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Opioid Knowledge and Prescribing Practices Among Obstetrician–Gynecologists

Overview of attention for article published in Obstetrics & Gynecology, January 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (95th percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

Mentioned by

news
6 news outlets
blogs
1 blog
twitter
3 X users

Citations

dimensions_citation
57 Dimensions

Readers on

mendeley
104 Mendeley
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Title
Opioid Knowledge and Prescribing Practices Among Obstetrician–Gynecologists
Published in
Obstetrics & Gynecology, January 2018
DOI 10.1097/aog.0000000000002407
Pubmed ID
Authors

Annetta M. Madsen, Lauren M. Stark, Phinnara Has, Jenna B. Emerson, Jay Schulkin, Kristen A. Matteson

Abstract

To describe obstetrician-gynecologists' (ob-gyns) knowledge and prescribing practices regarding opioid analgesics. We conducted a cross-sectional survey of a national sample of American College of Obstetricians and Gynecologists Fellows and Junior Fellows who are part of the Collaborative Ambulatory Research Network. We used a sequential mixed-method approach. We collected data on opioid knowledge and typical prescribing practices, including number, type, and indication for prescriptions. We determined adherence to four recommended practices: 1) screening for dependence, 2) prescribing the smallest amount required, 3) tailoring prescriptions, and 4) counseling on proper disposal. We also explored variables associated with prescribing practices. Sixty percent (179/300) of sampled members responded. Respondents reported prescribing a median of 26 (5-80) pills per patient across all indications combined. Ninety-eight percent prescribed opioids after surgery and a smaller proportion for nonsurgical indications: vaginal birth (22%), ovarian cysts (30%), endometriosis (24%), and chronic pelvic pain of unknown cause (18%). The number prescribed varied only by indication for the prescription. Nineteen percent reported adherence to three or more (of four) recommended practices. There was no significant difference in the median number of pills prescribed between those who reported adherence to at least one compared with those who did not adhere to any recommended practices (25 [interquartile range 25-30] vs 28 [interquartile range 20-30], P=.58). Regarding knowledge, 81% incorrectly identified the main source of misused opioids, which is through diversion from a friend or family member, and 44% did not know how to properly dispose of unused prescription opioids. Obstetrician-gynecologists reported prescribing a median of 26 opioid pills across all indications combined. Amount prescribed varied widely by indication but not by reported adherence to recommended prescribing practices. This study highlights an urgent need for increased efforts to improve ob-gyns' knowledge of opioid use, misuse, disposal, and best prescribing practices.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 104 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 104 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 18 17%
Other 15 14%
Student > Master 9 9%
Student > Doctoral Student 7 7%
Student > Postgraduate 6 6%
Other 19 18%
Unknown 30 29%
Readers by discipline Count As %
Medicine and Dentistry 42 40%
Pharmacology, Toxicology and Pharmaceutical Science 5 5%
Social Sciences 4 4%
Nursing and Health Professions 3 3%
Neuroscience 3 3%
Other 14 13%
Unknown 33 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 51. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 July 2020.
All research outputs
#828,641
of 25,382,440 outputs
Outputs from Obstetrics & Gynecology
#583
of 8,951 outputs
Outputs of similar age
#19,009
of 449,550 outputs
Outputs of similar age from Obstetrics & Gynecology
#12
of 95 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,951 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.0. This one has done particularly well, scoring higher than 93% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 449,550 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 95 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.