Ann Pulling Kuhn, Edward Kim, Hannah G Lane, Yan Wang, Rachel Deitch, Lindsey Turner, Erin R Hager, Elizabeth A Parker
Associations between elementary and middle school teachers' physical activity promoting practices and teacher- and school-level factors
The international journal of behavioral nutrition and physical activity
evaluate patient provider characteristics predict persistent opioid use following radical cystectomy bladder cancer including nonopioid nave patients patients undergoing cystectomy july 2007 december 2015 identified using seermedicare database opioid exposure identified cystectomy using medicare part data multivariable analyses used identify predictors primary outcomes persistent opioid use prescription 36 months surgery postoperative opioid prescriptions within 30 days surgery secondary outcomes included physician prescribing practices rates persistent opioid use patient cohorts total 1774 patients included 29 prior opioid exposure compared opioidnave patients nonopioid nave patients frequently younger black living less educated communities percentage persistent postoperative use 10 overall 24 nonopioid nave patients adjusting patient factors opioid nave individuals less likely develop persistent use 023 50unit increase oral morphine equivalent per day prescribed following surgery nearly doubled likelihood persistent use 198 practice factors hospital size teaching affiliation hospital ownership failed predict persistent use 29 patients filled opioid prescription postoperatively opioid nave patients 013 cared government hospitals 059 less likely fill opioid script along residing northeast variability physicians seen prescribing practices rates persistent use nonopioid nave patients higher rates postoperative opioid prescription opioidnave patients physician prescribing practices play role persistent use initial prescription amount predicts persistent use even nonopioid nave patients significant physician variation prescribing practices rates persistent use suggest role standardizing practices