Transitions of Care for Postoperative Opioid Prescribing in Previously Opioid-Naïve Patients in the USA: a Retrospective Review View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-10

AUTHORS

Michael P. Klueh, Hsou M. Hu, Ryan A. Howard, Joceline V. Vu, Calista M. Harbaugh, Pooja A. Lagisetty, Chad M. Brummett, Michael J. Englesbe, Jennifer F. Waljee, Jay S. Lee

ABSTRACT

BACKGROUND: New persistent opioid use is a common postoperative complication, with 6% of previously opioid-naïve patients continuing to fill opioid prescriptions 3-6 months after surgery. Despite these risks, it is unknown which specialties prescribe opioids to these vulnerable patients. OBJECTIVE: To identify specialties prescribing opioids to surgical patients who develop new persistent opioid use. DESIGN, SETTING, AND PARTICIPANTS: Using a national dataset of insurance claims, we identified opioid-naïve patients aged 18-64 years undergoing surgical procedures (2008-2014) who continued filling opioid prescriptions 3 to 6 months after surgery. We then examined opioid prescriptions claims during the 12 months after surgery, and identified prescribing physician specialty using National Provider Identifier codes. MAIN MEASURES: Percentage of opioid prescriptions provided by each specialty evaluated at 90-day intervals during the 12 months after surgery. KEY RESULTS: We identified 5276 opioid-naïve patients who developed new persistent opioid use. During the first 3 months after surgery, surgeons accounted for 69% of opioid prescriptions, primary care physicians accounted for 13%, Emergency Medicine accounted for 2%, Physical Medicine & Rehabilitation (PM&R)/Pain Medicine accounted for 1%, and all other specialties accounted for 15%. In contrast, 9 to 12 months after surgery, surgeons accounted for only 11% of opioid prescriptions, primary care physicians accounted for 53%, Emergency Medicine accounted for 5%, PM&R/Pain Medicine accounted for 6%, and all other specialties provided 25%. CONCLUSIONS: Among surgical patients who developed new persistent opioid use, surgeons provide the majority of opioid prescriptions during the first 3 months after surgery. By 9 to 12 months after surgery, however, the majority of opioid prescriptions were provided by primary care physicians. Enhanced care coordination between surgeons and primary care physicians could allow earlier identification of patients at risk for new persistent opioid use to prevent misuse and dependence. More... »

PAGES

1685-1691

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11606-018-4463-1

DOI

http://dx.doi.org/10.1007/s11606-018-4463-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1104525504

