Evidence map›Paper›PMID 41368440›Full record

ReviewJournal of multidisciplinary healthcare2025

The Role of the Multidisciplinary Team for Opioid Stewardship: A Scoping Review.

Dk NurHaziqah Naqiyah Binti Pg Abdul Haris, Ang Sze Hui, Nazrul Islam, Hui Poh Goh, Nurolaini Kifli, Anthony D Hall, Alian A Alrasheedy, Bhuvan Kc

Abstract readReview
In one paragraph

Review in Journal of multidisciplinary healthcare, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dk NurHaziqah Naqiyah Binti Pg Abdul HarisPharmacy Programme PAPRSB Institute of Health Sciences, Brunei, Universiti Brunei Darussalam, Bandar Seri Begawan, BE1410, Brunei.
Ang Sze HuiPharmacy Programme PAPRSB Institute of Health Sciences, Brunei, Universiti Brunei Darussalam, Bandar Seri Begawan, BE1410, Brunei.
Nazrul IslamDiscipline of Pharmacy, School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia.
Hui Poh GohPharmacy Programme PAPRSB Institute of Health Sciences, Brunei, Universiti Brunei Darussalam, Bandar Seri Begawan, BE1410, Brunei.ORCID 0000-0002-0480-399X
Nurolaini KifliPharmacy Programme PAPRSB Institute of Health Sciences, Brunei, Universiti Brunei Darussalam, Bandar Seri Begawan, BE1410, Brunei.ORCID 0000-0002-8817-7956
Anthony D HallDiscipline of Pharmacy, School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia.ORCID 0000-0002-8904-8638
Alian A AlrasheedyDepartment of Pharmacy Practice, College of Pharmacy, Qassim University, Qassim, Saudi Arabia.ORCID 0000-0003-3617-7425
Bhuvan KcDiscipline of Pharmacy, School of Clinical Sciences, Queensland University of Technology, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The global opioid crisis has prompted healthcare systems to implement opioid stewardship programs (OSPs) aimed at optimizing prescribing practices and mitigating harm. Multidisciplinary teams (MDTs) are increasingly recognized as central to the success of these programs, yet their roles, structures, and implementation across clinical contexts remain poorly defined. Objective: This scoping review explores the composition, functions, and contextual application of MDTs within OSPs. It aims to map the professional roles, describe the interventions deployed, examine reported outcomes, and identify implementation barriers and facilitators across healthcare settings. Methods: Following the Joanna Briggs Institute framework and PRISMA-ScR guidelines, a systematic search of PubMed was conducted to identify studies involving MDT-led opioid stewardship interventions. Studies were eligible if they described multidisciplinary collaboration in opioid prescribing, pain management, or harm-reduction efforts. Data were extracted on team composition, interventions, outcomes, and contextual factors, and synthesized narratively. Results: Thirteen studies published between 2017 and 2023 were included. Most were U.S.-based and employed descriptive or observational designs across varied settings, including hospitals, primary care, rural clinics, and telemedicine platforms. Core MDT members included physicians, pharmacists, and nurses, with frequent contributions from addiction specialists, psychologists, and social workers. Common interventions included opioid-sparing protocols, individualized tapering plans, naloxone co-prescribing, and interprofessional education. Reported outcomes included reductions in opioid prescribing, improved adherence to safety protocols, and enhanced provider confidence. Implementation challenges included limited staffing, fragmented communication, and patient resistance, while facilitators included standardized workflows, institutional support, and integrated electronic health systems. Conclusion: MDTs play a critical role in operationalizing opioid stewardship across diverse clinical environments. Their effectiveness depends not only on professional composition but also on systemic support for collaboration, training, and workflow integration. Future research should evaluate the comparative impact of MDT configurations using standardized outcome measures and expand to non-US and resource-limited settings.

Indexed as

interprofessional collaborationmultidisciplinary teamsopioid prescribingopioid stewardshippain managementpatient safety

Identifiers

PMID41368440
PMCPMC12682565

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.