Across rheumatic diseases

Medical cannabis use by rheumatology patients in routine clinical care: results from The Ontario Best Practices Research Initiative

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

Medical cannabis use among rheumatology patients in Ontario was two-fold higher than that reported for the general population of similar age.

Study context

Population
Consecutive adult patients attending eight rheumatology clinics in Ontario; most had RA (37.8%) or OA (34.0%)
Participants
799 patients8 rheumatology clinics
Exposure
Current/past medical cannabis users vs never users
  • Current/past-usersn = 163
  • Never usersn = 636reference
Outcome
Prevalence of medical cannabis use
Methodological detailssurvey, multicentre, consecutive recruitment, Student's t-test and Chi-square test, 3-part survey: rheumatologists, all patients, medical cannabis users
  • Survey
  • Multicentre
  • Consecutive recruitment
  • Student's t-test and Chi-square test
  • 3-part survey: rheumatologists, all patients, medical cannabis users

Main finding

As reported in the abstract

Medical cannabis use (current or within <2 years)

Current/past-users

20.4%

163

Observational data: associations, not effects.

Further findings

OutcomeCurrent/past-usersNever usersP value
Physician global score2.92.1P < 0.0001
Patient global score6.04.2P < 0.0001
Pain6.24.7P < 0.0001
Medical cannabis at least somewhat effective (users)78.2%— not stated in the abstract

— not stated in the abstract

Characteristics of users vs never users

Users younger; more likely to take opioids/anti-depressants, have psychiatric/gastrointestinal disorders and have used recreational cannabis
P < 0.05

Symptoms treated with medical cannabis (users)

Pain
95.5%
Sleeping
82.3%
Anxiety
58.9%

Rheumatologists' perceptions

Most rheumatologists uncomfortable to authorise medical cannabis, primarily due to lack of evidence, knowledge and product standardisation

Original publication

Medical cannabis use by rheumatology patients in routine clinical care: results from The Ontario Best Practices Research Initiative. Clin Exp Rheumatol. Published 18 February 2022. doi:10.55563/clinexprheumatol/b85xu5

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