In The Journal of Pain, Catherine Callinan and colleagues, including Mark Neuman and Michael Ashburn, examine the connection between reasons for opioid initiation and risk factors for chronic usage. The investigators interviewed participants who received opioid therapy for more than 90 days, and who had a non-cancer pain diagnosis. They asked them about reason for opioid initiation, original intent of prescription, length of time on opioids, and demographic data including co-morbidities. Many patients who initiated opioid therapy after surgery experienced postoperative...
Abstract [from journal]
Importance: Drug shortages in the United States are common, but their effect on patient care and outcomes has rarely been reported.
Objective: To assess changes to patient care and outcomes associated with a 2011 national shortage of norepinephrine, the first-line vasopressor for septic shock.
Design, setting, and participants: Retrospective cohort study of 26 US hospitals in the Premier Healthcare Database with a baseline rate of norepinephrine use of at least 60% for...
Effect of a Decision Aid on Access to Total Knee Replacement for Black Patients With Osteoarthritis of the Knee: A Randomized Clinical Trial
An educational video on the risks and benefits of total knee replacement increased the rate of surgery among black patients, in a clinical trial of an intervention that could reduce known racial disparities in treatment of osteoarthritis.