A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study
Abstract
:1. Introduction
2. Objectives
3. Methods
3.1. Survey Development
3.2. Survey Distribution
3.3. Data Analysis
4. Results
5. Discussion
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
References
- Hall, K.K.; Shoemaker-Hunt, S.; Hoffman, L.; Richard, S.; Gall, E.; Schoyer, E.; Costar, D.; Gale, B.; Schiff, G.; Miller, K.; et al. Making Healthcare Safer III: A Critical Analysis of Existing and Emerging Patient Safety Practices; Agency for Healthcare Research and Quality: Rockville, MD, USA, 2020. [Google Scholar]
- World Health Organization. Opioid Overdose. 2020. Available online: https://www.who.int/news-room/fact-sheets/detail/opioid-overdose (accessed on 28 September 2020).
- Shah, A.; Hayes, C.J.; Martin, B.C. Factors Influencing Long-Term Opioid Use among Opioid Naive Patients: An Examination of Initial Prescription Characteristics and Pain Etiologies. J. Pain 2017, 18, 1374–1383. [Google Scholar] [CrossRef] [PubMed]
- Herzig, S.J.; Rothberg, M.B.; Cheung, M.; Ngo, L.H.; Marcantonio, E.R. Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals. J. Hosp. Med. 2013, 9, 73–81. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Calcaterra, S.L.; Yamashita, T.E.; Min, S.-J.; Keniston, A.; Frank, J.W.; Binswanger, I.A. Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use. J. Gen. Intern. Med. 2016, 31, 478–485. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Danovitch, I.; VanLe, B.; Van Groningen, N.; Ishak, W.; Nuckols, T. Opioid Overdose in the Hospital Setting: A Systematic Review. J. Addict. Med. 2020, 14, 39–47. [Google Scholar] [CrossRef] [PubMed]
- Australian Commission on Safety and Quality in Health Care. National Opioid Analgesic Stewardship Program—Discussion Paper; Australian Commission on Safety and Quality in Health Care: Sydney, NSW, Australia, 2021. [Google Scholar]
- Liu, S.; Gnjidic, D.; Nguyen, J.; Penm, J. Effectiveness of interventions on the appropriate use of opioids for noncancer pain among hospital inpatients: A systematic review. Br. J. Clin. Pharmacol. 2019, 86, 210–243. [Google Scholar] [CrossRef] [PubMed]
- A Pedersen, C.; Schneider, P.J.; Ganio, M.C.; Scheckelhoff, D.J. ASHP national survey of pharmacy practice in hospital settings: Prescribing and transcribing—2019. Am. J. Health Pharm. 2020, 77, 1026–1050. [Google Scholar] [CrossRef] [PubMed]
- Allen, M.L.; Leslie, K.; Parker, A.V.; Kim, C.C.; Brooks, S.L.; Braat, S.; Schug, S.A.; Story, D.A. Post-surgical opioid stewardship programs across Australia and New Zealand: Current situation and future decisions. Anaesth. Intensive Care 2019, 47, 548–552. [Google Scholar] [CrossRef] [PubMed]
- Harris, P.A.; Taylor, R.; Thielke, R.; Payne, J.; Gonzalez, N.; Conde, J.G. Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. J. Biomed. Inform. 2009, 42, 377–381. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- World Health Organization. Working with the Regions. 2020. Available online: https://www.who.int/chp/about/regions/en/ (accessed on 2 July 2020).
