Time of Day is Associated with Opioid Prescribing for Low Back Pain in Primary Care
An estimated 29% of US adults have an episode of low back pain (LBP) over a 3-month period.1 Opioids may be effective for short-term LBP pain relief, but evidence for long-term efficacy is limited.
The timing of healthcare provision may influence process measures and clinical outcomes. In primary care, an increased likelihood of antibiotic prescribing for acute respiratory infection has been observed with appointments later in a clinic session.2 No previous studies have evaluated the impact of appointment time of day on the provision of opioids to patients with LBP.
We used administrative billing data, prescription data, and outpatient appointment scheduling data identifying all patients with a primary care provider appointment for LBP between January 1, 2015, and December 31, 2015, at Mayo Clinic in Rochester, Minnesota. Patient visits were sampled from administrative billing data using International Classification of Diseases, 9th Revision (ICD-9) and 10th...
KEY WORDSback pain pain ambulatory care physician behavior
This study was funded by the Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery and the Mayo Clinic College of Medicine.
Compliance with Ethical Standards
The Mayo IRB reviewed and approved this research.
Conflict of Interest
LMP reports funding from GSK for research not related to the current work. No other authors have conflicts of interest to report.
- 1.Centers for Disease Control and Prevention. Health, United States, 2014 – Individual Charts and Tables: Spreadsheet, PDF, and PowerPoint Files. 2015; https://www.cdc.gov/nchs/hus/contents2014.htm#046. Accessed 1 May 2018.