PMID: 9430814Feb 12, 1998Paper

What factors affect physicians' decisions to prescribe opioids for chronic noncancer pain patients?

The Clinical Journal of Pain
D C Turk, A Okifuji

Abstract

To evaluate the contribution of pain severity, physical pathology, demographic factors, initiators of symptoms, affective distress, behavioral expressions of pain, and functional activity levels in physicians' decisions to prescribe opioid medication for chronic noncancer pain patients. Patients were examined by a physician and physical therapist, interviewed by a psychologist, and asked to complete a medical history form and a set of self-report questionnaires. Patients who were prescribed opioids were compared with those who were not prescribed opioids on each of these. In addition, logistic regression analysis was performed to determine the best predictors of opioid prescriptions. A total of 191 (96 female and 95 male) consecutive patients referred to a multidisciplinary pain treatment facility diagnosed with a variety of chronic pain syndromes. Neither pain severity nor objective physical pathology influenced physicians' prescribing of opioids medication. Similarly, duration of pain and demographic factors had minimal impact on prescribing of opioids. Patients' behavioral manifestations of pain, distress, and suffering--pain behaviors--and reports of functional disability and distress did distinguish between patients prescr...Continue Reading

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Citations

Apr 29, 2010·Current Pain and Headache Reports·Dennis C Turk, Hilary D Wilson
May 27, 2009·Current Reviews in Musculoskeletal Medicine·Kimberley Middleton, David E Fish
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