Managing opioid use disorder in primary care: PEER simplified guideline.

Decision Making Disease Management Humans Opiate Substitution Treatment / standards Opioid-Related Disorders / diagnosis Primary Health Care / standards

Journal

Canadian family physician Medecin de famille canadien
ISSN: 1715-5258
Titre abrégé: Can Fam Physician
Pays: Canada
ID NLM: 0120300

Informations de publication

Date de publication:
05 2019
Historique:
entrez: 16 5 2019
pubmed: 16 5 2019
medline: 6 8 2020
Statut: ppublish

Résumé

To use the best available evidence and principles of shared, informed decision making to develop a clinical practice guideline for a simplified approach to managing opioid use disorder (OUD) in primary care. Eleven health care and allied health professionals representing various practice settings, professions, and locations created a list of key questions relevant to the management of OUD in primary care. These questions related to the treatment setting, diagnosis, treatment, and management of comorbidities in OUD. The questions were researched by a team with expertise in evidence evaluation using a series of systematic reviews of randomized controlled trials. The Guideline Committee used the systematic reviews to create recommendations. Recommendations outline the role of primary care in treating patients with OUD, as well as pharmacologic and psychotherapy treatments and various prescribing practices (eg, urine drug testing and contracts). Specific recommendations could not be made for management of comorbidities in patients with OUD owing to limited evidence. The recommendations will help simplify the complex management of patients with OUD in primary care. They will aid clinicians and patients in making informed decisions regarding their care.

Identifiants

PMID: 31088869 PMC: PMC6516701
pubmed: 31088869
pii: 65/5/321
pmc: PMC6516701

Types de publication

Journal Article Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

321-330

Commentaires et corrections

Type : ErratumIn
Type : ErratumIn

Informations de copyright

Copyright© the College of Family Physicians of Canada.

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Auteurs

Christina Korownyk (C)

Family physician and Associate Professor in the Department of Family Medicine at the University of Alberta in Edmonton. cpoag@ualberta.ca.

Danielle Perry (D)

Nurse and Clinical Evidence Expert at the Alberta College of Family Physicians in Edmonton.

Joey Ton (J)

Pharmacist and Clinical Evidence Expert at the College of Family Physicians of Canada in Mississauga, Ont.

Michael R Kolber (MR)

Family physician and Professor in the Department of Family Medicine at the University of Alberta.

Scott Garrison (S)

Family physician and Associate Professor in the Department of Family Medicine at the University of Alberta.

Betsy Thomas (B)

Pharmacist; Project Manager, Education and Knowledge Translation at the Alberta College of Family Physicians; and Assistant Adjunct Professor in the Department of Family Medicine at the University of Alberta.

G Michael Allan (GM)

Family physician and Director of Programs and Practice Support at the College of Family Physicians of Canada and Professor in the Department of Family Medicine at the University of Alberta.

Cheryl Bateman (C)

Community support worker in Prince George, BC.

Raquel de Queiroz (R)

Family nurse practitioner at the Referred Care Clinic in Whitehorse, YT.

Dorcas Kennedy (D)

Family physician in Lethbridge, Alta.

Wiplove Lamba (W)

Psychiatrist and addiction physician at St Michael's Hospital in Toronto, Ont.

Jazmin Marlinga (J)

Family physician at the CUPS Medical Clinic and the Family Care Clinic and a hospitalist physician at the Peter Lougheed Hospital in Calgary, Alta.

Tally Mogus (T)

Family physician with the Boyle McCauley Health Centre and the ARCH program of the Royal Alexandra Hospital in Edmonton and Clinical Lecturer in the Department of Family Medicine at the University of Alberta.

Tony Nickonchuk (T)

Clinical pharmacist at the Peace River Community Health Centre in Peace River, Alta.

Eli Orrantia (E)

Family physician in Marathon, Ont.

Kim Reich (K)

Registered social worker at the Northeast Community Health Centre in Edmonton.

Nick Wong (N)

Family physician with the Lifemark Chronic Pain Program in Edmonton.

Nicolas Dugré (N)

Pharmacist at the CIUSSS du Nord-de-l'Ile-de-Montréal and Clinical Associate Professor in the Faculty of Pharmacy at the University of Montreal in Quebec.

Adrienne J Lindblad (AJ)

Pharmacist and Knowledge Translation and Evidence Coordinator at the Alberta College of Family Physicians and Associate Clinical Professor in the Department of Family Medicine at the University of Alberta.

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Classifications MeSH

questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Managing opioid use disorder in primary care:...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Prise en charge de la maladie › Managing opioid use disorder in primary care:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Managing opioid use disorder in primary care:...
questionsmedicales.fr › Thérapeutique › Traitement médicamenteux › Traitement de substitution aux opiacés › Managing opioid use disorder in primary care:...
questionsmedicales.fr › Troubles mentaux › Troubles liés à une substance › Troubles liés à l'usage de substances psychotropes › Troubles liés aux opiacés › Managing opioid use disorder in primary care:...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Services de santé polyvalents › Soins de santé primaires › Managing opioid use disorder in primary care:...