关于大麻使用的临床讨论在老兵患者处方阿片类药物的全国性研究
Tauheed Zaman1,2, Dawn M Bravata3,4,5, Amy Byers6,7,8
1Addiction Recovery and Treatments Services, San Francisco VA Health Care System, 4150 Clement Street, #116F, San Francisco VA Medical Center, San Francisco, CA, 94121, USA. tauheed.zaman@ucsf.edu.
Journal of cannabis research
|March 17, 2024
概括
许多接受长期阿片类药物治疗 (LTOT) 的患者,尿液药物测试 (UDT) 结果为大麻阳性,缺乏关于其使用的记录讨论. 关于大麻的医疗风险讨论并不频繁,特别是在合法娱乐用途的州.
科学领域:
- 临床医学 临床医学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 退伍军人卫生管理局监测长期阿片类药物治疗 (LTOT) 患者的尿液药物测试 (UDT).
- 指南建议与LTOT的患者讨论大麻使用对健康的影响.
研究的目的:
- 为了确定医疗保健提供者和LTOT患者之间与大麻有关的讨论的频率,在大麻的 UDT 阳性之后.
- 检查与患者病历中大麻使用记录相关的因素.
主要方法:
- 鉴定了2019年在LTOT上对大麻进行阳性UDT的LTOT患者.
- 使用文本处理工具从电子健康记录中提取大麻讨论.
- 进行了后勤回归来分析患者因素与记录的大麻使用之间的关联.
主要成果:
- 很大一部分LTOT患者 (34.1%) 缺乏记录的大麻使用或积极后的UDT讨论.
- 在记录下来的讨论中,47%涉及医疗用途,35%涉及政策/法律问题,17%涉及医疗风险/减少伤害.
- 合法化娱乐大麻州的患者显示,与大麻相关的讨论的几率较低 (OR 0.73).
结论:
- 三分之一的LTOT患者对大麻有积极的UDT,在六个月内没有使用或讨论的图表文档.
- 讨论的重点是大麻使用的医疗风险和减少危害的策略是不常见的.
- 一个州的娱乐大麻的法律地位与有关大麻的提供者-患者讨论减少有关.
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