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Total 176 results found since Jan 2013.
Does the Stopping Opioids After Surgery Score Perform Well Among Racial and Socioeconomic Subgroups?
CONCLUSION: The SOS score performed adequately for non-Hispanic White patients but performed worse for Hispanic patients, where the 95% CI nearly included an area under the curve value of 0.5, suggesting that the tool is no better than chance at predicting sustained opioid use for Hispanic patients. In the Hispanic population, it commonly overestimated the risk of opioid dependence. Its performance did not differ among patients of different sociodemographic backgrounds. Future studies might seek to contextualize why the SOS score overestimates expected opioid prescriptions for Hispanic patients and how the utility performs...
Source: Clinical Orthopaedics and Related Research - May 9, 2023 Category: Orthopaedics Authors: Alexander M Crawford Brendan M Striano Jonathan Gong Andrew K Simpson Andrew J Schoenfeld Source Type: research
If We Want to Save Black Mothers and Babies, Our Approach to Birthing Care Must Change
The crisis of maternal mortality in the United States continues to escalate. After rising steadily over time, annual death rates skyrocketed by a shocking 40% in 2021 alone, according to the Centers for Disease Control and Prevention. What’s more, Black women are 2.6 times more likely to die of maternity-related causes than white women. Such outcomes transcend class—in the highest-income groups, twice as many Black women die within a year after childbirth. The same holds true for their babies. In the richest nation in the world, these appalling statistics reveal a crisis far worse than in any other high-income ...
Source: TIME: Health - April 13, 2023 Category: Consumer Health News Authors: Kathleen Sebelius and Tommy Thompson Tags: Uncategorized freelance health Source Type: news
Weekly Overseas Health IT Links –1st October, 2022.
This article details information required for integration into EHRs to build personalized treatment plans and develop successful SDOH programs that provide resources and support for patients in need. In addition, successful SDOH programs implemented by Kaiser Permanente and Boston Medical Center showcase how supporting clinicians with real-time SDOH data can lead to patient-centric care. Create a 360-Degree Patient View Through TechnologyThe Office of the National Coordinator for Health Information Technology (ONC)indicatesthat the “collection, documentation, reporting, access, and use of SDOH data … can be used t...
Source: Australian Health Information Technology - October 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs
Opioid use disorder among Ohio's Medicaid population: Prevalence estimates from nineteen counties using a multiplier method
Am J Epidemiol. 2022 Aug 25:kwac154. doi: 10.1093/aje/kwac154. Online ahead of print.ABSTRACTThe decades-long overdose epidemic in the US is driven by opioid misuse. Overdoses commonly, though not exclusively, occur in individuals with opioid use disorder (OUD). To allocate adequate resources and develop appropriately scaled public health responses, accurate estimation of the prevalence of OUD is needed. Indirect methods (e.g., multiplier method) of estimating prevalence of problematic substance use behavior circumvent some limitations of household surveys and use of administrative data. We used a multiplier method to esti...
Source: Am J Epidemiol - August 25, 2022 Category: Epidemiology Authors: Nathan J Doogan Aimee Mack Jianing Wang Dushka Crane Rebecca Jackson Mary Applegate Jennifer Villani Redonna Chandler Joshua A Barocas Source Type: research
Identifying bright spot communities: Socioecological, workforce, and healthcare delivery factors influencing opioid mortality
CONCLUSIONS: These findings suggest significant racial disparities in opioid outcomes. Communities with a higher percentage of black residents are more likely to have higher opioid mortality and a lower rate of outpatient treatment. This association may be affected by the time period used in the analysis (2015-2019), as nationally there has been an increasing rate of synthetic opioid deaths in Black communities. These measures have been incorporated into a multivariate analysis to identify Bright Spot communities, which will be discussed during the presentation.PMID:35947517 | DOI:10.1370/afm.20.s1.2949
Source: Annals of Family Medicine - August 10, 2022 Category: Primary Care Authors: Jacqueline Britz Alex Krist Derek Chapman Frederick Moeller Christine Bethune Roy Sabo Ashley Harrell Jason Lowe Alicia Richards Heather Saunders Steven Woolf Source Type: research