- Hill, M.V.; Stucke, R.S.; McMahon, M.L.; Beeman, J.L.; Barth, R.J. An Educational Intervention Decreases Opioid Prescribing After General Surgical Operations. Ann. Surg. 2018, 267, 468–472. [Google Scholar] [CrossRef] [PubMed]
- Phelps, P.; Achey, T.S.; Mieure, K.D.; Cuellar, L.; MacMaster, H.; Pecho, R.; Ghafoor, V. A Survey of Opioid Medication Stewardship Practices at Academic Medical Centers. Hosp. Pharm. 2018, 54, 57–62. [Google Scholar] [CrossRef] [PubMed]
- Bugada, D.; Lorini, L.F.; Fumagalli, R.; Allegri, M. Genetics and Opioids: Towards More Appropriate Prescription in Cancer Pain. Cancers 2020, 12, 1951. [Google Scholar] [CrossRef] [PubMed]
- Manchikanti, L.; Kaye, A.M.; Knezevic, N.N.; McAnally, H.; Slavin, K.; Trescot, A.M.; Blank, S.; Pampati, V.; Abdi, S.; Grider, J.S.; et al. Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines. Pain Physician 2017, 20, S3–S92. [Google Scholar] [CrossRef] [PubMed]
- Bugada, D.; Lorini, L.F.; Lavand’Homme, P. Opioid Free Anesthesia: Evidence for Short and Long-Term Outcome; Minerva Anestesiologica: Turin, Italy, 2020. [Google Scholar]
- Pardo, B.; Kilmer, B.; Huang, W. Contemporary Asian Drug Policy: Insights and Opportunities for Change. In Contemporary Asian Drug Policy: Insights and Opportunities for Change; RAND Corporation: Santa Monica, CA, USA, 2019. [Google Scholar]
- Cleary, J.; Radbruch, L.; Torode, J.; Cherny, N.I. Formulary availability and regulatory barriers to accessibility of opioids for cancer pain in Asia: A report from the Global Opioid Policy Initiative (GOPI). Ann. Oncol. 2013, 24, xi24–xi32. [Google Scholar] [CrossRef] [PubMed]
- The ACHEON Working Group; Kim, Y.; Ahn, J.S.; Calimag, M.M.P.; Chao, T.C.; Ho, K.Y.; Tho, L.M.; Xia, Z.; Ward, L.; Moon, H.; et al. Current practices in cancer pain management in Asia: A survey of patients and physicians across 10 countries. Cancer Med. 2015, 4, 1196–1204. [Google Scholar] [PubMed]
- North Carolina Health News. Lessons from Abroad: How Europeans Have Tackled Opioid Addiction and What the U.S. Could Learn from Them, in North Carolina Health News; LION Publishers: Oxford, UK, 2020. [Google Scholar]
- European Monitoring Centre for Drugs and Drug Addiction. European Drug Report: Trends and Developments; Publications Office of the European Union: Luxembourg, 2017. [Google Scholar]
- European Monitoring Centre for Drugs and Drug Addiction. United Kingdom Country Drug Report 2019; Drug-Induced Deaths; EMCDDA: Lisbon, Portugal, 2019. [Google Scholar]
Country of Origin | Number of Respondents n (%) | |
---|---|---|
Africa | 10 (20%) | |
• | Kenya | 5 (10%) |
• | Nigeria | 5 (10%) |
North and South America | 17 (35%) | |
• | Canada | 11 (22%) |
• | Costa Rica | 1 (2%) |
• | United States | 5 (10%) |
Eastern Mediterranean and South East Asia | 3 (6%) | |
• | Indonesia | 2 (4%) |
• | Iraq | 1 (2%) |
Europe | 9 (18%) | |
• | France | 3 (6%) |
• | Germany | 1 (2%) |
• | Lithuania | 1 (2%) |
• | San Marino | 1 (2%) |
• | Serbia | 1 (2%) |
• | Spain | 1 (2%) |
• | United Kingdom | 1 (2%) |
Western Pacific | 10 (20%) | |
• | Australia | 2 (4%) |
• | New Zealand | 6 (12%) |
• | Philippine | 1 (2%) |
• | Taiwan | 1 (2%) |
Type of hospital | ||
• | Academic hospital | 25 (50%) |
• | Community hospital | 16 (32%) |
• | Unspecified | 9 (18%) |
Prescribing system | ||
• | Computerised | 23 (46%) |
• | Paper-based | 23 (46%) |
• | Hybrid of paper and computerised | 2 (4%) |
Respondent gender | ||
• | Male | 15 (30%) |
• | Female | 34 (68%) |
Type of health professional | ||
• | Pharmacist | 47 (94%) |
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Al-Samawy, S.; Varughese, N.; Vaillancourt, R.; Wang, X.Y.; Penm, J. A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study. Pharmacy 2021, 9, 122. https://doi.org/10.3390/pharmacy9030122
Al-Samawy S, Varughese N, Vaillancourt R, Wang XY, Penm J. A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study. Pharmacy. 2021; 9(3):122. https://doi.org/10.3390/pharmacy9030122
Chicago/Turabian StyleAl-Samawy, Sarah, Nisha Varughese, Regis Vaillancourt, Xiao Yu (William) Wang, and Jonathan Penm. 2021. "A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study" Pharmacy 9, no. 3: 122. https://doi.org/10.3390/pharmacy9030122
APA StyleAl-Samawy, S., Varughese, N., Vaillancourt, R., Wang, X. Y., & Penm, J. (2021). A Global Survey on Opioid Stewardship Practices in Hospitals: A Cross-Sectional Pilot Study. Pharmacy, 9(3), 122. https://doi.org/10.3390/pharmacy9030122