Category: Federal Forum Posters
Purpose: Opioid dose tapers are used frequently when cross-titrating from one opioid to another or when discontinuing therapy altogether. Currently there is no universally accepted standard of care for this procedure which can leave patients at risk for withdrawal symptoms and inadequate pain control. The objective of this clinician survey is to examine practices among and between pharmacists, physicians, nurse practitioners and physician’s assistants and to assess the need for development of a standard of care.
Methods: This study has been submitted to the local Institutional Review Board for Approval. An electronic survey will be developed in SurveyMonkey® and disseminated via e-mail list serves and professional organizations to reach practicing pharmacists, physicians, nurse practitioners and physician’s assistants who prescribe or dispense opioid therapies. Data will be collected regarding clinician discipline (i.e. physician, pharmacist, nurse practitioner, physician assistant), clinician confidence tapering opioids at varying total daily morphine milligram equivalents (MME), approach to designing an opioid taper, medications used to manage withdrawal symptoms if applicable, motive for tapering, and over all feeling of expertise tapering opioids. All responses will be collected anonymously with no patient specific or clinician- identifying information about themselves or their practice. The data will be aggregated and analyzed to assess for trends in opioid tapering practices, identify variation among clinician groups, and to contribute to the current dearth of literature regarding opioid dose tapering.
Results: Not Applicable
Conclusion: Not Applicable
Amelia Persico– PGY1 Pharmacy Resident, Stratton VAMC, Ravena, NY