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29948809


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Klueh", 
        "givenName": "Michael P.", 
        "id": "sg:person.011274077324.10", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011274077324.10"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Hu", 
        "givenName": "Hsou M.", 
        "id": "sg:person.0610162246.75", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0610162246.75"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Howard", 
        "givenName": "Ryan A.", 
        "id": "sg:person.010107525716.67", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010107525716.67"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Vu", 
        "givenName": "Joceline V.", 
        "id": "sg:person.010625456205.12", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010625456205.12"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Harbaugh", 
        "givenName": "Calista M.", 
        "id": "sg:person.01307252047.98", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01307252047.98"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "VA Center for Clinical Management Research", 
          "id": "https://www.grid.ac/institutes/grid.497654.d", 
          "name": [
            "Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA", 
            "VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lagisetty", 
        "givenName": "Pooja A.", 
        "id": "sg:person.01015105537.68", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01015105537.68"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Brummett", 
        "givenName": "Chad M.", 
        "id": "sg:person.01355457075.71", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01355457075.71"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Michigan Medicine", 
          "id": "https://www.grid.ac/institutes/grid.412590.b", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA", 
            "Section of Transplant Surgery, University of Michigan Health System, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Englesbe", 
        "givenName": "Michael J.", 
        "id": "sg:person.01116272233.54", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01116272233.54"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Waljee", 
        "givenName": "Jennifer F.", 
        "id": "sg:person.0724512470.50", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0724512470.50"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Michigan\u2013Ann Arbor", 
          "id": "https://www.grid.ac/institutes/grid.214458.e", 
          "name": [
            "Department of Surgery, University of Michigan, Ann Arbor, MI, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Lee", 
        "givenName": "Jay S.", 
        "id": "sg:person.01115102543.84", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01115102543.84"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1097/j.pain.0000000000000516", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008275735"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/j.pain.0000000000000516", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008275735"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/pme.12621", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009494859"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2016.1464", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011046696"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2016.1464", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011046696"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2016.1464", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011046696"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amepre.2015.02.020", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011112925"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2011.370", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012091650"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jamasurg.2016.1681", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018666693"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aln.0b013e3181cf423d", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025120400"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aln.0b013e3181cf423d", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025120400"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/aln.0b013e3181cf423d", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025120400"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.g1251", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027504523"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/pme.12247", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032571839"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000001993", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034431632"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000001993", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1034431632"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archinternmed.2011.1827", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035973066"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.juro.2010.09.088", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047731947"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.cct.2014.05.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050550485"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jama.2016.7789", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051413582"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/jom.0b013e3182479fae", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052958323"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/jom.0b013e3182479fae", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052958323"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/pm/pnw078", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059976857"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12875-016-0566-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064134870", 
          "https://doi.org/10.1186/s12875-016-0566-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12875-016-0566-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064134870", 
          "https://doi.org/10.1186/s12875-016-0566-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.15585/mmwr.mm655051e1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1067984551"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.18637/jss.v042.i08", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1068672630"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5055/jom.2014.0187", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1072568589"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.7326/0003-4819-135-9-200111060-00012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1073705185"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078354292", 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11916-017-0611-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083862659", 
          "https://doi.org/10.1007/s11916-017-0611-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11916-017-0611-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083862659", 
          "https://doi.org/10.1007/s11916-017-0611-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000002198", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084196697"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000002198", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084196697"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/jamasurg.2017.0504", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084813244"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000002365", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1090604434"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000002365", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1090604434"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.jpain.2017.06.010", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1090667614"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1200/jco.2017.74.1363", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092304141"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000002458", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092313967"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000002458", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092313967"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000002458", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092313967"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000002497", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092316172"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1213/ane.0000000000002497", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092316172"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.j5790", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1100463060"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.j5790", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1100463060"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-10", 
    "datePublishedReg": "2018-10-01", 
    "description": "BACKGROUND: New persistent opioid use is a common postoperative complication, with 6% of previously opioid-na\u00efve patients continuing to fill opioid prescriptions 3-6\u00a0months after surgery. Despite these risks, it is unknown which specialties prescribe opioids to these vulnerable patients.\nOBJECTIVE: To identify specialties prescribing opioids to surgical patients who develop new persistent opioid use.\nDESIGN, SETTING, AND PARTICIPANTS: Using a national dataset of insurance claims, we identified opioid-na\u00efve patients aged 18-64\u00a0years undergoing surgical procedures (2008-2014) who continued filling opioid prescriptions 3 to 6\u00a0months after surgery. We then examined opioid prescriptions claims during the 12\u00a0months after surgery, and identified prescribing physician specialty using National Provider Identifier codes.\nMAIN MEASURES: Percentage of opioid prescriptions provided by each specialty evaluated at 90-day intervals during the 12\u00a0months after surgery.\nKEY RESULTS: We identified 5276 opioid-na\u00efve patients who developed new persistent opioid use. During the first 3\u00a0months after surgery, surgeons accounted for 69% of opioid prescriptions, primary care physicians accounted for 13%, Emergency Medicine accounted for 2%, Physical Medicine & Rehabilitation (PM&R)/Pain Medicine accounted for 1%, and all other specialties accounted for 15%. In contrast, 9 to 12\u00a0months after surgery, surgeons accounted for only 11% of opioid prescriptions, primary care physicians accounted for 53%, Emergency Medicine accounted for 5%, PM&R/Pain Medicine accounted for 6%, and all other specialties provided 25%.\nCONCLUSIONS: Among surgical patients who developed new persistent opioid use, surgeons provide the majority of opioid prescriptions during the first 3\u00a0months after surgery. By 9 to 12\u00a0months after surgery, however, the majority of opioid prescriptions were provided by primary care physicians. Enhanced care coordination between surgeons and primary care physicians could allow earlier identification of patients at risk for new persistent opioid use to prevent misuse and dependence.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11606-018-4463-1", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.2682666", 
        "type": "MonetaryGrant"
      }, 
      {
        "id": "sg:grant.6953241", 
        "type": "MonetaryGrant"
      }, 
      {
        "id": "sg:grant.2686242", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1096256", 
        "issn": [
          "0884-8734", 
          "1525-1497"
        ], 
        "name": "Journal of General Internal Medicine", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "10", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "33"
      }
    ], 
    "name": "Transitions of Care for Postoperative Opioid Prescribing in Previously Opioid-Na\u00efve Patients in the USA: a Retrospective Review", 
    "pagination": "1685-1691", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "b025b700cef76eacee626d6c8eb3401dfb34f2acefa6788c648229b08e4c2a68"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "29948809"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8605834"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11606-018-4463-1"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1104525504"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11606-018-4463-1", 
      "https://app.dimensions.ai/details/publication/pub.1104525504"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T10:33", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000349_0000000349/records_113658_00000004.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11606-018-4463-1"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4463-1'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4463-1'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4463-1'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11606-018-4463-1'


