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Documented opioid use disorder and its treatment in primary care patients across six U.S. health systems by Denise M. Boudreau; Gwen Lapham; Eric A. Johnson; Jennifer F. Bobb; Abigail G. Matthews; Jennifer McCormack; David Liu; Cynthia I. Campbell; Rebecca C. Rossom; Ingrid A. Binswanger; Bobbi Jo Yarborough; Julia H. Arnsten; Chinazo O. Cunningham; Joseph E. Glass; Mark T. Murphy; Mohammad Zare; Rulin C. Hechter; Brian Ahmedani; Jordan M. Braciszewski; Viviana E. Horigian; José Szapocznik; Jeffrey H. Samet; Andrew J. Saxon; Robert P. Schwartz; Katharine A. Bradley is a Medicine article available to read on EtoBox.

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## Background: The united states is in the middle of an opioid overdose epidemic, and experts are calling for improved detection of opioid use disorders (ouds) and treatment with buprenorphine or extended release (xr) injectable naltrexone, which can be prescribed in general medical settings. to better understand the magnitude of opportunities for treatment among primary care (pc) patients, we estimated the prevalence of documented oud and medication treatment of oud among pc patients. ## Methods: This cross-sectional study included patients with ≥2 visits to pc clinics across 6 healthcare delivery systems who were ≥16 years of age during the study period (fiscal years 2014-2016). diagnoses, prescriptions, and healthcare utilization were ascertained from electronic health records and insurance claims (5 systems that also offer health insurance). documented ouds were defined as ≥1 international classification of diseases code for ouds (active or remission), and oud treatment was defined as ≥1 prescription(s) for buprenorphine formulations indicated for oud or naltrexone xr, during the 3-year study period. the prevalence of documented oud and treatment (95% confidence intervals) acro

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Author

Denise M. Boudreau; Gwen Lapham; Eric A. Johnson; Jennifer F. Bobb; Abigail G. Matthews; Jennifer McCormack; David Liu; Cynthia I. Campbell; Rebecca C. Rossom; Ingrid A. Binswanger; Bobbi Jo Yarborough; Julia H. Arnsten; Chinazo O. Cunningham; Joseph E. Glass; Mark T. Murphy; Mohammad Zare; Rulin C. Hechter; Brian Ahmedani; Jordan M. Braciszewski; Viviana E. Horigian; José Szapocznik; Jeffrey H. Samet; Andrew J. Saxon; Robert P. Schwartz; Katharine A. Bradley

Publisher

Elsevier Science; Elsevier ; Elsevier BV (ISSN 0740-5472)

Published

2020

Language

EN

Field

Medicine (Health Sciences)