Uncategorized Archives - Page 54 of 65

The Authors’ Own Words: Marijuana Use and Mortality following Orthopedic Surgical Procedures

Dec 1, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Marijuana Use and Mortality following Orthopedic Surgical Procedures

Andrew S. Moon, BS; Walter Smith, BS; Sawyer Mullen, BS; Brent A. Ponce, MD; Gerald McGwin, PhD; Ashish Shah, MD; & Sameer M. Naranje, MD, MRCS

Substance Abuse Vol. 40, Iss. 3, 2019

“Despite a growing body of literature on the health implications of marijuana use, no studies to date have assessed the effects of marijuana use in patients undergoing common inpatient orthopedic procedures. The present study was intended to help fill this gap in the literature, focusing on the relationship between marijuana use and mortality, as well as comorbidities in patients undergoing common orthopedic surgeries using a national database. This analysis identified that marijuana use was associated with decreased in-hospital mortality in patients undergoing total hip and knee arthroplasty, shoulder arthroplasty, and traumatic femur fixation. Also identified was a positive association between marijuana use and cardiac disease in patients undergoing total hip and knee arthroplasty and spinal fusion, though a negative association was observed among trauma traumatic femur fixation patients. Regarding stroke, a positive association was observed among patients undergoing total hip and knee arthroplasty, shoulder arthroplasty, and spinal fusion. Finally, for heart failure, there was a positive association for total hip and knee arthroplasty but a negative association for trauma traumatic femur fixation patients. These results should be interpreted in light of the lack of precision observed for many of the associations owing to the relatively small number of reported marijuana users. If validated, given current trends towards increasing legalization and usage of marijuana, the results of this study have significant implications and health care providers should be aware of the potential health associations of marijuana use in patients undergoing orthopaedic surgical procedures.”

The Authors’ Own Words: Barriers to Accessing Treatment for Pregnant Women with Opioid Use Disorder in Appalachian States

Nov 30, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Barriers to Accessing Treatment for Pregnant Women with Opioid Use Disorder in Appalachian States

Stephen W. Patrick MD, MPH, MS; Melinda B. Buntin PhD; Peter R. Martin MD, MSc; Theresa A. Scott MS,William Dupont PhD; Michael Richards MD, PhD; & William O. Cooper MD, MPH

Substance Abuse Vol. 40, Iss. 3, 2019

“In a survey of opioid agonist treatment (OAT) providers in Appalachia, we found that providers frequently did not accept any insurance and frequently did not treat pregnant women in an area of the country disproportionately affected by the opioid epidemic. Policymakers could prioritize improvements in provider training, including training of obstetricians to become buprenorphine prescribers, as a means to enhance access to pregnant women or enhancing reimbursement rates as a means of improving insurance acceptance for OAT.”

The Authors’ Own Words: Predicting Cigarette Initiation And Re-Initiation Among Active Duty United States Air Force Recruits

Nov 30, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Predicting Cigarette Initiation And Re-Initiation Among Active Duty United States Air Force Recruits

Melissa A. Little, PhD, MPH; Jon O. Ebbert, MD; Rebecca A. Krukowski, PhD; Jennifer P. Halbert, MSPH; Ryan Kalpinski, PhD; Christi A. Patten, PhD; Tina L. Boothe, BA; Christin K. Pasker, BA; Robert C. Klesges, PhD; & Gerald W. Talcott, PhD

Substance Abuse Vol. 40, Iss. 3, 2019

“This study demonstrates that despite tobacco bans during early military training, new recruits initiate cigarette use during their first year of service. More research is needed to understand what factors are contributing to these high rates of cigarette use in order to develop effective interventions and policies.“

The Authors’ Own Words: Understanding and treating opioid use disorders in lesbian, gay, bisexual, transgender, and queer populations

Nov 29, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Understanding and treating opioid use disorders in lesbian, gay, bisexual, transgender, and queer populations

Michael P. Girouard, BA; Hilary Goldhammer, SM; & Alex S. Keuroghlian, MD, MPH

Substance Abuse Vol. 40, Iss. 3, 2019

“Our manuscript provides a commentary on the overlooked topic of opioid use disorders in LGBTQ populations. In this brief article, we bring awareness to the specific LGBTQ subpopulations most at risk of developing opioid use disorders and highlight the complex interplay between opioid use and sexual risk in LGBTQ subpopulations. Clinicians will find the article helpful in tailoring behavioral health interventions for LGBTQ people with opioid use disorders and will learn about a model program that meets the multifactorial needs of the LGBTQ population. Finally, those involved in research focused on curbing the opioid epidemic will find suggestions for how to be more inclusive of LGBTQ people in their studies.”

The Authors’ Own Words: Predictors of HEDIS Treatment Initiation and Engagement among Patients with Opioid Use Disorder across Seven Health Systems

Nov 29, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Predictors of HEDIS Treatment Initiation and Engagement among Patients with Opioid Use Disorder across Seven Health Systems

Cynthia I. Campbell, PhD, MPH; Constance Weisner, DrPH, MSW; Ingrid A. Binswanger, MD, MPH, MS; Gwen T. Lapham, PhD, MPH, MSW; Brian K. Ahmedani, PhD, LMSW; Bobbi Jo H. Yarborough, PsyD; Irina V. Haller, PhD, MS; Andrea Altschuler, PhD; Rulin C. Hechter, MD, PhD; Amy M. Loree, PhD; & Andrea H. Kline-Simon, MS

Substance Abuse Vol. 40, Iss. 3, 2019

“The rates of AOD initiation and engagement for OUD patients vary widely and leave considerable room for improvement. Health systems appear to have more success at engaging younger patients in treatment, which may have positive implications for these patients long-term if they can stay engaged. The primary care and inpatient settings can present important opportunities for health systems to initiate and engage patients in treatment.”