2016年至2020年 ортопеди疼痛管理的国家趋势
Nicholas Peterman1, Krishin Shivdasani, Nicholas Pagani
1From the Carle Illinois College of Medicine, University of Illinois Urbana Champaign, Champaign, IL (Peterman, Shivdasani, Mann, and Naik), Department of Orthopaedic Surgery, Tufts Medical Center, Boston, MA (Pagani and Sun), Department of Orthopaedic Surgery, Musculoskeletal Education and Research Center, Carilion Clinic, Roanoke, VA (Dr. Pekas).
The Journal of the American Academy of Orthopaedic Surgeons
|February 29, 2024
概括
整形外科医生显著减少了阿片类药物处方,选择了NSAIDs. 阿片类药物的使用集中在美国西部和中西部地区,而NSAID的使用在东北部和南部更高.
科学领域:
- 整形外科手术 整形外科手术
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在骨科护理中,有效的疼痛管理对于患者的康复和福祉至关重要.
- 了解国家和地区的疼痛处方趋势对于优化患者的治疗结果至关重要.
研究的目的:
- 分析美国骨科外科医生中国家和地区的止痛药处方趋势.
- 通过使用医疗保险索赔数据和地理空间分析,调查从阿片类药物转向非阿片类止痛药的转变.
主要方法:
- 使用的医疗保险处方数据 (2016-2020年) 用于整形外科医生,对止痛药 (阿片类药物,NSAID等) 进行分类. ) 的情况.
- 采用地理空间分析 (Geoda, Moran I) 和统计方法 (回归, Mann-Whitney U) 来识别处方模式和热点.
- 纳入患者人口统计和社会经济数据进行全面分析.
主要成果:
- 无抗炎药物占处方的57.42%,其次是阿片类药物 (28.57%).
- 片类药物处方每年减少4.43%,而NSAID处方增加了3.29%.
- 在西海岸,北中西部和特定的东北州确定了阿片类药物处方热点;NSAID在东北和南方更为普遍.
结论:
- 整形外科医生显著减少了阿片类药物处方的持续时间和患者数量,增加了NSAID使用.
- 地理空间分析揭示了阿片类药物和NSAID处方的不同区域模式.
- 建议使用非医疗保险数据进行进一步的研究,以扩大对疼痛管理趋势的理解.
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