Shifting From Opioids to Simple Analgesics for Emergency Care of Patients With Low Back Pain: A Secondary Analysis of the SHAPED Cluster Randomized Trial

Claudia Côté-Picard; Danielle M Coombs; Qiang Li; Chris G Maher; Gustavo C Machado

doi:10.1001/jamahealthforum.2024.3008

Shifting From Opioids to Simple Analgesics for Emergency Care of Patients With Low Back Pain: A Secondary Analysis of the SHAPED Cluster Randomized Trial

JAMA Health Forum. 2024 Sep 6;5(9):e243008. doi: 10.1001/jamahealthforum.2024.3008.

Authors

Claudia Côté-Picard¹, Danielle M Coombs^{2

3

4}, Qiang Li⁵, Chris G Maher^{2

4}, Gustavo C Machado^{2

4}

Affiliations

¹ Center for Interdisciplinary Research in Rehabilitation and Social Integration, Laval University, Québec City, Québec, Canada.
² Institute for Musculoskeletal Health, Sydney Local Health District, New South Wales, Australia.
³ Physiotherapy Department, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
⁴ Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
⁵ The George Institute for Global Health, UNSW Sydney, Sydney, New South Wales, Australia.

No abstract available

Plain language summary

This secondary analysis of a cluster randomized clinical trial examined a guideline-based care model for patients with low back pain, specifically whether physicians switched from opioids to low-risk or high-risk nonopioid pain medicines.

Publication types

Randomized Controlled Trial

MeSH terms

Adult
Analgesics / therapeutic use
Analgesics, Opioid* / administration & dosage
Analgesics, Opioid* / adverse effects
Analgesics, Opioid* / therapeutic use
Female
Humans
Low Back Pain* / drug therapy
Male
Middle Aged

Substances

Analgesics, Opioid
Analgesics