Table 1.
Characteristic | Patients Treated by Low-Intensity Prescriber (N = 215,678)† | Patients Treated by High-Intensity Prescriber (N = 161,951)† | P Value‡ |
---|---|---|---|
Age (yr) | 68.8±16.3 | 68.2±16.4 | <0.001 |
Female sex (%) | 64.5 | 64.5 | 0.75 |
White race (%)§ | 76.6 | 75.9 | 0.03 |
Medicare–Medicaid dual eligibility (%) | 49.3 | 49.6 | 0.19 |
Disabled (%) | 36.4 | 37.6 | <0.001 |
Chronic conditions (no.) | 3.6±2.3 | 3.5±2.3 | <0.001 |
Presence of chronic illness (%) | |||
Acute myocardial infarction | 49.8 | 48.5 | <0.001 |
Alzheimer’s dementia | 17.5 | 16.0 | <0.001 |
Atrial fibrillation | 13.6 | 12.7 | <0.001 |
Cerebrovascular disease | 17.3 | 16.3 | <0.001 |
Chronic kidney disease | 20.6 | 20.1 | <0.001 |
Chronic obstructive pulmonary disease | 28.1 | 27.2 | <0.001 |
Congestive heart failure | 30.5 | 29.0 | <0.001 |
Depression | 39.5 | 39.5 | 0.94 |
Diabetes | 37.8 | 37.7 | 0.69 |
Hyperlipidemia | 69.5 | 69.1 | 0.09 |
Hypertension | 78.1 | 77.4 | <0.001 |
Census region (%) | |||
Northeast | 19.8 | 20.9 | 0.03 |
Midwest | 24.4 | 23.2 | 0.01 |
South | 38.4 | 38.6 | 0.82 |
West | 17.3 | 17.3 | 0.97 |
Plus–minus values are means ±SD.
Within each hospital, high-intensity and low-intensity prescribers were defined as the top (high) or bottom (low) quartile of emergency physician prescribers in terms of opioid prescribing. Since many physicians did not prescribe opioids, some hospitals had many physicians with prescribing rates equal to zero in the low-intensity prescriber group, making it larger overall than the high-intensity group. Low-intensity prescribers included 8297 physicians; the total number (±SD) of patients per physician was 26.0±18.6. High-intensity prescribers included 6133 physicians; the total number of patients per physician was 26.4±18.5.
Unadjusted P values were estimated with the use of Student’s t-test for means or the z-test for comparison of proportions.
Race or ethnic group was self-reported.