McMaster University

Michael G. DeGroote
National Pain Centre

Scope of Search

Canadian Guideline for Safe and Effective Use of Opioids for Chronic Non-Cancer Pain

6. Players Involved in Development

Three groups were involved in developing the Canadian Guideline: National Opioid Use Guideline Group (NOUGG), Research Group, and National Advisory Panel (NAP).

6.1 National Opioid Use Guideline Group

NOUGG is a task-specific group convened with the assistance and support of FMRAC. It was formed in November 2007 with support and/or representation from all provincial medical regulatory authorities and subsequently the Medical Council of Yukon and the Government of Nunavut. NOUGG’s role was to oversee the development and implementation of a guideline. The regulatory bodies and FMRAC appointed the Group members, and two co-chairs were selected. FMRAC provided funding over a 12-month period to support work of the two co-chairs. For NOUGG members, see Appendix A-1.

6.2 Research Group

The Research group comprised six members: a physician/epidemiologist, four physician-researchers, and a research librarian. It was responsible for the literature review, quality appraisal, evidence summary, and the first draft of recommendations for practice. Two physician-researchers were previous members of the CPSO task force responsible for the predecessor guideline, "Evidence-based Recommendations for Medical Management of Chronic Non-Malignant Pain." The physician/epidemiologist, research librarian, and one physician-researcher were secured from the Institute for Work & Health, which has a systematic review program of research that includes the Cochrane Back Review Group. NOUGG approached IWH, and they agreed to contribute their expertise to oversee the systematic review process from literature search to data extraction. See Appendix A-2 for Research Group members and for information on the Institute for Work & Health.

6.3 National Advisory Panel

NAP is a group of 49 individuals from across Canada who were invited in September 2008 to participate in the Canadian Guideline development. They were identified by NOUGG members, using common selection criteria to ensure the group included a wide cross-section of medical expertise, patient perspectives, other healthcare providers, and geographic representation. NAP’s role was to review draft materials prepared by the Research Group and, using a Modified Delphi technique, reach consensus on recommendations for practice. In addition, NAP members provided extensive narrative comment that was organized by theme and used in iterative revision. See Section A-11 for a more detailed explanation of NAP and Appendix A-3 for members.