Strategies aimed at preventing chronic opioid use in trauma and acute care surgery: a scoping review protocol.

Abstract

INTRODUCTION:

Globally every year, millions of patients sustain traumatic injuries and require acute care surgeries. A high incidence of chronic opioid use (up to 58%) has been documented in these populations with significant negative individual and societal impacts. Despite the importance of this public health issue, optimal strategies to limit the chronic use of opioids after trauma and acute care surgery are not clear. We aim to identify existing strategies to prevent chronic opioid use in these populations.

METHODS AND ANALYSIS:

We will perform a scoping review of peer-reviewed and non-peer-reviewed literature to identify studies, reviews, recommendations and guidelines on strategies aimed at preventing chronic opioid use in patients after trauma and acute care surgery. We will search MEDLINE, EMBASE, PsycINFO, CINHAL, Cochrane Central Register of Controlled Trials, Web of Science, ProQuest and websites of trauma and acute care surgery, pain, government and professional organisations. Databases will be searched for papers published from 1 January 2005 to a maximum of 6 months before submission of the final manuscript. Two reviewers will independently evaluate studies for eligibility and extract data from included studies using a standardised data abstraction form. Preventive strategies will be classified according to their types and targeted trauma populations and acute care surgery procedures.

ETHICS AND DISSEMINATION:

Research ethics approval is not required as this study is based on the secondary use of published data. This work will inform research and clinical stakeholders on the required next steps towards the uptake of effective strategies aimed at preventing chronic opioid use in trauma and acute care surgery patients.

• Authors: Mélanie Bérubé, Lynne Moore, François Lauzier, Caroline Côté, Kelly Vogt, Lorraine Tremblay, Marc-Olivier Martel, Gabrielle Pagé, Pier-Alexandre Tardif, Anne-Marie Pinard, S Morad Hameed, Kadija Perreault, Caroline Sirois, Carole Bélanger, Alexis F Turgeon
• Journal: BMJ open (BMJ Open) Vol. 10 Issue 4 Pg. e035268 (04 14 2020) ISSN: 2044-6055 [Electronic] England
• PMID: 32295777 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Chemical References

• Analgesics, Opioid

Topics

• Analgesics, Opioid (therapeutic use)
• Digestive System Diseases (surgery)
• Duration of Therapy
• Emergencies
• Humans
• Opioid-Related Disorders (prevention & control)
• Pain Management (methods)
• Pain, Postoperative (drug therapy)
• Review Literature as Topic
• Surgical Procedures, Operative
• Wounds and Injuries (surgery)