TY - JOUR
AU - E. F. Callen
AU - T. Clay
AU - C. Lutgen
AU - E. Robertson
AU - E. W. Staton
AU - M. K. Filippi
A1 - 
AB - BACKGROUND: Opioid misuse is a significant public health crisis. The aim sought to identify potential gaps in opioid care in primary care practices. METHODS: American Academy of Family Physicians (AAFP) offered a monthly online educational series to seven U.S. practices. Practices were asked to complete up to 50 chart reviews for visits during two periods: February-April, 2019, and February-April, 2022. Each chart had to have an ICD-10 diagnosis of opioid misuse, opioid dependence, or opioid use. Chart reviews consisted of 14 questions derived from an American Academy of Addiction Psychiatry (AAAP) Performance in Practice activity, and then, scored based on practices' responses. Descriptive statistics and binary logistic and multinomial regressions were used. RESULTS: Both periods had 173 chart reviews (total: 346) from the six practices. Most chart reviews were for patients with a diagnosis of opioid dependence (2019: 90.2%; 2022: 83.2%). Three questions for assessing OUD treatment behaviors had high levels of documentation across both time periods (>85%): other drug use, treatment readiness, and treatment discussion. DISCUSSION: Results show a gap in the treatment of patients with OUD in primary care across several clinical practice recommendations. CONCLUSIONS: Expanding OUD treatment integration to primary care remains the most promising effort to combat the opioid crisis.
AD - American Academy of Family Physicians National Research Network, Leawood, KS, USA.; DARTNet Institute, Aurora, CO, USA.; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA.; Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC, USA.
AN - 38605500
BT - J Addict Dis
C5 - HIT & Telehealth; Opioids & Substance Use
CP - 1
DA - Jan-Mar
DO - 10.1080/10550887.2024.2327728
DP - NLM
ET - 20240411
IS - 1
JF - J Addict Dis
LA - eng
N2 - BACKGROUND: Opioid misuse is a significant public health crisis. The aim sought to identify potential gaps in opioid care in primary care practices. METHODS: American Academy of Family Physicians (AAFP) offered a monthly online educational series to seven U.S. practices. Practices were asked to complete up to 50 chart reviews for visits during two periods: February-April, 2019, and February-April, 2022. Each chart had to have an ICD-10 diagnosis of opioid misuse, opioid dependence, or opioid use. Chart reviews consisted of 14 questions derived from an American Academy of Addiction Psychiatry (AAAP) Performance in Practice activity, and then, scored based on practices' responses. Descriptive statistics and binary logistic and multinomial regressions were used. RESULTS: Both periods had 173 chart reviews (total: 346) from the six practices. Most chart reviews were for patients with a diagnosis of opioid dependence (2019: 90.2%; 2022: 83.2%). Three questions for assessing OUD treatment behaviors had high levels of documentation across both time periods (>85%): other drug use, treatment readiness, and treatment discussion. DISCUSSION: Results show a gap in the treatment of patients with OUD in primary care across several clinical practice recommendations. CONCLUSIONS: Expanding OUD treatment integration to primary care remains the most promising effort to combat the opioid crisis.
PY - 2025
SN - 1055-0887
SP - 59
EP - 66+
ST - Quantifying diagnosis and treatment practices of opioid use disorder in primary care practices using chart review data
T1 - Quantifying diagnosis and treatment practices of opioid use disorder in primary care practices using chart review data
T2 - J Addict Dis
TI - Quantifying diagnosis and treatment practices of opioid use disorder in primary care practices using chart review data
U1 - HIT & Telehealth; Opioids & Substance Use
U3 - 10.1080/10550887.2024.2327728
VL - 43
VO - 1055-0887
Y1 - 2025
ER -