Patient 'Catastrophizing' Associated with Expectations of Opioid Prescriptions for Acute Pain Control
| Autor: | Tetsuro Maeno, Eriko Onishi, Jennifer Lucas, Steffani R. Bailey |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Logistic regression Drug Prescriptions Odds 03 medical and health sciences 0302 clinical medicine Acute pain control 030202 anesthesiology Humans Pain Management Medicine 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Aged Motivation business.industry Catastrophization Public Health Environmental and Occupational Health Opioid-Related Disorders Acute Pain Analgesics Opioid Prescriptions Opioid Physical therapy Anxiety Female Pain catastrophizing Chronic Pain medicine.symptom Family Practice business medicine.drug |
| Zdroj: | The Journal of the American Board of Family Medicine. 33:858-870 |
| ISSN: | 1558-7118 1557-2625 |
| DOI: | 10.3122/jabfm.2020.06.200096 |
| Popis: | Background: The prescription of opioids for acute pain may be a driving factor in chronic opioid abuse. We examined patients’ characteristics associated with the expectation of the receipt of opioid prescriptions for acute pain control. Methods: A 1-time survey was administered to adult patients at family medicine clinics in the Pacific Northwest between November 2018 and January 2019. Logistic regression modeled adjusted odds of expecting an opioid prescription in ≥ 3 of the 4 dispositional acute pain scenarios by patient demographics, opioid use, past-week pain intensity and duration, past-week anxiety, and pain catastrophizing. Results: The survey was completed by 108 patients (62% female, 48% between 30 and 49 years of age, 75% non-Hispanic Whites). Most patients (71%) expected an opioid prescription in ≥ 1 of the 4 scenarios; 26% expected a prescription in ≥ 3 scenarios. Patients with higher levels of pain catastrophizing had more than 3 times greater odds of expecting opioids than those with lower pain catastrophizing (OR, 3.73; P = .032; 95% CI, 1.12-12.46); no other characteristics were statistically significant. Conclusion: Higher pain catastrophizing was associated with increased odds of expecting opioids in dispositional acute pain scenarios in outpatient settings. Future studies can determine whether addressing pain catastrophizing reduces expectations of opioid prescribing for acute pain control. The finding that most patients expected opioid prescriptions in acute pain scenarios needs further exploration into other potential factors associated with these expectations. Evidence-based guidelines for condition-specific acute pain management are warranted for appropriate opioid prescribing and to guide treatment expectations. |
| Databáze: | OpenAIRE |
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