Table 2. Characteristics of doctor shopping patients during doctor shopping and non-doctor shopping periods (mean, median [IQR] unless otherwise indicated).
When Doctor Shopping | When not Doctor Shopping | |||
---|---|---|---|---|
Patients, N (%) | 37,333 | 33,762* | ||
Time data | ||||
Active time (days) | 395 | 288 [228, 437] | 907 | 729 [307, 1390] |
Prescription data | ||||
Prescriptions/patient | 26.2 | 16 [10, 28] | 36.2 | 21 [7, 53] |
Prescriptions/patient/month | 1.8 | 1.6 [1.2, 2.2] | 1.0 | .9 [.6, 1.3] |
MME/prescription (patient weighted) | 837 | 487 [251, 929] | 1067 | 552 [252, 1142] |
Prescriber data | ||||
Prescribers/patient | 10.4 | 7 [6, 11] | 6.9 | 6 [3, 10] |
Prescribers/patient/month | .83 | .80 [.69, .92] | .30 | .28 [.18, .37] |
Prescriptions/provider (patient weighted) | 2.3 | 1.9 [1.4, 2.8] | 5.0 | 3.3 [1.7, 6.4] |
Usage data | ||||
Total morphine equivalents/patient | 27312 | 8425 [3260, 23330] | 56260 | 12089 [2350, 48028] |
Morphine equivalents/patient/day | 57.7 | 26.9 [11.6, 60.2] | 46.5 | 17.2 [5.7, 45.5] |
Pharmacologic Data: | ||||
Patient gets only short acting opioids | 60.2% | 64.2% | ||
Patient gets ≥ 1 methadone/buprenorphine | 13.7% | 14.2% | ||
Prescriptions, N (%) | 977,245 (44.5%) | 1,221,386 (55.5%) | ||
Morphine equivalents/prescription | 1043 | 450 [150, 1000] | 1555 | 675 [300, 1500] |
Short acting opioids (%) | 86.1% | 81.9% | ||
Methadone/buprenorphine (%) | 4.3% | 6.3% | ||
Top 3 medications (%) | Hydrocodone/Acetaminophen (57.5%) | Hydrocodone/Acetaminophen (55.8%) | ||
Oxycodone/ Acetaminophen (10.5%) | Oxycodone/ Acetaminophen (8.1%) | |||
Morphine sulfate (5.4%) | Morphine sulfate (6.4%) |
* 3,571 patients doctor shopped continuously during their time in the data base.