A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain
ABSTRACTIntroduction/Aim Primary care providers (PCPs), who provide the bulk of care for patients with chronic noncancer pain (CNCP), often report knowledge gaps, limited resources, and difficult patient encounters while managing chronic pain. This scoping review seeks to evaluate gaps identified by...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Canadian Journal of Pain |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/24740527.2022.2145940 |
| _version_ | 1797448938931879936 |
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| author | Virginia McEwen Mihal (Michelle) Esterlis R. Gianni Lorello Abhimanyu Sud F. Marina Englesakis Anuj Bhatia |
| author_facet | Virginia McEwen Mihal (Michelle) Esterlis R. Gianni Lorello Abhimanyu Sud F. Marina Englesakis Anuj Bhatia |
| author_sort | Virginia McEwen |
| collection | DOAJ |
| description | ABSTRACTIntroduction/Aim Primary care providers (PCPs), who provide the bulk of care for patients with chronic noncancer pain (CNCP), often report knowledge gaps, limited resources, and difficult patient encounters while managing chronic pain. This scoping review seeks to evaluate gaps identified by PCPs in providing care to patients with chronic pain.Methods The Arksey and O’Malley framework was used for this scoping review. A broad literature search was conducted for relevant articles on gaps in knowledge and skills of PCPs and in their health care environment for managing chronic pain, with multiple search term derivatives for concepts of interest. Articles from the initial search were screened for relevance, yielding 31 studies. Inductive and deductive thematic analysis was adopted.Results The studies included in this review reflected a variety of study designs, settings, and methods. However, consistent themes emerged with respect to gaps in knowledge and skills for assessment, diagnosis, treatment, and interprofessional roles in chronic pain, as well as broader systemic issues including attitudes toward CNCP. A general lack of confidence in tapering high dose or ineffective opioid regimes, professional isolation, challenges in managing patients with CNCP with complex needs, and limited access to pain specialists were reported by PCPs.Discussion/Conclusions This scoping review revealed common elements across the selected studies that will be useful in guiding creation of targeted supports for PCPs to manage CNCP. This review also yielded insights for pain clinicians at tertiary centers for supporting their PCP colleagues as well as systemic reforms required to support patients with CNCP. |
| first_indexed | 2024-03-09T14:17:38Z |
| format | Article |
| id | doaj.art-5d76af32ac6e4f718165c678d5ec1c5d |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-03-09T14:17:38Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-5d76af32ac6e4f718165c678d5ec1c5d2023-11-28T20:20:17ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272023-12-017110.1080/24740527.2022.2145940A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer PainVirginia McEwen0Mihal (Michelle) Esterlis1R. Gianni Lorello2Abhimanyu Sud3F. Marina Englesakis4Anuj Bhatia5Chronic Pain Management Program, St. Joseph’s Care Group, Thunder Bay, ON, CanadaDepartment of Nursing, Ryerson University, Toronto, ON, CanadaDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, CanadaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, CanadaLibrary & Information Services, University Health Network, Toronto, ON, CanadaDepartment of Anesthesiology and Pain Medicine, University of Toronto, Toronto, ON, CanadaABSTRACTIntroduction/Aim Primary care providers (PCPs), who provide the bulk of care for patients with chronic noncancer pain (CNCP), often report knowledge gaps, limited resources, and difficult patient encounters while managing chronic pain. This scoping review seeks to evaluate gaps identified by PCPs in providing care to patients with chronic pain.Methods The Arksey and O’Malley framework was used for this scoping review. A broad literature search was conducted for relevant articles on gaps in knowledge and skills of PCPs and in their health care environment for managing chronic pain, with multiple search term derivatives for concepts of interest. Articles from the initial search were screened for relevance, yielding 31 studies. Inductive and deductive thematic analysis was adopted.Results The studies included in this review reflected a variety of study designs, settings, and methods. However, consistent themes emerged with respect to gaps in knowledge and skills for assessment, diagnosis, treatment, and interprofessional roles in chronic pain, as well as broader systemic issues including attitudes toward CNCP. A general lack of confidence in tapering high dose or ineffective opioid regimes, professional isolation, challenges in managing patients with CNCP with complex needs, and limited access to pain specialists were reported by PCPs.Discussion/Conclusions This scoping review revealed common elements across the selected studies that will be useful in guiding creation of targeted supports for PCPs to manage CNCP. This review also yielded insights for pain clinicians at tertiary centers for supporting their PCP colleagues as well as systemic reforms required to support patients with CNCP.https://www.tandfonline.com/doi/10.1080/24740527.2022.2145940scoping reviewchronic noncancer painprimary care providersmedical education |
| spellingShingle | Virginia McEwen Mihal (Michelle) Esterlis R. Gianni Lorello Abhimanyu Sud F. Marina Englesakis Anuj Bhatia A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain Canadian Journal of Pain scoping review chronic noncancer pain primary care providers medical education |
| title | A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain |
| title_full | A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain |
| title_fullStr | A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain |
| title_full_unstemmed | A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain |
| title_short | A Scoping Review of Gaps Identified by Primary Care Providers in Caring for Patients with Chronic Noncancer Pain |
| title_sort | scoping review of gaps identified by primary care providers in caring for patients with chronic noncancer pain |
| topic | scoping review chronic noncancer pain primary care providers medical education |
| url | https://www.tandfonline.com/doi/10.1080/24740527.2022.2145940 |
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