{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:21:48Z","timestamp":1777915308219,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with life-limiting cancers are commonly prescribed opioids to manage pain, dyspnea, and cough. Proper prescription opioid disposal is essential to prevent poisonings and deaths.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We examined opioid disposal practices of patients referred to a Canadian outpatient palliative care clinic (OPCC). The primary objective was to determine the prevalence of OPCC patients who did not routinely dispose their opioids. The secondary objectives were to examine their methods of opioid disposal and to identify patient characteristics associated with routine disposal of opioids.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and Setting:<\/jats:title>\n                    <jats:p>This cross-sectional study involved a retrospective chart review of new, adult patients who were seen in a Canadian OPCC (September 2018\u2013August 2019) and completed a survey about opioid-related constructs: source of prescriptions, use, storage, disposal, and knowledge about associated harms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among the 122 study participants, half (58\/111, 52.3%) reported that they did not routinely dispose their opioids. The most common method of disposal was by giving them to pharmacists (69\/88, 78.4%). Cannabis use (odds ratio [OR]: 3.7, 95% confidence interval [CI]: 1.1\u201311.8) and neuropathic medication use (OR: 3.0, 95% CI: 1.2\u20137.2) were positively associated with routine disposal of opioids. Conversely, reports of an increased amount of opioid use in the past six months were negatively associated with routine disposal of opioids (OR: 0.38, 95% CI: 0.16\u20130.88).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The high prevalence of people with life-limiting illnesses who do not routinely dispose their opioids requires increased attention. Interventions, such as education, are needed to reduce medication waste and opioid-related harms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jpm.2022.0355","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T10:15:40Z","timestamp":1674123340000},"page":"816-825","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Opioid Disposal Practices of Patients With Life-Limiting Cancers in an Outpatient Palliative Care Clinic: A Cross-Sectional Study"],"prefix":"10.1177","volume":"26","author":[{"given":"Jenny","family":"Lau","sequence":"first","affiliation":[{"name":"Department of Supportive Care, University Health Network, Toronto, Ontario, Canada."},{"name":"Division of Palliative Care, and University of Toronto, Toronto, Ontario, Canada."},{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camilla","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"Department of Supportive Care, University Health Network, Toronto, Ontario, Canada."},{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Selby","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada."},{"name":"Centre for Addiction and Mental Health, Toronto, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea D.","family":"Furlan","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Toronto, Toronto, Ontario, Canada."},{"name":"Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada."},{"name":"Institute for Work and Health, Toronto, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"Special Advisory Committee on the Epidemic of Opioid Overdoses. 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Pharmaceutical waste reduction in the NHS 2015. Available from: https:\/\/www.england.nhs.uk\/wp-content\/uploads\/2015\/06\/pharmaceutical-waste-reduction.pdf [Last accessed: November 16 2019]."},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2014.10.003"},{"key":"e_1_3_6_14_2","unstructured":"3 Disease from sewage. Australian Government; 2010. Available from: https:\/\/www1.health.gov.au\/internet\/publications\/publishing.nsf\/Content\/ohp-enhealth-manual-atsi-cnt-l~ohp-enhealth-manual-atsi-cnt-l-ch2~ohp-enhealth-manual-atsi-cnt-l-ch2.3 [Last accessed: November 1 2020]."},{"key":"e_1_3_6_15_2","unstructured":"Wastewater pollution. Government of Canada. 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