Overdose Risk for Veterans Receiving Opioids From Multiple Sources
Among veterans in Massachusetts, receipt of opioids from multiple sources, with or without benzodiazepines, was associated with worse opioid-related outcomes.
From the Editorial Board: Glen D. Stettin, MD
A Randomized, Pragmatic, Pharmacist-Led Intervention Reduced Opioids Following Orthopedic Surgery
This pharmacist-led, patient-directed intervention demonstrated a reduction in opioid dispensings in the 90 days following hip replacement but not knee replacement.
Cost of Pharmacotherapy for Opioid Use Disorders Following Inpatient Detoxification
The mean 24-week cost per participant was $5416 for extended-release injectable naltrexone (57% detoxification, 37% medication, 6% provider/patient) and $4148 for buprenorphine-naloxone (64% detoxification, 12% medication, 24% provider/patient).
Understanding and Improving Value Frameworks With Real-World Patient Outcomes
New value frameworks should incorporate real-world evidence that reflects patient treatment behavior, adherence to medication, and equity concerns arising from disparities in care.
A Narrow View of Choosing Wisely
This letter argues that an editorial published in the August 2018 issue provides an unduly limited perspective of the impact of Choosing Wisely.
Hospital Cancer Pain Management by Electronic Health Record–Based Automatic Screening
A cancer pain control program for inpatients based on electronic health record–based automatic screening provided effective pain relief and achieved high satisfaction among patients and physicians.
Impact of Dementia on Costs of Modifiable Comorbid Conditions
Alzheimer disease and other dementias (ADOD) have a substantial impact on the prevalence and costs of certain comorbid conditions compared with matched beneficiaries without ADOD.
Patients' Adoption of and Feature Access Within Electronic Patient Portals
We found race and age disparities not only in who adopted patient portal technology but also in which features were accessed by those who were adopters.
Predicting 30-Day Emergency Department Revisits
“Frequent flyers” significantly contribute to emergency department (ED) crowding. This study developed a predictive model that can be used to identify high-risk patients and reduce ED revisits.
Effects of a Community-Based Care Management Model for Super-Utilizers
A community-based care management program for high-risk patients reduced hospital readmissions and also likely reduced admissions and Medicare parts A and B spending.
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