Opioid Prescribing Practices and Training Needs of Québec Family Physicians for Chronic Noncancer Pain

Table 4

Barriers to opioid analgesic prescription ().

	Strongly agree	Somewhat agree	Somewhat disagree	Strongly disagree	Does not apply
	%	%	%	%	%
Difficulty in properly evaluating/establishing a clear diagnosis of CNCP	13.1	41.7	32.7	10.8	1.7
Extra work linked to opioid treatment	6.34	23.2	42.9	24.9	2.3
CNCP patients tend to be “heavy cases”	13.2	34.2	31.9	18.2	2.6
Adverse effects	19.62	50.1	24.6	4.8	1.0
Risk of abuse, misuse, or diversion	26.9	45.6	22.9	3.6	1.1
Risk of dependence	29.3	43.9	20.4	5.3	1.2
Risk of overdose	11.7	35.0	41.5	10.3	1.6
Risk of tolerance	16.8	41.7	31.2	9.5	0.8
Lack of professional support in treating the pain	30.0	36.2	24.1	7.9	1.8
Lack of professional support in the event of abuse or dependence	36.1	39.3	17.2	4.8	2.7
Risk of inspection or professional sanctions	3.3	15.1	40.2	39.2	2.3
Lack of proof that opioid analgesics are effective for CNCP in the long term	8.6	28.4	41.7	18.2	3.10

Weighted proportions.