Association Between US News & World Report Medical School Ranking and Physician Opioid Prescribing for New Low Back Pain, 2011-2014.
Association Between US News & World Report Medical School Ranking and Physician Opioid Prescribing for New Low Back Pain, 2011-2014.
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美国新闻之间的关联
DOI：
10.1007/s11606-019-05444-2
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发表时间：
2020
影响因子：
5.7
通讯作者：
Ly,DanP
中科院分区：
文献类型：
--
作者：
Ly,DanP
方法我们使用2010-2014年的索赔数据进行分析，随机抽取20%的医疗保险受益人样本。我们纳入了66岁及以上的受益人，这些受益人在新发腰痛发作前一年、当年和次年连续参加了Medicare A、B和D部分，在过去365天内没有阿片类药物暴露。我们排除了有癌症史或临终关怀的患者。结果是在随后的365天内使用阿片类药物，定义为曾经接受的二元变量和接受的吗啡当量（ME）数量的连续变量（包括未接受阿片类药物的患者的零）。我们使用标准转换表将阿片类药物转换为ME。3
METHODSWe performed analyses using 2010–2014 claims data for a random 20% sample of Medicare beneficiaries. We included beneficiaries aged 66 and over continuously enrolled in Medicare Parts A, B, and D the year prior, year of, and year subsequent to their episode of new low back pain with no opioid exposure in the prior 365 days. We excluded patients with history of cancer or a hospice claim. The outcome was opioid use in the subsequent 365 days, defined both as a binary variable for ever received and as a continuous variable for the number of morphine equivalents (MEs) received (including zeros for patients who received no opioids). We converted opioids to MEs using standard conversion tables. 3