*MEDICATION*: Strong opioids

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MEDICATION: Strong opioids #292

Closed chrisjwood16 closed 7 months ago

chrisjwood16 commented 8 months ago

User requirements

A codelist is needed of all strong 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 strong opioids https://bnf.nice.org.uk/treatment-summaries/analgesics/

Sensitivity versus specificity

All strong opioids

Relevant definitions or links to important reference sources

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

Coding system

dm+d

Existing relevant codelists

Nil

Search terms / synonyms / search strategy

Strategy - include all opioids identified in the codelist Opioids for analgesia But then exclude any identified in the codelist Weak opioids

Inclusion criteria for codes

Any strong opioid

Exclusion criteria for codes

Weak opioids

Borderline cases

No response

Final codelist

No response

chrisjwood16 commented 8 months ago

Draft codelist by @alschaffer: https://www.opencodelists.org/codelist/user/anschaf/strong-opioids/03ec8cfd/

chrisjwood16 commented 8 months ago

@alschaffer - was this created programmatically? No search terms are appearing. It still contains all the weak opioids so I wonder if these weren't filtered out correctly? Also excludes some fentanyl sublingual tablets that were excluded in error here.

Diff here - https://www.opencodelists.org/codelist/user/anschaf/strong-opioids/03ec8cfd/diff/5e1ca48b/

Do you want to amend your existing codelist? Or can use this version I've created if you are happy- https://www.opencodelists.org/codelist/user/chriswood/strongopioidsCW/5e1ca48b/

alschaffer commented 8 months ago

@chrisjwood16 That looks really weird, not sure what happened? But if you have an existing codelist I'll just use that one.

alschaffer commented 8 months ago

Ok I know what happened - that was an old version that I had accidentally published, and there was another version that was under review that made more sense. But I'll just use yours.

chrisjwood16 commented 8 months ago

Are you happy to go down as second check for the one I created?

alschaffer commented 8 months ago

@chrisjwood16 Should these two be removed?