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Research ArticleResearch Letter

Opioid Prescriptions for New Low Back Pain: Trends and Variability by State

Micheal Raad, Jina Pakpoor, Andrew B. Harris, Varun Puvanesarajah, Majd Marrache, Joseph K. Canner and Amit Jain
The Journal of the American Board of Family Medicine January 2020, 33 (1) 138-142; DOI: https://doi.org/10.3122/jabfm.2020.01.190254
Micheal Raad
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
MD
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Jina Pakpoor
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
MD
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Andrew B. Harris
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
BS
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Varun Puvanesarajah
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
MD
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Majd Marrache
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
MD
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Joseph K. Canner
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
MHS
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Amit Jain
From Department of Orthopedic Surgery, Johns Hopkins Hospital, Baltimore, MD (MR, ABH, VP, MM, AJ); Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA (JP); Department of General Surgery, Johns Hopkins Hospital, Baltimore, MD (JKC).
MD
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    Figure 1.

    A caterpillar plot of the proportion of patients with a filled opioid prescription and the associated 95% logit confidence interval by state.

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    Figure 2.

    Regional scatter plots of the annual proportions of patients with any filled opioid prescription as well as the proportion of those with a filled prescription receiving more than 20 MME/day and their associated 95% logit confidence intervals. a: Northeast. b: Midwest. c: South. d: West.

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    Table 1.

    Characteristics of the Study Population

    CharacteristicValue
    Study population (n)418,565
    Sex, female (%)52.7
    Employee relation (%)
        Employee65.2
        Spouse27.1
        Child/other7.8
    Region (%)
        North East14.7
        North Central22.3
        South47.2
        West15.8
    Rural (%)14.6
    Plain film radiograph* (%)14.9
    • ↵* Proportion of the study population that had a plain film radiograph associated with the reference encounter for low back pain.

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The Journal of the American Board of Family     Medicine: 33 (1)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 1
January-February 2020
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Opioid Prescriptions for New Low Back Pain: Trends and Variability by State
Micheal Raad, Jina Pakpoor, Andrew B. Harris, Varun Puvanesarajah, Majd Marrache, Joseph K. Canner, Amit Jain
The Journal of the American Board of Family Medicine Jan 2020, 33 (1) 138-142; DOI: 10.3122/jabfm.2020.01.190254

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Opioid Prescriptions for New Low Back Pain: Trends and Variability by State
Micheal Raad, Jina Pakpoor, Andrew B. Harris, Varun Puvanesarajah, Majd Marrache, Joseph K. Canner, Amit Jain
The Journal of the American Board of Family Medicine Jan 2020, 33 (1) 138-142; DOI: 10.3122/jabfm.2020.01.190254
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Keywords

  • Low Back Pain
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  • Physician's Practice Patterns
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  • Primary Health Care
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