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What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition

Sunil Shrestha Orcid Logo, Asmita Priyadarshini Khatiwada, Binaya Sapkota Orcid Logo, Simit Sapkota, Prabhat Poudel Orcid Logo, Bhuvan KC, Siew Li Teoh, Ali Qais Blebil, Vibhu Paudyal Orcid Logo, Ali Blebil Orcid Logo

Journal of Pain Research, Volume: 16, Pages: 383 - 394

Swansea University Author: Ali Blebil Orcid Logo

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DOI (Published version): 10.2147/jpr.s389358

Abstract

Introduction: Opioid stewardship has been widely used to promote rational use, monitoring and discontinuation of opioid therapy; however, its definition and scope of practice remain unclear.Objective: To synthesize definitions of opioid stewardship proposed by clinical practice guidelines and profes...

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Published in: Journal of Pain Research
ISSN: 1178-7090
Published: Informa UK Limited 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa62888
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An Overview of Current Definitions and Proposal for a Universally Acceptable Definition</title><swanseaauthors><author><sid>ae3f126adda1dec7b84f0a12698f0b7d</sid><ORCID>0000-0002-7480-1260</ORCID><firstname>Ali</firstname><surname>Blebil</surname><name>Ali Blebil</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2023-03-08</date><deptcode>MEDS</deptcode><abstract>Introduction: Opioid stewardship has been widely used to promote rational use, monitoring and discontinuation of opioid therapy; however, its definition and scope of practice remain unclear.Objective: To synthesize definitions of opioid stewardship proposed by clinical practice guidelines and professional societies, and to offer a proposal for a universally acceptable definition.Methods: Systematic literature searches were performed (earliest records to May 2022) in six databases (MEDLINE, EMBASE, APA PsycINFO, Scopus, and CENTRAL) and grey sources guidelines development bodies and professional societies through Google. The conventional but widely applied content analysis and word frequencies were used to analyze the definitions and scope of practice.Results: After removing duplicates, 449 articles were retrieved (439 databases and registers and 11 from other sources), 19 of which included a definition of &#x201C;opioids stewardship&#x201D;. A total of 12 themes was identified in the definitions, including 1) improvement or appropriateness of prescribing opioids use, 2) mitigation of risk from opioids, 3) monitoring opioid use, 4) evaluation of opioid use, 5) judicious opioid use, 6) appropriateness of opioid disposal, 7) identification and treatment of opioid use disorder, 8) reduction in mortality associated with opioid overdoses, 9) appropriate procurement practices, 10) appropriate storage, 11) promoting better communications between patients and prescribers including education provision and 12) patient-centered decision-making.Conclusion: Opioid stewardship is inconsistently defined across professional and research literature. While there is a greater focus on appropriateness and need for improvement of prescribing and monitoring of opioid use, the importance of communications between patients and prescribers, and patient involvement in both prescribing and deprescribing decision-making remains sparse. A comprehensive definition has been proposed as part of the work. 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spelling 2025-06-05T14:08:50.6452352 v2 62888 2023-03-08 What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition ae3f126adda1dec7b84f0a12698f0b7d 0000-0002-7480-1260 Ali Blebil Ali Blebil true false 2023-03-08 MEDS Introduction: Opioid stewardship has been widely used to promote rational use, monitoring and discontinuation of opioid therapy; however, its definition and scope of practice remain unclear.Objective: To synthesize definitions of opioid stewardship proposed by clinical practice guidelines and professional societies, and to offer a proposal for a universally acceptable definition.Methods: Systematic literature searches were performed (earliest records to May 2022) in six databases (MEDLINE, EMBASE, APA PsycINFO, Scopus, and CENTRAL) and grey sources guidelines development bodies and professional societies through Google. The conventional but widely applied content analysis and word frequencies were used to analyze the definitions and scope of practice.Results: After removing duplicates, 449 articles were retrieved (439 databases and registers and 11 from other sources), 19 of which included a definition of “opioids stewardship”. A total of 12 themes was identified in the definitions, including 1) improvement or appropriateness of prescribing opioids use, 2) mitigation of risk from opioids, 3) monitoring opioid use, 4) evaluation of opioid use, 5) judicious opioid use, 6) appropriateness of opioid disposal, 7) identification and treatment of opioid use disorder, 8) reduction in mortality associated with opioid overdoses, 9) appropriate procurement practices, 10) appropriate storage, 11) promoting better communications between patients and prescribers including education provision and 12) patient-centered decision-making.Conclusion: Opioid stewardship is inconsistently defined across