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Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.
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1 to 3 of 3 Research Studies DisplayedFry CE, Jeffery AD, Horta M
Changes in postpartum opioid prescribing after implementation of state opioid prescribing limits.
The purpose of this study was to investigate how state restrictions on opioid prescribing affected postpartum pain medication patterns. Researchers analyzed commercial insurance data spanning 2014-2021 across 49 U.S. states, examining over 1.5 million deliveries to patients averaging 30 years old. The investigation focused on opioid prescriptions given within 30 days after childbirth, considering both vaginal and cesarean deliveries. Nearly one-third of births were cesarean deliveries, and 98.4% involved patients who had not previously used opioids. The research measured prescription quantities, duration, and morphine equivalent doses to evaluate the impact of state-implemented prescription limitations.
AHRQ-funded; HS026395.
Citation: Fry CE, Jeffery AD, Horta M .
Changes in postpartum opioid prescribing after implementation of state opioid prescribing limits.
JAMA Health Forum 2024 Nov; 5(11):e244216. doi: 10.1001/jamahealthforum.2024.4216.
Keywords: Maternal Health, Women, Opioids, Medication, Practice Patterns
Peahl AF, Low LK, Langen ES
Drivers of variation in postpartum opioid prescribing across hospitals participating in a statewide maternity care quality collaborative.
This study examines postpartum opioid prescribing variation in a statewide quality collaborative. Among 40,589 patients, 3.0% of vaginal births and 87.8% of cesarean births received opioid prescriptions, showing significant hospital variation. Key predictors included cesarean delivery and severe lacerations for higher prescribing rates, while certified nurse-midwives and positive safety culture correlated with lower rates. The study found that practitioner and hospital factors accounted for substantial variation in prescribing, suggesting that targeted opioid stewardship could reduce prescribing harms.
AHRQ-funded; HS025465.
Citation: Peahl AF, Low LK, Langen ES .
Drivers of variation in postpartum opioid prescribing across hospitals participating in a statewide maternity care quality collaborative.
Birth 2024 Sep; 51(3):541-58. doi: 10.1111/birt.12809..
Keywords: Opioids, Maternal Health, Women, Medication, Hospitals, Practice Patterns
Camelo Castillo W, Boggess K, St眉rmer T
Trends in glyburide compared with insulin use for gestational diabetes treatment in the United States, 2000-2011.
The researchers sought to characterize pharmacologic treatment of women with gestational diabetes (GDM) by describing trends in the use of glyburide compared with insulin over the past decade (2000-2011) and identifying predictors of initial choice of pharmacotherapy. They found that glyburide has replaced insulin as the more common pharmacotherapy for GDM among those privately insured.
AHRQ-funded; HS017950
Citation: Camelo Castillo W, Boggess K, St眉rmer T .
Trends in glyburide compared with insulin use for gestational diabetes treatment in the United States, 2000-2011.
Obstet Gynecol. 2014 Jun;123(6):1177-84. doi: 10.1097/AOG.0000000000000285..
Keywords: Diabetes, Maternal Health, Medication, Practice Patterns, Pregnancy, Women
