RT Journal Article
SR Electronic
T1 Managing opioid use disorder in primary care
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 321
OP 330
VO 65
IS 5
A1 Christina Korownyk
A1 Danielle Perry
A1 Joey Ton
A1 Michael R. Kolber
A1 Scott Garrison
A1 Betsy Thomas
A1 G. Michael Allan
A1 Cheryl Bateman
A1 Raquel de Queiroz
A1 Dorcas Kennedy
A1 Wiplove Lamba
A1 Jazmin Marlinga
A1 Tally Mogus
A1 Tony Nickonchuk
A1 Eli Orrantia
A1 Kim Reich
A1 Nick Wong
A1 Nicolas Dugré
A1 Adrienne J. Lindblad
YR 2019
UL http://www.cfp.ca/content/65/5/321.abstract
AB 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.