{"id":"https://openalex.org/W7135091663","doi":"https://doi.org/10.1136/spcare-2025-005812","title":"Inappropriate opioid prescribing among hospital inpatients before palliative care referral: prevalence and predictors \u2013 retrospective study","display_name":"Inappropriate opioid prescribing among hospital inpatients before palliative care referral: prevalence and predictors \u2013 retrospective study","publication_year":2026,"publication_date":"2026-03-12","ids":{"openalex":"https://openalex.org/W7135091663","doi":"https://doi.org/10.1136/spcare-2025-005812","pmid":"https://pubmed.ncbi.nlm.nih.gov/41819802"},"language":"en","primary_location":{"id":"doi:10.1136/spcare-2025-005812","doi":"https://doi.org/10.1136/spcare-2025-005812","is_oa":false,"landing_page_url":"https://doi.org/10.1136/spcare-2025-005812","pdf_url":null,"source":{"id":"https://openalex.org/S4210204300","display_name":"BMJ Supportive & Palliative Care","issn_l":"2045-435X","issn":["2045-435X","2045-4368"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Supportive & Palliative Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035666938","display_name":"Pasitpon Vatcharavongvan","orcid":"https://orcid.org/0000-0002-8655-7154","observed_orcids":["https://orcid.org/0000-0002-8655-7154"]},"institutions":[{"id":"https://openalex.org/I108108428","display_name":"Thammasat University","ror":"https://ror.org/002yp7f20","country_code":"TH","type":"education","lineage":["https://openalex.org/I108108428"]}],"countries":["TH"],"is_corresponding":true,"raw_author_name":"Pasitpon Vatcharavongvan","raw_affiliation_strings":["Community Medicine and Family Medicine, Thammasat University Faculty of Medicine, Khlong Luang, Thailand"],"raw_orcid":"https://orcid.org/0000-0002-8655-7154","affiliations":[{"raw_affiliation_string":"Community Medicine and Family Medicine, Thammasat University Faculty of Medicine, Khlong Luang, Thailand","institution_ids":["https://openalex.org/I108108428"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5081296505","display_name":"Termsook Ruksrithong","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803065428","display_name":"Thammasat University Hospital","ror":"https://ror.org/02s7hnh67","country_code":"TH","type":"healthcare","lineage":["https://openalex.org/I2803065428"]}],"countries":["TH"],"is_corresponding":false,"raw_author_name":"Termsook Ruksrithong","raw_affiliation_strings":["Thammasat University Hospital, Khlong Luang, Thailand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Thammasat University Hospital, Khlong Luang, Thailand","institution_ids":["https://openalex.org/I2803065428"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5035666938"],"corresponding_institution_ids":["https://openalex.org/I108108428"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.16112343,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"spcare","last_page":"2025"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.48069998621940613,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11199","display_name":"Pain Management and Opioid Use","score":0.48069998621940613,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.4494999945163727,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.04340000078082085,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospitalized-patients","display_name":"hospitalized patients","score":0.8220000267028809},{"id":"https://openalex.org/keywords/palliative-care-referral","display_name":"palliative care referral","score":0.9739999771118164},{"id":"https://openalex.org/keywords/prevalence","display_name":"prevalence","score":0.4449999928474426},{"id":"https://openalex.org/keywords/predictors-of-opioid-use","display_name":"predictors of opioid use","score":0.781000018119812},{"id":"https://openalex.org/keywords/palliative-performance-scale","display_name":"Palliative Performance Scale","score":0.8199999928474426},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.6060000061988831},{"id":"https://openalex.org/keywords/prescription-guidelines","display_name":"prescribing guidelines","score":0.3790000081062317}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9065999984741211},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.8151999711990356},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.7203999757766724},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6823999881744385},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.6215000152587891},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.5856999754905701},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5156000256538391},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4902999997138977},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4767000079154968},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.46140000224113464},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.44690001010894775},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.37049999833106995},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3467999994754791},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3407000005245209},{"id":"https://openalex.org/C2780879335","wikidata":"https://www.wikidata.org/wiki/Q2045105","display_name":"End-of-life