Sex, Race, Insurance, and Pain: Do Patient Sociodemographics Influence Postoperative Opioid Prescriptions Among Hand Surgeons?
anatomy
hand
hand surgery
health disparity
opioid
opioid prescription
prescription
racial disparity
Journal
Hand (New York, N.Y.)
ISSN: 1558-9455
Titre abrégé: Hand (N Y)
Pays: United States
ID NLM: 101264149
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
pubmed:
9
3
2021
medline:
27
10
2022
entrez:
8
3
2021
Statut:
ppublish
Résumé
Social and demographic factors may influence patient treatment by physicians. This study analyzes the influence of patient sociodemographics on prescription practices among hand surgeons. We performed a retrospective analysis of all hand surgeries (N = 5278) at a single academic medical center from January 2016 to September 2018. The average morphine milligram equivalent (MME) prescribed following each surgery was calculated and then classified by age, race, sex, type of insurance, and history of substance use or chronic pain. Multivariate linear regression was used to compare MME among groups. Overall, patients with a history of substance abuse were prescribed 31.2 MME more than those without ( Numerous sociodemographic factors influenced postoperative opioid prescription among hand surgeons at our institution. These findings highlight the importance of establishing more uniform, evidence-based guidelines for postoperative pain management, which may help minimize subjectivity and prevent the overtreatment or undertreatment of pain in certain patient populations.
Sections du résumé
BACKGROUND
Social and demographic factors may influence patient treatment by physicians. This study analyzes the influence of patient sociodemographics on prescription practices among hand surgeons.
METHODS
We performed a retrospective analysis of all hand surgeries (N = 5278) at a single academic medical center from January 2016 to September 2018. The average morphine milligram equivalent (MME) prescribed following each surgery was calculated and then classified by age, race, sex, type of insurance, and history of substance use or chronic pain. Multivariate linear regression was used to compare MME among groups.
RESULTS
Overall, patients with a history of substance abuse were prescribed 31.2 MME more than those without (
CONCLUSIONS
Numerous sociodemographic factors influenced postoperative opioid prescription among hand surgeons at our institution. These findings highlight the importance of establishing more uniform, evidence-based guidelines for postoperative pain management, which may help minimize subjectivity and prevent the overtreatment or undertreatment of pain in certain patient populations.
Identifiants
pubmed: 33682465
doi: 10.1177/1558944721998020
pmc: PMC9608288
doi:
Substances chimiques
Analgesics, Opioid
0
MME
78185-58-7
Morphine Derivatives
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1133-1138Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001863
Pays : United States
Références
J Gen Intern Med. 2001 Apr;16(4):211-7
pubmed: 11318921
Clin Orthop Relat Res. 2011 Jul;469(7):1859-70
pubmed: 21249483
BMC Health Serv Res. 2006 Apr 04;6:46
pubmed: 16595013
Ann Surg. 2019 Dec;270(6):976-982
pubmed: 31730554
J Womens Health Gend Based Med. 2000 Apr;9(3):289-97
pubmed: 10787224
Pain Res Manag. 2015 Nov-Dec;20(6):300-4
pubmed: 26357683
Proc Natl Acad Sci U S A. 2016 Apr 19;113(16):4296-301
pubmed: 27044069
Pain Med. 2006 Mar-Apr;7(2):119-34
pubmed: 16634725
Curr Opin Psychiatry. 2017 Jul;30(4):238-246
pubmed: 28426545
J Gen Intern Med. 2013 Nov;28(11):1504-10
pubmed: 23576243
Pain Physician. 2008 Mar;11(2 Suppl):S63-88
pubmed: 18443641
Plast Reconstr Surg. 2019 Jul;144(1):126e-136e
pubmed: 31246837
Drug Alcohol Depend. 2013 Aug 1;131(3):263-70
pubmed: 23294765
J Hand Surg Am. 2016 Oct;41(10):947-957.e3
pubmed: 27692801
J Surg Res. 2019 Nov;243:71-74
pubmed: 31158726
Drug Alcohol Depend. 2019 Nov 1;204:107573
pubmed: 31568936
Arch Intern Med. 2012 Mar 12;172(5):425-30
pubmed: 22412106
BMJ. 2014 Feb 11;348:g1251
pubmed: 24519537
Hand (N Y). 2017 Jan;12(1):39-42
pubmed: 28082841
JAMA. 2016 Apr 19;315(15):1654-7
pubmed: 26978756
Pain Med. 2012 Sep;13(9):1181-211
pubmed: 22905834
J Pain. 2015 Jun;16(6):558-68
pubmed: 25828370
MMWR Morb Mortal Wkly Rep. 2011 Nov 4;60(43):1487-92
pubmed: 22048730
Hand (N Y). 2015 Dec;10(4):639-48
pubmed: 26568716
Cureus. 2018 Dec 14;10(12):e3733
pubmed: 30800543
Cult Med Psychiatry. 2016 Dec;40(4):664-686
pubmed: 27272904
JAMA. 2016 Apr 19;315(15):1577-9
pubmed: 26978227
Plast Reconstr Surg. 2016 Feb;137(2):355e-364e
pubmed: 26818326