Bryant Shilliday; Darren A DeWalt; Michael P Pignone
Journal:  BMC Health Serv Res       Date:  2006-04-04       Impact factor: 2.655

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