opensafely / codelist-development

Repository for discussion of OpenSAFELY codelists
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*MEDICATION*: Weak opioids #291

Closed chrisjwood16 closed 5 months ago

chrisjwood16 commented 5 months ago

User requirements

A codelist is needed of all weak opioids used for analgesia (any route) excluding cough suppression, motility, general anaesthesia, opiate use disorder - this is for a project looking at opioid prescribing for patients on hospital waiting lists. This will use the BNF definition of weak opioids https://bnf.nice.org.uk/treatment-summaries/analgesics/

Sensitivity versus specificity

All weak opioids

Relevant definitions or links to important reference sources

BNF definition of weak opioids - https://bnf.nice.org.uk/treatment-summaries/analgesics/:

Coding system

dm+d

Existing relevant codelists

Nil

Search terms / synonyms / search strategy

Inclusion criteria for codes

Any of:

Exclusion criteria for codes

No response

Borderline cases

No response

Final codelist

No response

chrisjwood16 commented 5 months ago

Draft codelist by @alschaffer: https://www.opencodelists.org/codelist/user/anschaf/weak-opioids/4f1ae69c/

chrisjwood16 commented 5 months ago

@alschaffer - I would also include these under weak opioids: image

Dihydrocodeine as detailed in BNF Meptazinol as detailed in BNF Dextropropoxyphene/co-proxamol as detailed here - BNF don't specify but probably as no longer licensed in the UK.

alschaffer commented 5 months ago

There is an updated version of that codelist here, which does include those medications: https://www.opencodelists.org/codelist/user/anschaf/weak-opioids/1cfc0032/

I accidentally published the older codelist, so can't delete it. If I publish this new version, will it overwrite the old version?

chrisjwood16 commented 5 months ago

@alschaffer - happy to approve this latest version as accurate. Please can you add metadata/sign off info and publish.

I don't think it will replace the previously published version - I think you will need to ask tech-support to delete once published.

alschaffer commented 5 months ago

Done https://www.opencodelists.org/codelist/user/anschaf/weak-opioids/1cfc0032/