Patients Prescribed Opioids and Exposure to Opioid Educational Information by Health Care Provider Group
Type of Health Care Provider Group | ||||
---|---|---|---|---|
PCPs | SPs | PAs | NPs | |
Patients prescribed opioids for chronic pain during past 3 months (%)*,† | ||||
None | 24.5 | 69.4 | 50.0 | 52.6 |
1–5 patients | 25.5 | 16.4 | 24.4 | 26.0 |
6–10 patients | 19.0 | 5.5 | 8.5 | 5.6 |
11–20 patients | 13.7 | 3.0 | 6.2 | 6.4 |
21 or more patients | 15.6 | 4.3 | 9.0 | 8.2 |
Don't know/not sure | 1.6 | 1.4 | 1.8 | 1.2 |
Patients prescribed opioids past 3 months versus 12 months (%)*,† | ||||
Less | 43.8 | 24.5 | 26.1 | 26.5 |
Same | 54.2 | 74.5 | 70.8 | 70.6 |
More | 2.1 | 1.0 | 3.2 | 2.9 |
Sources for opioid educational information (%)* | ||||
Hospital or conference presentations‡ | 41.7a | 33.8c | 27.0d | 40.9b |
Online presentations or webinars‖ | 42.5b | 33.2d | 39.3d | 51.8a |
Sponsored event | 7.3 | 5.0 | 5.4 | 7.6 |
Medical journals¶ | 59.9a | 40.9b | 53.4a | 58.8a |
Prescribing information/REMS materials¶ | 24.5a | 15.2b | 18.8 | 25.1a |
Promotional materials¶ | 8.9 | 5.4b | 8.8 | 11.6a |
Other information sources | 6.5 | 2.6 | 5.5 | 5.5 |
Exposure to opioid educational information during the past 12 months# | ||||
Mean** | 1.91a | 1.36c | 1.58b | 2.01a |
95% CI | 1.80–2.02 | 1.04–1.49 | 1.45–1.72 | 1.88–2.16 |
%exposed ** | 89.8a | 71.9c | 78.8b | 85.5a |
Recall of opioid promotions†† | ||||
Mean** | 1.64b | 1.16c | 1.63b | 1.82a |
95% CI | 1.53–1.75 | 1.04−1.28 | 1.51–1.75 | 1.71–1.93 |
ADF knowledge score‡‡ | ||||
Mean** | 1.91a | 1.23c | 1.49b | 1.48b |
95% CI | 1.78–2.04 | 1.09–1.37 | 1.34–1.64 | 1.34–1.63 |
ADF, abuse-deterrent formulations; BH, Benjamini-Hochberg procedure; CI, confidence interval; NPs, nurse practitioners; PAs, physician assistants; PCPs, primary care physicians; REMS, Risk Evaluation and Mitigation Strategy; SPs, specialists.
↵* χ2 tests using the Agresti logit uniform association model were first conducted across the 4 groups, followed by pairwise comparisons using the BH procedure.
↵† PCPs were significantly different from NPs, PAs, and SPs, BH P < .01.
↵‡ a > c > d and b > d, BH adjusted, P < .05.
↵‖ a > b > d and a > c, BH adjusted, P < .05.
↵¶ a > b, BH adjusted P < .05.
↵# A global measure of exposure to opioid educational information was created by summing the “yes” responses for each source of opioid educational information. Means represent the average exposure per group. “% exposed” represents the percentage of respondents in each health care provider group that read at least 1 opioid educational material or attended 1 opioid educational event.
↵** a > b > c, BH adjusted, P < .05.
↵†† “Yes” responses to questions about seeing prescription drug promotions in the last 6 months related non-opioid analgesics, medication-assisted treatment for opioid deterrence, and opioid reversal agents were combined to create an overall recall measure of prescription drug promotions.
↵‡‡ Correct responses to 5 ADF questions were summed to create a total ADF knowledge score.