Navigation Links
Painkiller prescribing varies dramatically among family physicians: study
Date:3/14/2011

TORONTO, Ont., March 14, 2011 -- Some physicians are prescribing opioids such as OxyContin 55 times as often as others, according to a new study led by St. Michael's Hospital and the Institute for Clinical Evaluative Sciences (ICES). The study found most opioid-related deaths occur among patients treated by physicians who frequently prescribe opioids, suggesting doctors who prescribe a lot of opioids may not be doing so safely.

"We found that the 20 per cent of family doctors who are frequent prescribers wrote 55 times as many prescriptions as the 20 per cent of family doctors who prescribe opioids the least. This large variation in practice is concerning," says Dr. Irfan Dhalla, a general internist at St. Michael's Hospital and an adjunct scientist at ICES.

The study, published in the March edition of the journal Canadian Family Physician, examined opioid prescribing rates among family physicians in Ontario. Researchers found doctors who frequently prescribe opioids are also more likely to write the patient's final prescription before death.

"Family physicians are caught in the middle. On the one hand, there are many patients suffering terribly from chronic pain who can't get relief from other treatments. On the other hand, the evidence for long-term treatment with opioids is very weak," says St. Michael's family physician Dr. Philip Berger. "If the drugs were safe, it wouldn't be an issue. But unfortunately they do carry significant risks -- most notably addiction and death from overdose. And it is important to recognize that one reason opioids are prescribed so often is that the pharmaceutical industry has marketed these drugs very aggressively."

Deaths related to opioids in Ontario have more than doubled -- from 13.7 deaths per million residents in 1991 to 33.3 deaths per million residents in 2006. Of the 423 deaths that occurred in 2006, oxycodone -- the active ingredient in OxyContin -- was the opioid most frequently associated with an overdose death.

In 2010, the provincial government passed the Narcotics Safety and Awareness Act, which will enable the Ministry of Health and Long-Term Care to better track opioid prescribing in Ontario.


'/>"/>

Contact: Julie Saccone
sacconej@smh.ca
416-864-5047
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. Painkillers Lower Estrogen Levels, May Explain Cancer Reduction Risk
2. Another perk of painkillers? Decreased hormone levels may reduce cancer risk
3. New Form of Painkiller May Fight Colon Cancer
4. Acupuncture May Trigger Natural Painkiller
5. Turning a painkiller into a cancer killer
6. ER Visits Soaring for Prescription Painkiller Misuse
7. Statins, Painkillers May Upset PSA Test Results
8. Romantic Love: Natures Painkiller?
9. Painkillers in Pregnancy May Harm Sons Fertility, Study Suggests
10. Prescriptions for Stimulants, Painkillers Soaring Among Youth
11. Oxycontin, Other Opioid Painkillers Tied to Higher Health Risks
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... 05, 2016 , ... Francisco Canales, MD and Heather Furnas, ... Valley office. The technique utilizes the body’s own healing abilities to quickly rejuvenate ... are part of only a select few cosmetic surgeons bringing this procedure to ...
(Date:2/5/2016)... ... February 05, 2016 , ... After years as an active ... Unit, plastic and cosmetic surgeon Dr. Wayne Carman transitioned to chief of the Division ... completed his first three-year term as chief and began a second three-year term in ...
(Date:2/5/2016)... , ... February 05, 2016 , ... ... PROSHRED franchises from across the country gathered at the La Valencia Hotel in ... performers. PROSHRED Chicago was named the year’s most outstanding franchise, walking away ...
(Date:2/5/2016)... ... 05, 2016 , ... Give To Cure today announced that it ... to Give To Cure’s campaign that is crowdfunding clinical trials to help find cures ... payments through a smart device. In 2015 alone, Venmo processed $7.5 billion in transactions ...
(Date:2/5/2016)... ... February 05, 2016 , ... At its annual meeting held ... as Chairman of the National Board of Directors. Mr. McDermott succeeds former APDA Chairman, ... stated Leslie A. Chambers , APDA President and CEO. “Pat has tirelessly served ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... Feb. 5, 2016 Aethlon Medical, Inc. (Nasdaq: ... and CEO, will be presenting at Source Capital Group,s 2016 ... NY at 2:15 p.m. ET on Wednesday, February ... Panel discussion taking place at 3:15 p.m. ET. ... one hour after the conclusion of the live event. The ...
(Date:2/5/2016)... , February 5, 2016 ... Market Research report states that the global active pharmaceuticals ... and is predicted to reach US$185.9 bn by 2020. ... 6.50% from 2014 to 2020. The title of the ... Captive/Contract Manufactured, by Geography, and by Therapeutic Area) - ...
(Date:2/5/2016)... , Feb. 5, 2016  Zimmer Biomet Holdings, Inc. ... the previously announced underwritten secondary offering of 11,027,558 shares ... consisting of affiliates of Blackstone and Goldman Sachs.  The ... initial price of $96.45 per share. The selling stockholders ...  Neither Zimmer Biomet nor any of its directors, officers ...
Breaking Medicine Technology: