date: 2022-04-29T16:26:46Z
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pdf:docinfo:title: Self-Reported Practices and Emotions in Prescribing Opioids for Chronic Noncancer Pain: A Cross-Sectional Study of German Physicians
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Keywords: chronic noncancer pain; WHO III opioids; prescription; guideline adherence
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subject: Background: The pressure on physicians when a patient seeks pain relief and their own desire to be self-effective may lead to the prescription of strong opioids for chronic noncancer pain (CNCP). This study, via physician self-reporting, aims to identify and measure (i) physician adherence to national opioid prescribing guidelines and (ii) physician emotions when a patient seeks a dosage increase of the opioid. Methods: Within a cross-sectional survey?conducted as part of a randomized controlled online intervention trial (ERONA)?600 German physicians were queried on their opioid prescribing behavior (choice and formulation of opioid, indications) for CNCP patients and their emotions to a case vignette describing a patient seeking an opioid dosage increase without signs of objective deterioration. Results: The prescription of strong opioids in this study was not always in accordance with current guidelines. When presented with a scenario in which a patient sought to have their opioid dose increased, some physicians reported negative feelings, such as either pressure (25%), helplessness (25%), anger (23%) or a combination. The risk of non-guideline-compliant prescribing behavior using the example of ultrafast-acting fentanyl for CNCP was increased when negative emotions were present (OR: 1.7; 95%-CI: 1.2?2.6; p = 0.007) or when sublingual buprenorphine was prescribed (OR: 15.4; 95%-CI: 10.1?23.3; p < 0.001). Conclusions: Physicians? emotional self-awareness represents the first step to identify such direct reactions to patient requests and to ensure a responsible, guideline-based opioid prescription approach for the long-term well-being of the patient.
dc:creator: Erika Schulte, Frank Petzke, Claudia Spies, Claudia Denke, Michael Schäfer, Norbert Donner-Banzhoff, Ralph Hertwig and Odette Wegwarth
dcterms:created: 2022-04-29T16:20:52Z
Last-Modified: 2022-04-29T16:26:46Z
dcterms:modified: 2022-04-29T16:26:46Z
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title: Self-Reported Practices and Emotions in Prescribing Opioids for Chronic Noncancer Pain: A Cross-Sectional Study of German Physicians
Last-Save-Date: 2022-04-29T16:26:46Z
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pdf:docinfo:keywords: chronic noncancer pain; WHO III opioids; prescription; guideline adherence
pdf:docinfo:modified: 2022-04-29T16:26:46Z
meta:save-date: 2022-04-29T16:26:46Z
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dc:title: Self-Reported Practices and Emotions in Prescribing Opioids for Chronic Noncancer Pain: A Cross-Sectional Study of German Physicians
modified: 2022-04-29T16:26:46Z
cp:subject: Background: The pressure on physicians when a patient seeks pain relief and their own desire to be self-effective may lead to the prescription of strong opioids for chronic noncancer pain (CNCP). This study, via physician self-reporting, aims to identify and measure (i) physician adherence to national opioid prescribing guidelines and (ii) physician emotions when a patient seeks a dosage increase of the opioid. Methods: Within a cross-sectional survey?conducted as part of a randomized controlled online intervention trial (ERONA)?600 German physicians were queried on their opioid prescribing behavior (choice and formulation of opioid, indications) for CNCP patients and their emotions to a case vignette describing a patient seeking an opioid dosage increase without signs of objective deterioration. Results: The prescription of strong opioids in this study was not always in accordance with current guidelines. When presented with a scenario in which a patient sought to have their opioid dose increased, some physicians reported negative feelings, such as either pressure (25%), helplessness (25%), anger (23%) or a combination. The risk of non-guideline-compliant prescribing behavior using the example of ultrafast-acting fentanyl for CNCP was increased when negative emotions were present (OR: 1.7; 95%-CI: 1.2?2.6; p = 0.007) or when sublingual buprenorphine was prescribed (OR: 15.4; 95%-CI: 10.1?23.3; p < 0.001). Conclusions: Physicians? emotional self-awareness represents the first step to identify such direct reactions to patient requests and to ensure a responsible, guideline-based opioid prescription approach for the long-term well-being of the patient.
pdf:docinfo:subject: Background: The pressure on physicians when a patient seeks pain relief and their own desire to be self-effective may lead to the prescription of strong opioids for chronic noncancer pain (CNCP). This study, via physician self-reporting, aims to identify and measure (i) physician adherence to national opioid prescribing guidelines and (ii) physician emotions when a patient seeks a dosage increase of the opioid. Methods: Within a cross-sectional survey?conducted as part of a randomized controlled online intervention trial (ERONA)?600 German physicians were queried on their opioid prescribing behavior (choice and formulation of opioid, indications) for CNCP patients and their emotions to a case vignette describing a patient seeking an opioid dosage increase without signs of objective deterioration. Results: The prescription of strong opioids in this study was not always in accordance with current guidelines. When presented with a scenario in which a patient sought to have their opioid dose increased, some physicians reported negative feelings, such as either pressure (25%), helplessness (25%), anger (23%) or a combination. The risk of non-guideline-compliant prescribing behavior using the example of ultrafast-acting fentanyl for CNCP was increased when negative emotions were present (OR: 1.7; 95%-CI: 1.2?2.6; p = 0.007) or when sublingual buprenorphine was prescribed (OR: 15.4; 95%-CI: 10.1?23.3; p < 0.001). Conclusions: Physicians? emotional self-awareness represents the first step to identify such direct reactions to patient requests and to ensure a responsible, guideline-based opioid prescription approach for the long-term well-being of the patient.
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pdf:docinfo:creator: Erika Schulte, Frank Petzke, Claudia Spies, Claudia Denke, Michael Schäfer, Norbert Donner-Banzhoff, Ralph Hertwig and Odette Wegwarth
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creator: Erika Schulte, Frank Petzke, Claudia Spies, Claudia Denke, Michael Schäfer, Norbert Donner-Banzhoff, Ralph Hertwig and Odette Wegwarth
meta:author: Erika Schulte, Frank Petzke, Claudia Spies, Claudia Denke, Michael Schäfer, Norbert Donner-Banzhoff, Ralph Hertwig and Odette Wegwarth
dc:subject: chronic noncancer pain; WHO III opioids; prescription; guideline adherence
meta:creation-date: 2022-04-29T16:20:52Z
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Author: Erika Schulte, Frank Petzke, Claudia Spies, Claudia Denke, Michael Schäfer, Norbert Donner-Banzhoff, Ralph Hertwig and Odette Wegwarth
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