 

This table displays all metadata directly associated to this object as RDF triples.

241 TRIPLES      21 PREDICATES      60 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11606-018-4463-1 schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author Nc83fd89a0ac145b9975e46b1d114032a
4 schema:citation sg:pub.10.1007/s11916-017-0611-2
5 sg:pub.10.1186/s12875-016-0566-0
6 https://app.dimensions.ai/details/publication/pub.1078354292
7 https://doi.org/10.1001/archinternmed.2011.1827
8 https://doi.org/10.1001/jama.2011.370
9 https://doi.org/10.1001/jama.2016.1464
10 https://doi.org/10.1001/jama.2016.7789
11 https://doi.org/10.1001/jamasurg.2016.1681
12 https://doi.org/10.1001/jamasurg.2017.0504
13 https://doi.org/10.1016/j.amepre.2015.02.020
14 https://doi.org/10.1016/j.cct.2014.05.005
15 https://doi.org/10.1016/j.jpain.2017.06.010
16 https://doi.org/10.1016/j.juro.2010.09.088
17 https://doi.org/10.1093/pm/pnw078
18 https://doi.org/10.1097/aln.0b013e3181cf423d
19 https://doi.org/10.1097/j.pain.0000000000000516
20 https://doi.org/10.1097/jom.0b013e3182479fae
21 https://doi.org/10.1097/sla.0000000000001993
22 https://doi.org/10.1097/sla.0000000000002198
23 https://doi.org/10.1097/sla.0000000000002365
24 https://doi.org/10.1111/pme.12247
25 https://doi.org/10.1111/pme.12621
26 https://doi.org/10.1136/bmj.g1251
27 https://doi.org/10.1136/bmj.j5790
28 https://doi.org/10.1200/jco.2017.74.1363
29 https://doi.org/10.1213/ane.0000000000002458
30 https://doi.org/10.1213/ane.0000000000002497
31 https://doi.org/10.15585/mmwr.mm655051e1
32 https://doi.org/10.18637/jss.v042.i08
33 https://doi.org/10.5055/jom.2014.0187
34 https://doi.org/10.7326/0003-4819-135-9-200111060-00012
35 schema:datePublished 2018-10
36 schema:datePublishedReg 2018-10-01
37 schema:description BACKGROUND: New persistent opioid use is a common postoperative complication, with 6% of previously opioid-naïve patients continuing to fill opioid prescriptions 3-6 months after surgery. Despite these risks, it is unknown which specialties prescribe opioids to these vulnerable patients. OBJECTIVE: To identify specialties prescribing opioids to surgical patients who develop new persistent opioid use. DESIGN, SETTING, AND PARTICIPANTS: Using a national dataset of insurance claims, we identified opioid-naïve patients aged 18-64 years undergoing surgical procedures (2008-2014) who continued filling opioid prescriptions 3 to 6 months after surgery. We then examined opioid prescriptions claims during the 12 months after surgery, and identified prescribing physician specialty using National Provider Identifier codes. MAIN MEASURES: Percentage of opioid prescriptions provided by each specialty evaluated at 90-day intervals during the 12 months after surgery. KEY RESULTS: We identified 5276 opioid-naïve patients who developed new persistent opioid use. During the first 3 months after surgery, surgeons accounted for 69% of opioid prescriptions, primary care physicians accounted for 13%, Emergency Medicine accounted for 2%, Physical Medicine & Rehabilitation (PM&R)/Pain Medicine accounted for 1%, and all other specialties accounted for 15%. In contrast, 9 to 12 months after surgery, surgeons accounted for only 11% of opioid prescriptions, primary care physicians accounted for 53%, Emergency Medicine accounted for 5%, PM&R/Pain Medicine accounted for 6%, and all other specialties provided 25%. CONCLUSIONS: Among surgical patients who developed new persistent opioid use, surgeons provide the majority of opioid prescriptions during the first 3 months after surgery. By 9 to 12 months after surgery, however, the majority of opioid prescriptions were provided by primary care physicians. Enhanced care coordination between surgeons and primary care physicians could allow earlier identification of patients at risk for new persistent opioid use to prevent misuse and dependence.
38 schema:genre research_article
39 schema:inLanguage en
