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Table 3 Perceived risks for physicians and persons living with chronic pain

From: Physicians’ and patients’ perceived risks of chronic pain medication and co-medications in Quebec, Canada: a cross-sectional study

Medication subclasses

Physicians

Persons living with CP

Difference

p-value*

N

Mean ± SD

(0–10 scores)

N

Mean ± SD

(0–10 scores)

NSAIDs – selective cyclooxygenase 2 inhibitors (COX-2)

83

4.71 ± 1.94

23

3.30 ± 3.42

1.41

0.035

NSAIDs – salicylates

83

5.22 ± 2.01

1

-

NA

NA

Other oral NSAIDs (non-specific)

80

5.45 ± 1.73

58

2.91 ± 3.38

2.54

≤ 0.001

NSAIDs – Topical agents

83

1.94 ± 1.46

38

0.45 ± 1.64

1.49

≤ 0.001

Various topical agents

83

1.98 ± 1.51

31

0.77 ± 1.84

1.21

≤ 0.001

Acetaminophen

83

2.27 ± 1.57

98

1.15 ± 2.51

1.12

≤ 0.001

Acetaminophen in combination with an opioid

82

6.22 ± 1.71

14

3.57 ± 3.76

2.65

0.017

Short-acting opioids

82

7.93 ± 1.46

36

5.81 ± 3.74

2.12

0.021

Long-acting opioids

83

7.20 ± 1.51

13

3.62 ± 3.43

3.58

≤ 0.001

Opioids associated with a norepinephrine reuptake inhibition (e.g., tramadol)

82

6.20 ± 1.84

26

4.35 ± 3.62

1.85

0.015

Partial opioid receptor agonists

74

5.81 ± 1.73

5

6.00 ± 2.74

NA

NA

Opioids in combination with an opioid receptor antagonist

77

5.91 ± 1.67

6

4.67 ± 4.55

NA

NA

Anticonvulsants – Calcium channel blockers (gabapentinoids)

82

4.85 ± 1.56

53

4.43 ± 3.45

0.42

0.627

Anticonvulsants – Sodium channel blockers

81

5.74 ± 1.45

3

2.67 ± 4.62

NA

NA

Anticonvulsants – Other

80

5.41 ± 1.56

10

4.20 ± 3.82

1.21

0.637

Antidepressants – SNRIs

82

3.87 ± 1.42

56

3.39 ± 3.27

0.48

0.228

Antidepressants – SSRIs

82

3.68 ± 1.51

21

2.86 ± 3.58

0.82

0.047

Antidepressants – SSRIs and 5-HT2 receptor antagonists

82

3.62 ± 1.54

15

3.67 ± 3.44

-0.05

0.492

Antidepressants – Specific noradrenergic and serotonergic

80

3.99 ± 1.60

3

3.33 ± 4.16

NA

NA

Antidepressants – Tricyclics

80

4.63 ± 1.75

25

2.36 ± 3.12

2.27

≤ 0.001

Antidepressants – Miscellaneous

78

3.83 ± 1.40

15

2.53 ± 2.88

1.30

0.023

Antipsychotics

79

5.51 ± 1.41

17

2.18 ± 3.00

3.33

≤ 0.001

Barbiturates

73

7.58 ± 1.54

0

-

NA

NA

Benzodiazepines

82

7.54 ± 1.48

32

2.50 ± 3.12

5.04

≤ 0.001

Various anxiolytics, sedatives, and hypnotics

79

5.76 ± 1.85

13

3.77 ± 3.35

1.99

0.065

Centrally acting skeletal muscle relaxants

81

4.56 ± 1.82

34

4.18 ± 3.14

0.38

0.651

GABA-Derivative skeletal muscle relaxants

76

4.41 ± 1.52

6

4.00 ± 3.63

NA

NA

Miscellaneous muscle relaxants

72

3.94 ± 1.77

2

5.00 ± 2.83

NA

NA

Synthetic cannabinoids (under prescription)

78

5.36 ± 1.76

23

4.26 ± 3.26

1.1

0.087

Medical/therapeutic cannabis

77

5.87 ± 2.10

43

3.09 ± 3.28

2.78

≤ 0.001

Antimigraine agents – 5HT-1 receptor agonists (triptans)

79

3.56 ± 1.51

17

3.12 ± 2.85

0.44

0.074

Antimigraine agents – CGRP Antagonists

74

4.04 ± 1.73

0

-

NA

NA

Antimigraine agents – Miscellaneous

70

4.17 ± 1.74

2

1.00 ± 1.41

NA

NA

Corticosteroids – Oral

81

6.72 ± 1.85

3

3.33 ± 3.51

NA

NA

Clonidine

78

4.24 ± 1.81

3

7.33 ± 2.52

NA

NA

Mexiletine

67

5.54 ± 2.06

0

-

NA

NA

  1. Footnotes:
  2. *Mann-Whitney U tests; Bold values denote statistical significance at the p<0.05 level
  3. CP = Chronic pain; NSAIDS = Non-Steroidal Anti-Inflammatory Drugs; COX-2 = selective cyclooxygenase 2 inhibitors; SNRIs = Serotonin norepinephrine reuptake inhibitors; SSRIs = Selective serotonin reuptake inhibitors; CGRP = Calcitonin gene-related peptide. NA = Non applicable, i.e., the number of persons living with CP who were using that specific medication subclass was too small for statistical testing/valid estimation of difference