{"database":"biostudies-literature","file_versions":[],"scores":{"citationCount":0,"reanalysisCount":0,"viewCount":55,"searchCount":0},"additional":{"submitter":["Lozada MJ"],"funding":["Agency for Healthcare Research and Quality","NCATS NIH HHS","NIA NIH HHS","NIDA NIH HHS","NCRR NIH HHS","AHRQ HHS","National Institutes of Health","NIH HHS"],"pagination":["2584-2592"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC7459076"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["35(9)"],"pubmed_abstract":["<h4>Background</h4>Prescription opioid overprescribing is a focal point for legislators, but little is known about opioid prescribing patterns of primary care nurse practitioners (NPs) and physician assistants (PAs).<h4>Objective</h4>To identify prescription opioid overprescribers by comparing prescribing patterns of primary care physicians (MDs), nurse practitioners (NPs), and physician assistants (PAs).<h4>Design</h4>Retrospective, cross-sectional analysis of Medicare Part D enrollee prescription data.<h4>Participants</h4>Twenty percent national sample of 2015 Medicare Part D enrollees.<h4>Main measures</h4>We identified potential opioid overprescribing as providers who met at least one of the following: (1) prescribed any opioid to > 50% of patients, (2) prescribed ≥ 100 morphine milligram equivalents (MME)/day to > 10% of patients, or (3) prescribed an opioid > 90 days to > 20% of patients.<h4>Key results</h4>Among 222,689 primary care providers, 3.8% of MDs, 8.0% of NPs, and 9.8% of PAs met at least one definition of overprescribing. 1.3% of MDs, 6.3% of NPs, and 8.8% of PAs prescribed an opioid to at least 50% of patients. NPs/PAs practicing in states with independent prescription authority were > 20 times more likely to overprescribe opioids than NPs/PAs in prescription-restricted states.<h4>Conclusions</h4>Most NPs/PAs prescribed opioids in a pattern similar to MDs, but NPs/PAs had more outliers who prescribed high-frequency, high-dose opioids than did MDs. Efforts to reduce opioid overprescribing should include targeted provider education, risk stratification, and state legislation."],"journal":["Journal of general internal medicine"],"pubmed_title":["Opioid Prescribing by Primary Care Providers: a Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns."],"pmcid":["PMC7459076"],"funding_grant_id":["R01 HS020642","P30 AG024832","R01-DA039192, P30AG024832, UL1TR001439","R01-HS020642","R01 DA039192","UL1 RR029876","R01‐DA039192, P30AG024832, UL1TR001439","UL1 TR001439"],"pubmed_authors":["Kuo YF","Lozada MJ","Goodwin JS","Raji MA"],"view_count":["55"],"additional_accession":[]},"is_claimable":false,"name":"Opioid Prescribing by Primary Care Providers: a Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns.","description":"<h4>Background</h4>Prescription opioid overprescribing is a focal point for legislators, but little is known about opioid prescribing patterns of primary care nurse practitioners (NPs) and physician assistants (PAs).<h4>Objective</h4>To identify prescription opioid overprescribers by comparing prescribing patterns of primary care physicians (MDs), nurse practitioners (NPs), and physician assistants (PAs).<h4>Design</h4>Retrospective, cross-sectional analysis of Medicare Part D enrollee prescription data.<h4>Participants</h4>Twenty percent national sample of 2015 Medicare Part D enrollees.<h4>Main measures</h4>We identified potential opioid overprescribing as providers who met at least one of the following: (1) prescribed any opioid to > 50% of patients, (2) prescribed ≥ 100 morphine milligram equivalents (MME)/day to > 10% of patients, or (3) prescribed an opioid > 90 days to > 20% of patients.<h4>Key results</h4>Among 222,689 primary care providers, 3.8% of MDs, 8.0% of NPs, and 9.8% of PAs met at least one definition of overprescribing. 1.3% of MDs, 6.3% of NPs, and 8.8% of PAs prescribed an opioid to at least 50% of patients. NPs/PAs practicing in states with independent prescription authority were > 20 times more likely to overprescribe opioids than NPs/PAs in prescription-restricted states.<h4>Conclusions</h4>Most NPs/PAs prescribed opioids in a pattern similar to MDs, but NPs/PAs had more outliers who prescribed high-frequency, high-dose opioids than did MDs. Efforts to reduce opioid overprescribing should include targeted provider education, risk stratification, and state legislation.","dates":{"release":"2020-01-01T00:00:00Z","publication":"2020 Sep","modification":"2024-11-20T10:25:48.585Z","creation":"2022-02-11T09:59:50.476Z"},"accession":"S-EPMC7459076","cross_references":{"pubmed":["32333312"],"doi":["10.1007/s11606-020-05823-0"]}}