40 schema:isAccessibleForFree false
41 schema:isPartOf N534af9706e08443aa927e59b8b5725fc
42 Nb746c65350ac4faa9c6b832fb511f3ad
43 sg:journal.1096256
44 schema:name Transitions of Care for Postoperative Opioid Prescribing in Previously Opioid-Naïve Patients in the USA: a Retrospective Review
45 schema:pagination 1685-1691
46 schema:productId N00d482e3296c4846846a3c31f4172026
47 N1348e4359111415f9191d4dccbcb670f
48 Nb1a1cb8f8e1947e085a246d5f25d8528
49 Nc447b5d31ff048bd97e8525387897d01
50 Ndf423737a9a143ed8603326d09de76a8
51 schema:sameAs https://app.dimensions.ai/details/publication/pub.1104525504
52 https://doi.org/10.1007/s11606-018-4463-1
53 schema:sdDatePublished 2019-04-11T10:33
54 schema:sdLicense https://scigraph.springernature.com/explorer/license/
55 schema:sdPublisher N37755ade6aaf457986cef7c266769aaa
56 schema:url https://link.springer.com/10.1007%2Fs11606-018-4463-1
57 sgo:license sg:explorer/license/
58 sgo:sdDataset articles
59 rdf:type schema:ScholarlyArticle
60 N00d482e3296c4846846a3c31f4172026 schema:name pubmed_id
61 schema:value 29948809
62 rdf:type schema:PropertyValue
63 N1348e4359111415f9191d4dccbcb670f schema:name doi
64 schema:value 10.1007/s11606-018-4463-1
65 rdf:type schema:PropertyValue
66 N17cec0206cd34d5ab350b493135c0018 rdf:first sg:person.0610162246.75
67 rdf:rest N450fb2bd85fc4922902855c93fecad1c
68 N1a8078949d154e5aa886a025aac47323 rdf:first sg:person.010625456205.12
69 rdf:rest N960e35fe4acb42ba855a8de30fb87db6
70 N1e3ebb5aa0da4d37a04ba1b7f6e26654 rdf:first sg:person.01115102543.84
71 rdf:rest rdf:nil
72 N26dfd8409ccf4567b685325be370ee23 rdf:first sg:person.0724512470.50
73 rdf:rest N1e3ebb5aa0da4d37a04ba1b7f6e26654
74 N37755ade6aaf457986cef7c266769aaa schema:name Springer Nature - SN SciGraph project
75 rdf:type schema:Organization
76 N450fb2bd85fc4922902855c93fecad1c rdf:first sg:person.010107525716.67
77 rdf:rest N1a8078949d154e5aa886a025aac47323
78 N534af9706e08443aa927e59b8b5725fc schema:issueNumber 10
79 rdf:type schema:PublicationIssue
80 N960e35fe4acb42ba855a8de30fb87db6 rdf:first sg:person.01307252047.98
81 rdf:rest Ne60aff65577449d69e90145d33eb5cf6
82 Nb1a1cb8f8e1947e085a246d5f25d8528 schema:name nlm_unique_id
83 schema:value 8605834
84 rdf:type schema:PropertyValue
85 Nb746c65350ac4faa9c6b832fb511f3ad schema:volumeNumber 33
86 rdf:type schema:PublicationVolume
87 Nbac7f9bc0e4c4fa7910757f135df40db rdf:first sg:person.01116272233.54
88 rdf:rest N26dfd8409ccf4567b685325be370ee23
89 Nc447b5d31ff048bd97e8525387897d01 schema:name readcube_id
90 schema:value b025b700cef76eacee626d6c8eb3401dfb34f2acefa6788c648229b08e4c2a68
91 rdf:type schema:PropertyValue
92 Nc83fd89a0ac145b9975e46b1d114032a rdf:first sg:person.011274077324.10
93 rdf:rest N17cec0206cd34d5ab350b493135c0018
94 Ndf423737a9a143ed8603326d09de76a8 schema:name dimensions_id
95 schema:value pub.1104525504
96 rdf:type schema:PropertyValue
97 Ne228f452a0564c7cae1c7240957e24ca rdf:first sg:person.01355457075.71
98 rdf:rest Nbac7f9bc0e4c4fa7910757f135df40db
99 Ne60aff65577449d69e90145d33eb5cf6 rdf:first sg:person.01015105537.68
100 rdf:rest Ne228f452a0564c7cae1c7240957e24ca
101 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
102 schema:name Medical and Health Sciences
103 rdf:type schema:DefinedTerm
104 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
105 schema:name Clinical Sciences
106 rdf:type schema:DefinedTerm
107 sg:grant.2682666 http://pending.schema.org/fundedItem sg:pub.10.1007/s11606-018-4463-1
108 rdf:type schema:MonetaryGrant
109 sg:grant.2686242 http://pending.schema.org/fundedItem sg:pub.10.1007/s11606-018-4463-1
110 rdf:type schema:MonetaryGrant
111 sg:grant.6953241 http://pending.schema.org/fundedItem sg:pub.10.1007/s11606-018-4463-1
112 rdf:type schema:MonetaryGrant
113 sg:journal.1096256 schema:issn 0884-8734
114 1525-1497
115 schema:name Journal of General Internal Medicine
116 rdf:type schema:Periodical