care","level":3,"score":0.28040000796318054},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2773999869823456},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.2630000114440918}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1136/spcare-2025-005812","doi":"https://doi.org/10.1136/spcare-2025-005812","is_oa":false,"landing_page_url":"https://doi.org/10.1136/spcare-2025-005812","pdf_url":null,"source":{"id":"https://openalex.org/S4210204300","display_name":"BMJ Supportive & Palliative Care","issn_l":"2045-435X","issn":["2045-435X","2045-4368"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Supportive & Palliative Care","raw_type":"journal-article"},{"id":"pmid:41819802","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41819802","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ supportive & palliative care","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Quality education","score":0.7801345586776733,"id":"https://metadata.un.org/sdg/4"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W1601311636","https://openalex.org/W2092583907","https://openalex.org/W2111045543","https://openalex.org/W2119568920","https://openalex.org/W2185398876","https://openalex.org/W2523881722","https://openalex.org/W2768946084","https://openalex.org/W2794681317","https://openalex.org/W2991100396","https://openalex.org/W2997522012","https://openalex.org/W3003800530","https://openalex.org/W3010811911","https://openalex.org/W3015890368","https://openalex.org/W3023463185","https://openalex.org/W3121614514","https://openalex.org/W3161131819","https://openalex.org/W3212598250","https://openalex.org/W4324017998","https://openalex.org/W4364353476","https://openalex.org/W4400625482"],"related_works":[],"abstract_inverted_index":{"OBJECTIVES:":[0],"This":[1,39],"study":[2,42],"aimed":[3],"to":[4,17,22,51,65,133,145,158,192],"examine":[5],"the":[6,66,184],"prevalence":[7],"and":[8,21,25,75,82,147,189],"appropriateness":[9,83],"of":[10,166],"opioid":[11,55,98,168,172,194],"prescribing":[12,31,56,173],"among":[13,58,176],"hospital":[14,36,197],"inpatients":[15,59,177],"prior":[16],"palliative":[18,67,179,201],"care":[19,68,180],"consultation,":[20,110],"identify":[23],"clinical":[24,73],"demographic":[26],"factors":[27,94],"associated":[28,95,162],"with":[29,96,111,163],"appropriate":[30,112],"practices":[32],"in":[33,114,196],"a":[34,126],"tertiary":[35],"setting.":[37],"METHODS:":[38],"retrospective":[40],"cross-sectional":[41],"at":[43],"Thammasat":[44],"University":[45],"Hospital,":[46],"Thailand,":[47],"from":[48,79],"August":[49],"2021":[50],"July":[52],"2022,":[53],"assessed":[54],"patterns":[57],"aged":[60],"18":[61],"or":[62],"older":[63],"referred":[64],"team.":[69],"Data":[70],"on":[71,87],"demographics,":[72],"features":[74],"prescriptions":[76],"were":[77,124,160],"extracted":[78],"electronic":[80],"records,":[81],"was":[84,130,174],"evaluated":[85],"based":[86],"institutional":[88],"guidelines.":[89],"Multivariate":[90],"logistic":[91],"regression":[92],"identified":[93],"regular":[97,107,120,167],"use.":[99,169],"RESULTS:":[100],"Among":[101,117],"329":[102],"patients,":[103],"only":[104,122],"21.3%":[105],"received":[106],"opioids":[108],"before":[109,178],"use":[113,195],"just":[115],"9.4%.":[116],"those":[118],"receiving":[119],"opioids,":[121],"18.6%":[123],"prescribed":[125],"breakthrough":[127],"medication.":[128],"Inappropriateness":[129],"largely":[131],"due":[132],"omissions.":[134],"Age":[135],">70":[136],"years":[137],"(adjusted":[138],"OR":[139],"(aOR)":[140],"0.48,":[141],"95%":[142,155],"CI":[143,156],"0.26":[144],"0.87)":[146],"higher":[148],"Palliative":[149],"Performance":[150],"Scale":[151],"(>20)":[152],"(aOR":[153],"0.32,":[154],"0.16":[157],"0.63)":[159],"significantly":[161],"lower":[164],"odds":[165],"CONCLUSION:":[170],"Inappropriate":[171],"prevalent":[175],"consultation.":[181],"Findings":[182],"highlight":[183],"need":[185],"for":[186],"targeted":[187],"education":[188],"systematic":[190],"protocols":[191],"improve":[193],"settings":[198],"where":[199],"specialist":[200],"input":[202],"may":[203],"be":[204],"delayed.":[205]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-03-13T00:00:00"}