professional and research literature. While there is a greater focus on appropriateness and need for improvement of prescribing and monitoring of opioid use, the importance of communications between patients and prescribers, and patient involvement in both prescribing and deprescribing decision-making remains sparse. A comprehensive definition has been proposed as part of the work. There is a need to develop and validate the proposed definition and scope of practice to promote rationale for opioid prescribing, use and attainment of favourable outcomes through international consensus involving practitioners, researchers, and patients. Journal Article Journal of Pain Research 16 383 394 Informa UK Limited 1178-7090 opioid, opioid stewardship, opioid stewardship definition, stewardship 10 2 2023 2023-02-10 10.2147/jpr.s389358 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee The authors acknowledge the support from the University of Birmingham to cover the open access fees for the article. 2025-06-05T14:08:50.6452352 2023-03-08T13:17:55.9834209 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Pharmacy Sunil Shrestha 0000-0002-9174-7120 1 Asmita Priyadarshini Khatiwada 2 Binaya Sapkota 0000-0002-4125-9866 3 Simit Sapkota 4 Prabhat Poudel 0000-0001-9663-9930 5 Bhuvan KC 6 Siew Li Teoh 7 Ali Qais Blebil 8 Vibhu Paudyal 0000-0002-4173-6490 9 Ali Blebil 0000-0002-7480-1260 10 62888__27100__e82703dc7f414531bcbe00dd04435861.pdf 62888.pdf 2023-04-18T13:23:57.7144029 Output 875381 application/pdf Version of Record true © 2023 Shrestha et al. Released under the terms of a Creative Commons Attribution – Non Commercial (unported, v3.0) License. true eng https://creativecommons.org/licenses/by-nc/3.0/
title What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
spellingShingle What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
Ali Blebil
title_short What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
title_full What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
title_fullStr What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
title_full_unstemmed What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
title_sort What is “Opioid Stewardship”? An Overview of Current Definitions and Proposal for a Universally Acceptable Definition
author_id_str_mv ae3f126adda1dec7b84f0a12698f0b7d
author_id_fullname_str_mv ae3f126adda1dec7b84f0a12698f0b7d_***_Ali Blebil
author Ali Blebil
author2 Sunil Shrestha
Asmita Priyadarshini Khatiwada
Binaya Sapkota
Simit Sapkota
Prabhat Poudel
Bhuvan KC
Siew Li Teoh
Ali Qais Blebil
Vibhu Paudyal
Ali Blebil
format Journal article
container_title Journal of Pain Research
container_volume 16
container_start_page 383
publishDate 2023
institution Swansea University
issn 1178-7090
doi_str_mv 10.2147/jpr.s389358
publisher Informa UK Limited
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Pharmacy{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Pharmacy
document_store_str 1
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description Introduction: Opioid stewardship has been widely used to promote rational use, monitoring and discontinuation of opioid therapy; however, its definition and scope of practice remain unclear.Objective: To synthesize definitions of opioid stewardship proposed by clinical practice guidelines and professional societies, and to offer a proposal for a universally acceptable definition.Methods: Systematic literature searches were performed (earliest records to May 2022) in six databases (MEDLINE, EMBASE, APA PsycINFO, Scopus, and CENTRAL) and grey sources guidelines development bodies and professional societies through Google. The conventional but widely applied content analysis and word frequencies were used to analyze the definitions and scope of practice.Results: After removing duplicates, 449 articles were retrieved (439 databases and registers and 11 from other sources), 19 of which included a definition of “opioids stewardship”. A total of 12 themes was identified in the definitions, including 1) improvement or appropriateness of prescribing opioids use, 2) mitigation of risk from opioids, 3) monitoring opioid use, 4) evaluation of opioid use, 5) judicious opioid use, 6) appropriateness of opioid disposal, 7) identification and treatment of opioid use disorder, 8) reduction in mortality associated with opioid overdoses, 9) appropriate procurement practices, 10) appropriate storage, 11) promoting better communications between patients and prescribers including education provision and 12) patient-centered decision-making.Conclusion: Opioid stewardship is inconsistently defined across professional and research literature. While there is a greater focus on appropriateness and need for improvement of prescribing and monitoring of opioid use, the importance of communications between patients and prescribers, and patient involvement in both prescribing and deprescribing decision-making remains sparse. A comprehensive definition has been proposed as part of the work. There is a need to develop and validate the proposed definition and scope of practice to promote rationale for opioid prescribing, use and attainment of favourable outcomes through international consensus involving practitioners, researchers, and patients.
published_date 2023-02-10T05:10:52Z
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