117 sg:person.010107525716.67 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
118 schema:familyName Howard
119 schema:givenName Ryan A.
120 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010107525716.67
121 rdf:type schema:Person
122 sg:person.01015105537.68 schema:affiliation https://www.grid.ac/institutes/grid.497654.d
123 schema:familyName Lagisetty
124 schema:givenName Pooja A.
125 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01015105537.68
126 rdf:type schema:Person
127 sg:person.010625456205.12 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
128 schema:familyName Vu
129 schema:givenName Joceline V.
130 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010625456205.12
131 rdf:type schema:Person
132 sg:person.01115102543.84 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
133 schema:familyName Lee
134 schema:givenName Jay S.
135 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01115102543.84
136 rdf:type schema:Person
137 sg:person.01116272233.54 schema:affiliation https://www.grid.ac/institutes/grid.412590.b
138 schema:familyName Englesbe
139 schema:givenName Michael J.
140 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01116272233.54
141 rdf:type schema:Person
142 sg:person.011274077324.10 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
143 schema:familyName Klueh
144 schema:givenName Michael P.
145 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011274077324.10
146 rdf:type schema:Person
147 sg:person.01307252047.98 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
148 schema:familyName Harbaugh
149 schema:givenName Calista M.
150 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01307252047.98
151 rdf:type schema:Person
152 sg:person.01355457075.71 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
153 schema:familyName Brummett
154 schema:givenName Chad M.
155 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01355457075.71
156 rdf:type schema:Person
157 sg:person.0610162246.75 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
158 schema:familyName Hu
159 schema:givenName Hsou M.
160 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0610162246.75
161 rdf:type schema:Person
162 sg:person.0724512470.50 schema:affiliation https://www.grid.ac/institutes/grid.214458.e
163 schema:familyName Waljee
164 schema:givenName Jennifer F.
165 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0724512470.50
166 rdf:type schema:Person
167 sg:pub.10.1007/s11916-017-0611-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1083862659
168 https://doi.org/10.1007/s11916-017-0611-2
169 rdf:type schema:CreativeWork
170 sg:pub.10.1186/s12875-016-0566-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064134870
171 https://doi.org/10.1186/s12875-016-0566-0
172 rdf:type schema:CreativeWork
173 https://app.dimensions.ai/details/publication/pub.1078354292 schema:CreativeWork
174 https://doi.org/10.1001/archinternmed.2011.1827 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035973066
175 rdf:type schema:CreativeWork
176 https://doi.org/10.1001/jama.2011.370 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012091650
177 rdf:type schema:CreativeWork
178 https://doi.org/10.1001/jama.2016.1464 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011046696
179 rdf:type schema:CreativeWork
180 https://doi.org/10.1001/jama.2016.7789 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051413582
181 rdf:type schema:CreativeWork
182 https://doi.org/10.1001/jamasurg.2016.1681 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018666693
183 rdf:type schema:CreativeWork
184 https://doi.org/10.1001/jamasurg.2017.0504 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084813244
185 rdf:type schema:CreativeWork
186 https://doi.org/10.1016/j.amepre.2015.02.020 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011112925
187 rdf:type schema:CreativeWork
188 https://doi.org/10.1016/j.cct.2014.05.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050550485
