Identification of Provider Characteristics Influencing Prescription of Analgesics: A Systematic Literature Review

Deepmala, Deepmala; Franz, Lauren; Aponte, Carolina; Agrawal, Mayank; Jiang, Wei

doi:10.1111/papr.12007

Cited by 15 publications

(12 citation statements)

References 36 publications

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“…The reason for this discrepancy is unclear, and prior literature on the topic is mixed. 30,31 There may be differences in how men and women establish treatment alliances with their patients or perceive patients' pain levels and response to analgesics. However, future research is needed to explore the connection between provider gender and analgesia practices in the surgical setting.…”

Section: Discussionmentioning

confidence: 99%

Provider Characteristics Associated With Outpatient Opioid Prescribing After Surgery

et al. 2020

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Objective: To characterize differences in postoperative opioid prescribing across surgical, nonsurgical, and advanced practice providers. Background: There is a critical need to identify best practices around perioperative opioid prescribing. To date, differences in postoperative prescribing among providers are poorly understood. Methods: This is a retrospective multi-center analysis of commercial insurance claims from a statewide quality collaborative. We identified 15,657 opioid-naïve patients who underwent a range of surgical procedures between January 2012 and October 2015 and filled an opioid prescription within 30 days postoperatively. Our primary outcome was total amount of opioid filled per prescription within 30 days postoperatively (in oral morphine equivalents [OME]). Hierarchical linear regression was used to determine the association between provider characteristics (specialty, advanced practice providers [nurse practitioners and physician assistants] vs. physician, and gender) and outcome while adjusting for patient factors. Results: Average postoperative opioid prescription amount was 326 ± 285 OME (equivalent: 65 tablets of 5 mg hydrocodone). Advanced practice providers accounted for 19% of all prescriptions, and amount per prescription was 18% larger in this group compared to physicians (315 vs. 268, P<0.001). Primary care providers accounted for 13% of all prescriptions and prescribed on average 279 OME per prescription. The amount of opioid prescribed varied by surgical specialty and ranged from 178 OME (urology) to 454 OME (neurosurgery).

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Section: Discussionmentioning

confidence: 99%

Provider Characteristics Associated With Outpatient Opioid Prescribing After Surgery

et al. 2020

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“…Indeed, it has been shown that the prescription of drugs might be influenced by the interplay between the sex of the health care provider and patient characteristics. 39 It has to be remembered that prescription is an outcome of the patient–physician relationship, and that this relationship is a complex psychological and sociological phenomenon. Opioids, triptans, paracetamol, and NSAIDs will be discussed subsequently.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in dispensed analgesics in Sweden during 2006–2015 – an observational, nationwide, whole-population study

Bäckryd¹

2018

IJWH

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IntroductionA potentially illuminating way of looking at gender differences in health and disease is to study differences in drug utilization. The aim of this study was to describe gender differences in dispensed analgesics (including nonsteroidal anti-inflammatory drugs [NSAIDs]) in Sweden during 2006–2015.Materials and MethodsThe Swedish Board of Health and Welfare holds an open, Anatomical Therapeutic Chemical (ATC)–based statistical database containing aggregated data on all dispensed prescription drugs in Swedish pharmacies since 2006. The database is searchable according to sex, age (5-year intervals), and Swedish regions.ResultsNationwide, whole-population information was retrieved for all ATC codes at the second level for individuals ≥20 years of age, focusing on sex-related differences. More in-depth analyses were made for analgesics, including NSAIDs. Descriptive statistics were used. Gender differences in drug prescription are pervasive in Sweden; the yearly prevalence in 2015 was higher in women for 72 out of 84 ATC groups (not adjusted for age). Analgesics, including NSAIDs, were more commonly used by women in all age groups. Gender differences were sustained over time (2006–2015) and were particularly striking for triptans. For both men and women, the yearly prevalence of opioids was stable during 2006–2015, whereas it increased for paracetamol and decreased for NSAIDs. The increase in paracetamol prescription was most noticeable for young females, and the decrease in NSAID prescription was largest in older patients (irrespective of sex).ConclusionGender differences in the use of analgesics probably mirror the higher prevalence of chronic pain in women.

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“…Literature suggests provider characteristics, such as age, gender, race/ethnicity, and attitude are contributing to health disparities (Deepmala, Franz, Aponte, Agrawal & Wei, 2012;Meghani et al, 2009). Perhaps, as suggested by Meghani et al, race and/or gender concordant research has emerged in the quest to ameliorate racial and gender disparities in health care by drawing on the basic social question of ''are people able to identify, relate, understand, and interact more with those who may share their values and culture'' (p. 2).…”

Section: Introductionmentioning

confidence: 99%

The Influence of Race and Gender on Pain Management: A Systematic Literature Review

Hampton

Cavalier

Langford

2015

Pain Management Nursing

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Racial and gender disparities in health are well documented in health science literature. Racial minorities and women are known to receive disproportionately poorer quality of health care when compared to non-Hispanic Whites. It is unknown why women and particular racial and ethnic minorities are more susceptible to experience disparities in patient care. Moreover, with pain being the most common complaint for those entering the healthcare system, gaps in understanding the potential relationship between the nurse provider's gender and/or race and ethnicity and pain management deserve exploration. A systematic literature review has been conducted to explore the current state of knowledge related to providers, health disparities, and pain. Much of the research to date has focused on the provider-patient relationship to health disparities in pain management. Further research is needed to examine how provider-patient interactions may influence patient outcomes, satisfaction, adherence and disparities in health.

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Identification of Provider Characteristics Influencing Prescription of Analgesics: A Systematic Literature Review

Cited by 15 publications

References 36 publications

Provider Characteristics Associated With Outpatient Opioid Prescribing After Surgery

Provider Characteristics Associated With Outpatient Opioid Prescribing After Surgery

Gender differences in dispensed analgesics in Sweden during 2006–2015 – an observational, nationwide, whole-population study

The Influence of Race and Gender on Pain Management: A Systematic Literature Review

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Identification of Provider Characteristics Influencing Prescription of Analgesics: A Systematic Literature Review

Cited by 15 publications

References 36 publications

Provider Characteristics Associated With Outpatient Opioid Prescribing After Surgery

Provider Characteristics Associated With Outpatient Opioid Prescribing After Surgery

Gender differences in dispensed analgesics in Sweden during 2006&ndash;2015 &ndash; an observational, nationwide, whole-population study

The Influence of Race and Gender on Pain Management: A Systematic Literature Review

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Gender differences in dispensed analgesics in Sweden during 2006–2015 – an observational, nationwide, whole-population study