Characterization of Opioid Prescribing Tendencies Among Orthopaedic Surgeons: A National Perspective.

Kamil Amer, Michael Metrione, Sirjanhar Singh, Jay Patel, Kathleen Beebea
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Abstract

There has been increasing pressure on healthcare providers to exhibit restraint when prescribing opioids for pain control. However, data that characterizes the differences between orthopaedic providers and their accompanying prescription rates is not well developed. This study accessed Medicare Provider Utilization and Payment Data from 2015 to collect the number of prescriptions for opioid-based medications administered by orthopaedic surgeons across the country. A total of 19,410 orthopaedic providers were identified as opioid prescribers from the 2015 Medicare Part D Database. Providers averaged an opioid prescription every 10.9 days, with 94.7% of prescribers (18,387) having written more than 10 opioid prescriptions. Regionally, the Southern United States had the highest percentage of providers prescribing an opioid greater than 10 times at 96.4%. Female orthopaedic surgeons prescribed just over half the number of scripts that male surgeons did (79.4 vs. 154.2, p < 0.001). (Journal of Surgical Orthopaedic Advances 32(3):199-201, 2023).

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骨科外科医生阿片类药物处方倾向的特点:全国视角。
医疗服务提供者在开阿片类药物止痛处方时受到的压力越来越大,要求他们有所节制。然而,有关骨科医疗机构之间的差异及其处方率的数据并不完善。本研究访问了 2015 年的医疗保险提供者使用和支付数据,以收集全国骨科医生开具的阿片类药物处方数量。在 2015 年的医疗保险 D 部分数据库中,共有 19,410 名骨科医疗服务提供者被确定为阿片类药物处方者。医疗机构平均每 10.9 天开具一次阿片类药物处方,94.7% 的处方者(18,387 人)开具过 10 张以上的阿片类药物处方。从地区来看,美国南部医疗机构开具阿片类药物处方超过 10 次的比例最高,达到 96.4%。骨科女医生开出的处方数量只有男医生的一半多(79.4 对 154.2,P < 0.001)。(手术骨科进展杂志》32(3):199-201,2023 年)。
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