189 rdf:type schema:CreativeWork
190 https://doi.org/10.1016/j.jpain.2017.06.010 schema:sameAs https://app.dimensions.ai/details/publication/pub.1090667614
191 rdf:type schema:CreativeWork
192 https://doi.org/10.1016/j.juro.2010.09.088 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047731947
193 rdf:type schema:CreativeWork
194 https://doi.org/10.1093/pm/pnw078 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059976857
195 rdf:type schema:CreativeWork
196 https://doi.org/10.1097/aln.0b013e3181cf423d schema:sameAs https://app.dimensions.ai/details/publication/pub.1025120400
197 rdf:type schema:CreativeWork
198 https://doi.org/10.1097/j.pain.0000000000000516 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008275735
199 rdf:type schema:CreativeWork
200 https://doi.org/10.1097/jom.0b013e3182479fae schema:sameAs https://app.dimensions.ai/details/publication/pub.1052958323
201 rdf:type schema:CreativeWork
202 https://doi.org/10.1097/sla.0000000000001993 schema:sameAs https://app.dimensions.ai/details/publication/pub.1034431632
203 rdf:type schema:CreativeWork
204 https://doi.org/10.1097/sla.0000000000002198 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084196697
205 rdf:type schema:CreativeWork
206 https://doi.org/10.1097/sla.0000000000002365 schema:sameAs https://app.dimensions.ai/details/publication/pub.1090604434
207 rdf:type schema:CreativeWork
208 https://doi.org/10.1111/pme.12247 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032571839
209 rdf:type schema:CreativeWork
210 https://doi.org/10.1111/pme.12621 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009494859
211 rdf:type schema:CreativeWork
212 https://doi.org/10.1136/bmj.g1251 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027504523
213 rdf:type schema:CreativeWork
214 https://doi.org/10.1136/bmj.j5790 schema:sameAs https://app.dimensions.ai/details/publication/pub.1100463060
215 rdf:type schema:CreativeWork
216 https://doi.org/10.1200/jco.2017.74.1363 schema:sameAs https://app.dimensions.ai/details/publication/pub.1092304141
217 rdf:type schema:CreativeWork
218 https://doi.org/10.1213/ane.0000000000002458 schema:sameAs https://app.dimensions.ai/details/publication/pub.1092313967
219 rdf:type schema:CreativeWork
220 https://doi.org/10.1213/ane.0000000000002497 schema:sameAs https://app.dimensions.ai/details/publication/pub.1092316172
221 rdf:type schema:CreativeWork
222 https://doi.org/10.15585/mmwr.mm655051e1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1067984551
223 rdf:type schema:CreativeWork
224 https://doi.org/10.18637/jss.v042.i08 schema:sameAs https://app.dimensions.ai/details/publication/pub.1068672630
225 rdf:type schema:CreativeWork
226 https://doi.org/10.5055/jom.2014.0187 schema:sameAs https://app.dimensions.ai/details/publication/pub.1072568589
227 rdf:type schema:CreativeWork
228 https://doi.org/10.7326/0003-4819-135-9-200111060-00012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1073705185
229 rdf:type schema:CreativeWork
230 https://www.grid.ac/institutes/grid.214458.e schema:alternateName University of Michigan–Ann Arbor
231 schema:name Department of Anesthesiology, University of Michigan, Ann Arbor, MI, USA
232 Department of Surgery, University of Michigan, Ann Arbor, MI, USA
233 rdf:type schema:Organization
234 https://www.grid.ac/institutes/grid.412590.b schema:alternateName Michigan Medicine
235 schema:name Department of Surgery, University of Michigan, Ann Arbor, MI, USA
236 Section of Transplant Surgery, University of Michigan Health System, Ann Arbor, MI, USA
237 rdf:type schema:Organization
238 https://www.grid.ac/institutes/grid.497654.d schema:alternateName VA Center for Clinical Management Research
239 schema:name Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA
240 VA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA
241 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...