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Community Opioid Dispensing after Injury (CODI) II

Project Team

  • Professor Cate Cameron
  • Dr Bill Loveday
  • Ms Jace Warren
  • Professor Rania Shibl
  • Dr Susanna Cramb
  • Ms Melanie Proper
  • Associate Professor Silvia Manzanero
  • Dr Frances Williamson
  • Dr Clifford Afoakwah
  • Ms Samantha Borg
  • Mr Neil Jaques

Community Opioid Dispensing after Injury (CODI) was the first study to link Queensland opioid monitoring data with hospital data to understand opioid dispensing patterns in the two years following traumatic injury. The study included patients injured between 2014-2015 (CODI) and followed their opioid dispensing up to 2017. As most opioid regulations and stewardship initiatives were introduced from 2018 onwards, this study provides a statewide baseline of opioid dispensing prior to these policy changes. In late 2021, the system was replaced by QScript, Queensland’s part of a national real-time prescription monitoring system for prescribers and dispensers. By examining a new cohort of injured patients, from 2022-2025 (CODI-II), we can compare opioid prescription patterns before and after the introduction of regulatory changes and stewardship initiatives. This will help us to better understand opioid use following injury, impacts of stewardship and inform targeted interventions to improve outcomes for injured patients.

 

The ongoing repercussions of significant trauma have compelling and diverse impacts across a spectrum of a person’s life, their Career, Family, Friendships, Recreation activities, long term health, self-worth and ultimately their worldview can all be impacted. Not to mention the financial costs to a Family, Community and to Government. Studies like CODI 2 work to resolve and lessen these impacts, and any study is only as good as its source material hence the inclusion of Consumers who have lived these repercussions including and just as importantly the flow-ons beyond the original Trauma.

Neil Jaques, CODI consumer representative

I think making sure that the people that help solve this problem are people experiencing the pain themselves…as well as the researchers and the specialists and the clinicians…I can’t say what [that pain] is like so I shouldn’t make assumptions of what is required and how people want to have their information and the care delivered…

Healthcare provider quote relating to opioid use for people with spinal cord injury
  1. Borg SJ, McCreanor V, Geraghty T, Luetsch K, McPhail SM, Cramb S, Shibl R, Proper M, Loveday B, Cameron CM. Community opioid dispensing prevalence and patterns in adults with SCI in Queensland: a retrospective data linkage study. 2025; Spinal Cord; 63:681-689. https://doi.org/10.1038/s41393-025-01136-3
  2. Foster AL, Warren J, Proper M, Shibl R, Cramb S, Williamson F, Trampuz A, Schuetz M, Cameron CM. Long-term opioid use in operatively managed orthopaedic patients with fracture-related infections: A data linkage study. 2025; Injury; 56(8):112566. https://doi.org/10.1016/j.injury.2025.112566
  3. Williamson F, Proper M, Shibl R, Cramb S, McCreanor V, Warren J, Cameron CM. Community Opioid Dispensing after rib fracture Injuries: CODI study, 2025; British Journal of Pain; 19(2):86-99. https://doi.org/10.1177/20494637241300264
  4. Cameron CM, Shibl R, Cramb S, McCreanor V, Proper M, Warren J, Smyth T, Carter HE, Vallmuur K, Graves N, Bradford N, Loveday B. Community Opioid Dispensing after Injury (CODI): cohort characteristics and opioid dispensing patterns, 2023; Injury 55(3):112216. https://doi.org/10.1016/j.injury.2023.111216
  5. Cameron CM, McCreanor V, Shibl R, Smyth T, Proper M, Warren J, Vallmuur K, Bradford N, Carter H, Graves N, Loveday B. Community Opioid Dispensing After Injury (CODI): Protocol for a Population-Based Data Linkage Study
    JMIR Res Protoc 2022;11(4):e36357. https://doi.org/10.2196/36357
  1. Borg SJ. Prescription opioid dispensing following spinal cord injury: a mixed methods approach to understanding prevalence, practices and lived experiences. Queensland Spinal Cord Injury Service (QSCIS) Multidisciplinary Education Programme Meeting, Princess Alexandra Hospital, Metro South Health. 4 February 2026. Brisbane, Australia. 
  2. Borg S. Prescription opioid dispensing in adult spinal cord injured populations: Prevalence, health use and economic burden. Queensland University of Technology Final PhD seminar. 27 November 2025. Brisbane, Australia.
  3. Sutopa TS, Cramb S, Wraith D, Cameron CM. Trajectories of community opioid dispensing among injured patients (poster). 64th Australian Society for Medical Research (ASMR) National Scientific Conference. 6-7 November 2025. Brisbane, Australia.
  4. Sutopa TS. Real-World Medicines, Real-World Data: A Linked Approach to Pharmacoepidemiology (poster). Centre for Data Science Annual Research Showcase, Queensland University of Technology, 17 October 2025. Brisbane, Australia.
  5. Williamson F. Community Opioid Dispensing After Rib Fracture Injuries: CODI study. 2025 Chest Wall Injury Society International Meeting. 1-2 September 2025. Brussels, Belgium.
  6. Sutopa TS. Enhanced Longitudinal Analyses for Community Opioid Dispensing following Injury. PhD confirmation seminar, Queensland University of Technology. 28 May 2025.Brisbane, Australia.
  7. Sutopa TS. Enhanced Longitudinal Analyses for Community Opioid Dispensing following Injury (3-Minute Pitch Competition). International Data Week. 13-16 October 2025. Brisbane, Australia.
  8. Borg SJ, Cameron CM, Geraghty T, McPhail S, McCreanor V. Community opioid prescribing practices after spinal cord injury: a Queensland data linkage study. Rehabilitation Medicine Society of Australia and New Zealand 8th Annual Scientific Meeting. 20–23 July 2025. Christchurch, New Zealand.
  9. Borg SJ, Cameron CM, Geraghty T, McPhail S, McCreanor V. Queensland community opioid prescribing practices after spinal cord injury: a data linkage study. Health Service Research Australia and New Zealand 13th Health Services Research Conference. 4–6 December 2024. Brisbane, Australia.
  10. Borg SJ, Cameron CM, Geraghty T, McPhail S, McCreanor V. Queensland community opioid prescribing practices after spinal cord injury: a data linkage study. 2024 Australia and New Zealand Spinal Cord Society Annual Scientific Meeting. 27–29 November 2024. Perth, Australia.
  11. Sutopa T. Enhanced longitudinal analyses for community opioid dispensing following injury. 13thHealth Service Research Australia and New Zealand 13th Health Services Research Conference. 5 December 2024. Brisbane, Australia.
  12. Williamson F, Proper M, Shibl R, Cramb S, McCreanor V, Warren J, and Cameron CM. Community opioid dispensing after rib fracture injuries: CODI study. University of Queensland Mayne Academy of Critical Care, Research Day. 6 November 2024. Brisbane, Australia
  13. Williamson F, Proper M, Shibl R, Cramb S, McCreanor V, Warren J, Cameron CM. Community opioid dispensing after rib fracture injuries: CODI study. Australian & New Zealand Trauma Society (ANZTS) Annual Scientific Meeting, Trauma 2024 Conference. 25 October 2024. Brisbane, Australia.
  14. Proper M, Williamson F, Warren J, Shibl R, Cramb S, Cameron CM. Long-term Opioid Use in Trauma Patients with Fractures Requiring Surgery: A Data Linkage Study. International Association for the Study of Pain (IASP) 2024 World Congress on Pain. 5-9 August 2024. Amsterdam, Netherlands.
  15. Borg SJ, Cameron CM, Geraghty T, McPhail S, McCreanor V. Community opioid prescribing practices after spinal cord injury: a data linkage study. Herston Health Precinct Symposium 2023. 4–7 September 2023. Brisbane, Australia.
  16. Borg SJ.Prescription opioid dispensing in adult spinal cord injury populations: prevalence, health use and economic burden. Trauma Research Collaborative Meeting, Princess Alexandra Hospital. 25 July 2023. Brisbane, Australia. 
  17. Borg SJ, Cameron CM, Geraghty T, McPhail S, McCreanor V. Queensland community opioid prescribing practices after spinal cord injury: a data linkage study. 4th Annual Impact Makers Conference 2023. 14 July 2023. Brisbane, Australia.
  18. Cameron C, McCreanor V, Rania S, Tanya S, Proper M, Warren J, Vallmuur K, Loveday B. Community Opioid Use in Queensland Trauma Patients: Novel Data Linkage. 14th World Conference on Injury Prevention and Safety Promotion – Safety 2022. 27-30 November 2022. Adelaide, Australia.
  19. Cameron C, McCreanor V, Rania S, Loveday B, Proper M, Warren J, Vallmuur K, Smyth T. Community Opioid Use in Queensland Trauma Patients: Novel Data Linkage. American Thoracic Society Conference 2021. 10-12 September 2021.

Royal Brisbane and Women’s Hospital Foundation Grant 2019

  • 2025: Fran Williamson awarded the Jamieson Trauma Institute Cliff Pollard Award.
  • 2025: Fran Williamson awarded Best presentation at the 2025 Chest Wall Injury Society International Meeting
  • 2025: Tasmiah Sad Sutopa awarded 2nd place for 3-Minute Pitch Competition at the 2025 International Data Week.
  • 2025: Samantha Borg awarded the QUT Spinal Cord Injury (SCI) PhD or MPhil Top-Up Scholarship
  • From 2024: Tasmiah Sad Sutopa QUT Postgraduate Research Award (QUTPRA) (International) and QUT HDR Tuition Fee Sponsorship
  • 2024: Fran Williamson awarded Best Oral Medical Paper Award at the Australian & New Zealand Trauma Society (ANZTS) Annual Scientific Meeting, Trauma 2024 Conference.
  • 2024: Fran Williamson awarded Best Abstract at the University of Queensland’s Faculty of Medicine Research Day 2024.
  • 2022-2024: Samantha Borg Faculty of Health Excellence Top-Up Scholarship
  • 2022-2025: Samantha Borg Research Training Program (RTP) Stipend Domestic Scholarship

Name 

University/degree 

Supervisors 

Project 

Samantha Borg

QUT PhD Candidate

McCreanor V, Cameron C, Geraghty T, Tyack Z, McPhail S

Prescription opioid dispensing following spinal cord injury: a multi-methods approach to understanding prevalence, practices and lived experiences

Tasmiah Sad Sutopa 

QUT PhD candidate 

S Cramb, C Cameron, D Wraith 

Enhanced Longitudinal Analyses for Community Opioid Dispensing following Injury 

Cate Cameron and Fran Williamson. FL Visits Down Under with Drs. Fran Williamson & Cate Cameron [Podcast]. 3 January 2025. https://markkryskow.podbean.com/e/fl-visits-down-under-with-drs-fran-williamson-cate-cameron/

2026-04-21T10:25:40+10:00