• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Emergency

Ethnic differences in pediatric opioid prescriptions following long bone fractures declined over time

byAlexa FineandAlex Gipsman, MD
October 18, 2021
in Emergency, Orthopedic Surgery, Pediatrics, Public Health
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

1. Previously reported ethnic differences in opioid prescribing at discharge in the emergency department (ED) for pediatric long bone fractures in 2012 became non-significant by 2019.

2. Overall opioid prescribing at discharge in the ED declined from 27% in 2012 to 5% in 2019.

Evidence Rating Level: 2 (Good)

Study Rundown: Prior research has described ethnic disparities in the frequency of opioid prescriptions for children after long bone fractures in the emergency department (ED). This study evaluated changes in opioid prescription based on ethnicity in children over time. Across 42,803 pediatric ED visits for long bone fractures, 15% of children received an opioid prescription, with non-Hispanic white children receiving the highest percentage of prescriptions (20%), even after controlling for reported pain and injury severity. Over time, the overall rate of opioid prescriptions decreased from 27% to 5%, with decreases across all ethnicity groups. From 2012 to 2019, the previously significant differences in prescription frequency across ethnic groups became non-significant. This study indicates that prescribing practices have changed in recent years, although which factors led to the overall decline in prescribing within and across groups are not clear.

Click to read the study in PEDIATRICS

Relevant Reading: Opioid prescription patterns at emergency department discharge for children with fractures

In-Depth [retrospective cohort]: This retrospective cross-sectional study included 42,803 pediatric Emergency Department visits from 4 centers across the United States through the Pediatric Emergency Care Applied Research Network (PECARN) Registry. Children aged 4-18 years who presented with a long bone (defined as clavicle, humerus, ulna, radius, femur, tibia, and fibula) fracture between 2012-2019 were included in the analysis. Race and ethnicity were defined as non-Hispanic white, non-Hispanic Black, Hispanic, and other. In total, 15% of children received an opioid prescription at discharge, which varied by race/ethnicity, with non-Hispanic white children receiving the highest frequency of prescriptions (20%), followed by Hispanic (13%), and then non-Hispanic Black (10%). Opioid prescription frequency decreased over time, from 27% in 2012 compared to 5% in 2019 (p<0.001) overall, with decreases reported in all race/ethnicity groups. There were no significant differences in prescribing frequency across ethnic groups (aOR 0.93, 95% CI 0.60-1.42).

RELATED REPORTS

#VisualAbstract: Aspirin thromboprophylaxis noninferior to low-molecular-weight heparin in patients with fractures

Black and Hispanic persons less likely to receive bystander CPR

Race and insurance status may affect amblyopia treatment outcomes

Image: PD

©2021 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: fracturesopioidsracial disparities
Previous Post

Mobocertinib is a tolerable and possible treatment option for patients with EGFR exon 20 insertion mutated advanced non-small-cell lung cancer

Next Post

Increased seizures during rewarming of neonates associated with risk of abnormal neurodevelopmental outcomes at 2-year follow-up

RelatedReports

#VisualAbstract: Aspirin thromboprophylaxis noninferior to low-molecular-weight heparin in patients with fractures
StudyGraphics

#VisualAbstract: Aspirin thromboprophylaxis noninferior to low-molecular-weight heparin in patients with fractures

February 2, 2023
Cardiac mortality paradoxically lower during times of national cardiology conferences
Cardiology

Black and Hispanic persons less likely to receive bystander CPR

November 14, 2022
Patient Basics: Lazy Eye (Amblyopia)
Ophthalmology

Race and insurance status may affect amblyopia treatment outcomes

September 14, 2022
Patients with low back pain or pain at multiple sites at highest risk for chronic opioid use
Chronic Disease

Reinfection with hepatitis C virus is highest immediately after treatment in patients on opioid agonist therapy

August 25, 2022
Next Post
Increasing C-section room temperature linked to reduced neonatal, maternal hypothermia

Increased seizures during rewarming of neonates associated with risk of abnormal neurodevelopmental outcomes at 2-year follow-up

Your Blonde Hair Needs These Purple Shampoos, For Sure

Incidence of keratinocyte carcinoma disproportionately rising for young females over past two decades r

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Cystatin C-based equation without race or sex improves accuracy of GFR estimation
  • #VisualAbstract: Aldosterone synthase inhibition reduced systolic blood pressure in patients with treatment-resistant hypertension
  • High-dose exercise therapy is not superior to low-dose exercise therapy for knee osteoarthritis
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options