ArticleAmerican journal of preventive medicine2021
Outpatient Prescribing of Antibiotics and Opioids by Veterans Health Administration Providers, 2015-2017.
Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 16 citations in OpenAlex.
- The effect of antibiotic premedication on postoperative complications following dental extractions.Journal of public health dentistry · 2024Article
- Opportunities to Improve Antibiotic Prescribing for Adults With Acute Sinusitis, United States, 2016-2020.Open forum infectious diseases · 2024Article
- Research agenda for antibiotic stewardship within the Veterans' Health Administration, 2024-2028.Infection control and hospital epidemiology · 2024Article
- Changes in antibiotic prescribing by dentists in the United States, 2012-2019.Infection control and hospital epidemiology · 2023Article
- Health Equity and Antibiotic Prescribing in the United States: A Systematic Scoping Review.Open forum infectious diseases · 2023Article
- Comparison of guideline concordant antibiotic prophylaxis in Veterans Affairs and non-Veterans Affairs dental settings among those with cardiac conditions or prosthetic joints.BMC infectious diseases · 2023Article
- Article
- High prescribing of antibiotics is associated with high prescribing of opioids in medical and dental providers.Pharmacotherapy · 2022Article
- Opioid Prescribing by Dentists in the Veterans Health Administration.American journal of preventive medicine · 2022Article
- Appropriateness of Antibiotic Prophylaxis Before Dental Procedures, 2016-2018.American journal of preventive medicine · 2022Article
- A qualitative approach to examining antimicrobial prescribing in the outpatient dental setting.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2022Article
- Assessment of High-Volume Antibiotic and Opioid Prescribing by Medicare Part D Prescribers-United States, 2021.Public health reports (Washington, D.C. : 1974)Article
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Authors and funding
11 authors at 8 institutions in 1 country.
Funding
Abstract
introductionAntibiotics and opioids are targeted by public health and stewardship communities for reductions in prescribing across the country. This study evaluates trends and factors associated with outpatient prescribing by dental and medical providers in a large integrated health system.
methodsThis was a cross-sectional study of national dental and medical outpatient visits from Department of Veterans Affairs facilities in 2015-2017; analyzed in 2019-2020. Antibiotic and opioid prescribing rates were assessed by provider and facility characteristics. Multivariable Poisson regression adjusted for repeated measures by the provider was used to assess the independent association between facility and provider characteristics and rate of prescribing.
resultsOver the study period, 4,625,840 antibiotic and 10,380,809 opioid prescriptions were identified for 115,625,890 visits. Physicians prescribed most antibiotics (67%). Dentists prescribed 6% of the antibiotics but had the highest per-visit antibiotic prescribing rate compared to medical providers (6.75 vs 3.90 prescriptions per 100 visits, p<0.0001), which was largely driven by dental specialists. By contrast, dentists had lower opioid prescribing than medical providers (3.02 vs 9.20 prescriptions per 100 visits, p<0.0001). Overall, antibiotic and opioid prescribing decreased over time, with opioids having the greatest decreases (-28.0%). In multivariable analyses, U.S. geographic region, rurality, and complexity were associated with prescribing for both drug classes. Opioid and antibiotic prescribing were positively correlated.
conclusionsAlthough antibiotic and opioid prescribing has decreased, there are still important target areas for improvement. Interventions need to be tailored to community characteristics such as rurality and provider type.
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