{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:23:21Z","timestamp":1740126201874,"version":"3.37.3"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,3,21]],"date-time":"2023-03-21T00:00:00Z","timestamp":1679356800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["451722"],"award-info":[{"award-number":["451722"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Fonds de Recherche en Sant\u00e9-Qu\u00e9bec","award":["295668"],"award-info":[{"award-number":["295668"]}]},{"name":"Strategy for Patient-Oriented Research (SPOR)-Quebec"},{"DOI":"10.13039\/501100017033","name":"Quebec Pain Research Network","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017033","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004888","name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004888","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Prolonged opioid use is common following traumatic injuries. Although preventive strategies have been recommended, the evidence supporting their use is low. The objectives of this study were to select interdisciplinary strategies to prevent long-term, detrimental opioid use in trauma patients for further evaluation and to identify implementation considerations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>A consensus study using the nominal group technique.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Four trauma systems in Canada.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Subjects<\/jats:title>\n                  <jats:p>Participants included expert clinicians and decision makers, and people with lived experience.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Participants had to discuss the relevance and implementation of 15 strategies and then rank them using a 7-point Likert scale. Implementation considerations were identified through a synthesis of discussions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 41 expert stakeholders formed the nominal groups. Overall, eight strategies were favored: 1) using multimodal approach for pain management, 2) professional follow-up in physical health, 3) assessment of risk factors for opioid misuse, 4) physical stimulation, 5) downward adjustment of opioids based on patient recovery, 6) educational intervention for patients, 7) training offered to professionals on how to prescribe opioids, and 8) optimizing communication between professionals working in different settings. Discussions with expert stakeholders revealed the rationale for the selected strategies and identified issues to consider when implementing them.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This stakeholder consensus study identified, for further scientific study, a set of interdisciplinary strategies to promote appropriate opioid use following traumatic injuries. These strategies could ultimately decrease the burden associated with long-term opioid use.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnad037","type":"journal-article","created":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T15:24:18Z","timestamp":1679325858000},"page":"933-940","source":"Crossref","is-referenced-by-count":1,"title":["Interdisciplinary strategies to prevent long-term and detrimental opioid use following trauma: a stakeholder consensus study"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6657-3915","authenticated-orcid":false,"given":"M\u00e9lanie","family":"B\u00e9rub\u00e9","sequence":"first","affiliation":[{"name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval Research Centre, Population Health and Optimal Practices Research Unit Research Unit (Trauma\u2014Emergency\u2014Critical Care Medicine) , Qu\u00e9bec City, Quebec G1V 0A6, Canada"},{"name":"Faculty of Nursing, Universit\u00e9 Laval , Qu\u00e9bec City, Quebec G1V 0A6, Canada"},{"name":"Quebec Pain Research Network , Sherbrooke, Quebec J1H 5N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"C\u00f4t\u00e9","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval Research Centre, Population Health and Optimal Practices Research Unit Research Unit (Trauma\u2014Emergency\u2014Critical Care Medicine) , Qu\u00e9bec City, Quebec G1V 0A6, Canada"},{"name":"Faculty of Nursing, Universit\u00e9 Laval , Qu\u00e9bec City, Quebec G1V 0A6, Canada"},{"name":"Quebec Pain Research Network , Sherbrooke, Quebec J1H 5N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc-Aur\u00e8le","family":"Gagnon","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval Research Centre, Population Health and Optimal Practices Research Unit Research Unit (Trauma\u2014Emergency\u2014Critical Care Medicine) , Qu\u00e9bec City, Quebec G1V 0A6, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynne","family":"Moore","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval Research Centre, Population Health and Optimal Practices Research Unit Research Unit (Trauma\u2014Emergency\u2014Critical Care Medicine) , Qu\u00e9bec City, Quebec G1V 0A6, Canada"},{"name":"Department of Social Preventive Medicine, Universit\u00e9 Laval , Qu\u00e9bec City, Quebec G1V 0A6, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorraine","family":"Tremblay","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sunnybrook Health Sciences Centre , Toronto, Ontario M4N 3M5, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis F","family":"Turgeon","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval Research Centre, Population Health and Optimal Practices Research Unit Research Unit (Trauma\u2014Emergency\u2014Critical Care Medicine) , Qu\u00e9bec City, Quebec G1V 0A6, Canada"},{"name":"Department of Anesthesiology and Critical Care Medicine, Division of Critical Care Medicine, Universit\u00e9 Laval , Qu\u00e9bec City, Quebec G1V 0A6, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of British Columbia , Vancouver, British Columbia V5Z 1M9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg","family":"Berry","sequence":"additional","affiliation":[{"name":"Departement of Orthopaedic Surgery, McGill University Health Centre , Montr\u00e9al, Quebec H3G 1A4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Val\u00e9rie","family":"Turcotte","sequence":"additional","affiliation":[{"name":"Department of Nursing, CIUSSS du Nord-de-l\u2019\u00eele-de-Montr\u00e9al , Montr\u00e9al, Quebec H4J 1C5, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9tienne L","family":"Belzile","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Orthopeadic Surgery, CHU de Qu\u00e9bec-Universit\u00e9 Laval , Qu\u00e9bec City, Quebec GIV 1Z4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Dale","sequence":"additional","affiliation":[{"name":"Lawrence S. 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