Attitudes and practices of physician assistants in the state of Kansas with regards to opioid management in chronic non-malignant pain patients

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dc.contributor.advisor Quigley, Timothy F.
dc.contributor.author Weaver, Ann
dc.date.accessioned 2007-10-01T14:25:58Z
dc.date.available 2007-10-01T14:25:58Z
dc.date.copyright 2006
dc.date.issued 2006-05
dc.identifier.uri http://hdl.handle.net/10057/959
dc.description A project presented to the Department of Physician Assistant of Wichita State University in partial fulfillment of the requirements for the degree of Master of Physician Assistant. en
dc.description.abstract Acute and chronic pain are common conditions practitioners continually face in diagnosing and treating patients. The use of prescribing opioids in chronic non-malignant pain (CNMP) patients is controversial due to fear of legal issues and a lack of awareness of state guidelines for treatment. The purpose of this research was to investigate the attitudes and practices of Physician Assistants (PAs) in Kansas in the treatment of CNMP and their awareness of state guidelines for controlled substances. Methods: A cross sectional, non-randomized survey study was administered to all licensed PAs (N=577) in the State of Kansas in 2005. The survey consisted of specific questions regarding attitudes toward opioid management, prescribing habits, and familiarity with the recommended guidelines of the State of Kansas. Results: Slightly less than half of the PA’s in this study were aware of state guidelines for the use of controlled substances in CNMP and actively followed three of the five clinical documentation recommendations. Among the 177 PAs responding to the survey, only nine percent stated they would never prescribe an opioid for the use of CNMP. There was a significant relationship between awareness of state guidelines and clinical documentation of a history and physical, treatment, and informed consent. Conclusion: Practitioners continue to be hesitant in prescribing opioids for CNMP due to concern for legal issues and fear of potential substance abuse in patients. This pilot study highlights the need for larger studies of primary clinicians and the potential of patient undertreatment of CNMP. en
dc.format.extent 849606 bytes
dc.format.mimetype application/pdf
dc.format.mimetype application/pdf
dc.language.iso en_US en
dc.publisher Wichita State University, Dept. of Physician Assistant en
dc.subject Primary care en
dc.subject Opioid en
dc.subject Chronic non-malignant pain en
dc.subject Physicians en
dc.subject Physician assistants en
dc.title Attitudes and practices of physician assistants in the state of Kansas with regards to opioid management in chronic non-malignant pain patients en
dc.type Research project en

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