In episode 419, Tina, Mike and James finish talking about managing opioid use disorder in primary care.  We find that positive reinforcement and brief counseling can be of some value but not the opposite – we realize we should treat this in a similar way to a chronic condition. We also realize that the evidence around urine drug testing and contracts is at best confusing and very limited. 

Show notes

Opioid use disorder in primary care: PEER umbrella systematic review of systematic reviews

Can Fam Physician. 2019 May;65(5):e194-e206

Managing opioid use disorder in primary care: PEER simplified guideline

Can Fam Physician. 2019 May;65(5):321-330

In episode 418, Tina, Mike and James continue to talk about managing opioid use disorder in primary care. We talk about tools used for case finding and decide the POMI tool is the most useful. We also discuss whether or not tapering is useful and look at the naltrexone data.

Show notes

Opioid use disorder in primary care: PEER umbrella systematic review of systematic reviews

Can Fam Physician. 2019 May;65(5):e194-e206

Managing opioid use disorder in primary care: PEER simplified guideline

Can Fam Physician. 2019 May;65(5):321-330

In episode 417, Mike and James invite Tina Korownyk to talk about all the work our PEER group did in developing a simplified guideline for managing opioid use disorder in primary care. We talk about how the guideline was put together, how the group decided on the questions that needed to be answered around opioid use disorder and what the evidence says around where can opioid use disorder be treated.

Show notes

Opioid use disorder in primary care: PEER umbrella systematic review of systematic reviews

Can Fam Physician. 2019 May;65(5):e194-e206

Managing opioid use disorder in primary care: PEER simplified guideline

Can Fam Physician. 2019 May;65(5):321-330