加拿大安大略省同日乳腺手术后与阿片类药物处方相关的医生特征:基于人口的队列研究
Shaila J Merchant1, Jonas P Shellenberger2, Monakshi Sawhney3
1From the Department of Surgery, Queen's University.
概括
乳腺手术后过度处方阿片类药物是常见的,特别是从家庭实践医生那里. 医生的特点,如专业和先前的处方行为,显著影响高阿片类药物使用.
科学领域:
- 疼痛管理 疼痛管理
- 外科手术的结果
- 药理学 药理学是指药理学的学科.
背景情况:
- 过度处方阿片类药物是乳腺手术患者的一个问题,因为可能需要最小的或没有阿片类药物.
- 有证据表明,需要了解与高阿片类药物使用相关的处方特征.
研究的目的:
- 描述乳腺手术中阿片类药物处方药的特征.
- 为了确定处方者特征和在手术后7天内处方高水平阿片类药物之间的关联.
主要方法:
- 在安大略省 (2012-2020年) 的乳腺手术患者的回顾性队列研究.
- 分析处方者特征 (年龄,专业,实践环境,病史) 和阿片类药物处方模式 (平均口服吗啡等效).
- 修改Poisson回归模型用于估计与高阿片类药物处方的关联.
主要成果:
- 超过一半的处方者表现出高水平的阿片类药物处方 (>75百分位).
- 与外科专业相比,家庭医生处方的阿片类药物的平均剂量较高.
- 家庭实践,更大的社区环境和先前的高处方行为与高阿片类药物处方的可能性增加有关.
结论:
- 除了外科医生之外,医生的专业和实践特征,有助于乳腺外科手术中过度处方阿片类药物.
- 识别具有高处方行为的医生对于有针对性的干预至关重要.
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