| Title |
Transitions of Care for Postoperative Opioid Prescribing in Previously Opioid-Naïve Patients in the USA: a Retrospective Review
|
|---|---|
| Published in |
Journal of General Internal Medicine, June 2018
|
| DOI | 10.1007/s11606-018-4463-1 |
| Pubmed ID | |
| Authors |
Michael P. Klueh, Hsou M. Hu, Ryan A. Howard, Joceline V. Vu, Calista M. Harbaugh, Pooja A. Lagisetty, Chad M. Brummett, Michael J. Englesbe, Jennifer F. Waljee, Jay S. Lee |
| Abstract |
New persistent opioid use is a common postoperative complication, with 6% of previously opioid-naïve patients continuing to fill opioid prescriptions 3-6 months after surgery. Despite these risks, it is unknown which specialties prescribe opioids to these vulnerable patients. To identify specialties prescribing opioids to surgical patients who develop new persistent opioid use. Using a national dataset of insurance claims, we identified opioid-naïve patients aged 18-64 years undergoing surgical procedures (2008-2014) who continued filling opioid prescriptions 3 to 6 months after surgery. We then examined opioid prescriptions claims during the 12 months after surgery, and identified prescribing physician specialty using National Provider Identifier codes. Percentage of opioid prescriptions provided by each specialty evaluated at 90-day intervals during the 12 months after surgery. We identified 5276 opioid-naïve patients who developed new persistent opioid use. During the first 3 months after surgery, surgeons accounted for 69% of opioid prescriptions, primary care physicians accounted for 13%, Emergency Medicine accounted for 2%, Physical Medicine & Rehabilitation (PM&R)/Pain Medicine accounted for 1%, and all other specialties accounted for 15%. In contrast, 9 to 12 months after surgery, surgeons accounted for only 11% of opioid prescriptions, primary care physicians accounted for 53%, Emergency Medicine accounted for 5%, PM&R/Pain Medicine accounted for 6%, and all other specialties provided 25%. Among surgical patients who developed new persistent opioid use, surgeons provide the majority of opioid prescriptions during the first 3 months after surgery. By 9 to 12 months after surgery, however, the majority of opioid prescriptions were provided by primary care physicians. Enhanced care coordination between surgeons and primary care physicians could allow earlier identification of patients at risk for new persistent opioid use to prevent misuse and dependence. |
X Demographics
The data shown below were collected from the profiles of 184 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 69 | 38% |
| Canada | 35 | 19% |
| United Kingdom | 9 | 5% |
| Australia | 7 | 4% |
| New Zealand | 1 | <1% |
| Turkey | 1 | <1% |
| Spain | 1 | <1% |
| Sierra Leone | 1 | <1% |
| Unknown | 60 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 101 | 55% |
| Practitioners (doctors, other healthcare professionals) | 48 | 26% |
| Scientists | 27 | 15% |
| Science communicators (journalists, bloggers, editors) | 8 | 4% |
Mendeley readers
The data shown below were compiled from readership statistics for 76 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 76 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 10 | 13% |
| Other | 7 | 9% |
| Student > Doctoral Student | 6 | 8% |
| Student > Ph. D. Student | 6 | 8% |
| Researcher | 6 | 8% |
| Other | 17 | 22% |
| Unknown | 24 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 23 | 30% |
| Nursing and Health Professions | 4 | 5% |
| Social Sciences | 4 | 5% |
| Agricultural and Biological Sciences | 3 | 4% |
| Psychology | 3 | 4% |
| Other | 11 | 14% |
| Unknown | 28 | 37% |
Attention Score in Context
This research output has an Altmetric Attention Score of 201. 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 20 April 2021.
All research outputs
#198,646
of 25,701,027 outputs
Outputs from Journal of General Internal Medicine
#172
of 8,241 outputs
Outputs of similar age
#4,228
of 342,431 outputs
Outputs of similar age from Journal of General Internal Medicine
#5
of 135 outputs
Altmetric has tracked 25,701,027 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 8,241 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 22.2. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 135 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.