TY - JOUR T1 - Managing opioid use disorder in primary care JF - Canadian Family Physician JO - Can Fam Physician SP - 321 LP - 330 VL - 65 IS - 5 AU - Christina Korownyk AU - Danielle Perry AU - Joey Ton AU - Michael R. Kolber AU - Scott Garrison AU - Betsy Thomas AU - G. Michael Allan AU - Cheryl Bateman AU - Raquel de Queiroz AU - Dorcas Kennedy AU - Wiplove Lamba AU - Jazmin Marlinga AU - Tally Mogus AU - Tony Nickonchuk AU - Eli Orrantia AU - Kim Reich AU - Nick Wong AU - Nicolas Dugré AU - Adrienne J. Lindblad Y1 - 2019/05/01 UR - http://www.cfp.ca/content/65/5/321.abstract N2 - Objective 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.Methods 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 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.Conclusion 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. ER -