Multidisciplinary care for opioid dose reduction in patients with chronic non-cancer pain: A systematic realist review.

ABSTRACT:

Context

Opioid related deaths are at epidemic levels in many developed nations globally. Concerns about the contribution of prescribed opioids, and particularly high-dose opioids, continue to mount as do initiatives to reduce prescribing. Evidence around opioid tapering, which can be challenging and potentially hazardous, is not well developed. A recent national guideline has recognized this and recommended referral to multidisciplinary care for challenging cases of opioid tapering. However, multidisciplinary care for opioid tapering is not well understood or defined.

Objective

Identify the existing literature on any multidisciplinary care programs that evaluate impact on opioid use, synthesize how these programs work and clarify whom they benefit.

Study design

System

SUBMITTER: Sud A 

PROVIDER: S-EPMC7384622 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature