Anthony Jerant
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View article: Watchful waiting to reduce low-value spinal imaging: randomized clinical trial
Watchful waiting to reduce low-value spinal imaging: randomized clinical trial Open
CONTEXT: Acute back pain is a common reason for primary care visits and often results in low-value spinal imaging. OBJECTIVE: To determine the effect of a standardized patient-delivered intervention on low-value imaging among primary care …
View article: Facilitators and Barriers to Deferring Low-Value Imaging for Low Back Pain: A Qualitative Study
Facilitators and Barriers to Deferring Low-Value Imaging for Low Back Pain: A Qualitative Study Open
CONTEXT: Early imaging for uncomplicated low back pain, occurring within 28 days of onset of pain, has no diagnostic benefit and is a marker of low-value care, yet is completed after nearly one-quarter of U.S. back pain visits. OBJECTIVE: …
View article: Standardized Patient Communication and Low-Value Spinal Imaging: A Randomized Clinical Trial.
Standardized Patient Communication and Low-Value Spinal Imaging: A Randomized Clinical Trial. Open
Importance: Acute back pain is a common reason for primary care visits and often results in low-value spinal imaging. Objective: To evaluate the effect of a standardized patient-delivered intervention on rates of low-value spinal imaging a…
View article: Standardized Patient Communication and Low-Value Spinal Imaging
Standardized Patient Communication and Low-Value Spinal Imaging Open
Importance Acute back pain is a common reason for primary care visits and often results in low-value spinal imaging. Objective To evaluate the effect of a standardized patient-delivered intervention on rates of low-value spinal imaging amo…
View article: A standardized patient intervention to improve clinician communication during acute back pain visits: a randomized trial
A standardized patient intervention to improve clinician communication during acute back pain visits: a randomized trial Open
CONTEXT: Acute back pain is a common reason for primary care visits and often results in low-value spinal imaging. OBJECTIVE: To determine the effect of a standardized patient-based intervention on primary care clinician communication duri…
View article: Urine Drug Testing Among Patients Prescribed Long-Term Opioid Therapy: Patient and Clinician Factors
Urine Drug Testing Among Patients Prescribed Long-Term Opioid Therapy: Patient and Clinician Factors Open
UDT was relatively infrequent in patients prescribed LTOT and associated with patient factors not known to confer greater opioid-related risk, such as race. In addition, there was significant clinician-driven variation in UDT. Given the un…
View article: Association Between Opioid Tapering and Subsequent Health Care Use, Medication Adherence, and Chronic Condition Control
Association Between Opioid Tapering and Subsequent Health Care Use, Medication Adherence, and Chronic Condition Control Open
Importance Opioid tapering has been associated with negative consequences, such as increased overdoses and mental health needs. Tapering could also alter use of health care services and worsen care of comorbid conditions through disruption…
View article: Pain-Related Healthcare Utilization Associated with Opioid Tapering
Pain-Related Healthcare Utilization Associated with Opioid Tapering Open
CONTEXT: Tapering of long-term opioid therapy (LTOT) increased after publication of the 2016 CDC opioid guidelines, followed by anecdotal reports of exacerbated pain among tapered patients. However, two systematic reviews of limited eviden…
View article: Urine Drug Testing in Patients Prescribed Long-Term Opioid Therapy: Associations with Patient and Prescriber Factors
Urine Drug Testing in Patients Prescribed Long-Term Opioid Therapy: Associations with Patient and Prescriber Factors Open
CONTEXT: National guidelines recommend that patients with chronic non-cancer pain prescribed long-term opioid therapy (LTOT) undergo periodic urine drug testing (UDT), yet little evidence supports the utility of this approach. Given the wi…
View article: Risk of overdose and mental health crisis associated with dose disruption in patients on long-term lower dose opioid therapy
Risk of overdose and mental health crisis associated with dose disruption in patients on long-term lower dose opioid therapy Open
CONTEXT: Studies have shown certain risks associated with dose tapering and discontinuation among patients prescribed long-term, higher-dose opioid therapy. It is unknown whether these risks of overdose and mental health crisis are also as…
View article: Long-term opioid dose reduction and subsequent healthcare utilization in patients with hypertension or diabetes
Long-term opioid dose reduction and subsequent healthcare utilization in patients with hypertension or diabetes Open
CONTEXT: Opioid dose tapering has increased among patients prescribed long-term opioid therapy (LTOT). Concerns have been raised that tapering may disrupt the patient-physician relationship, which could negatively impact healthcare utiliza…
View article: Association of Dose Tapering With Overdose or Mental Health Crisis Among Patients Prescribed Long-term Opioids
Association of Dose Tapering With Overdose or Mental Health Crisis Among Patients Prescribed Long-term Opioids Open
Among patients prescribed stable, long-term, higher-dose opioid therapy, tapering events were significantly associated with increased risk of overdose and mental health crisis. Although these findings raise questions about potential harms …
View article: Watchful waiting as a strategy to reduce low-value spinal imaging: study protocol for a randomized trial
Watchful waiting as a strategy to reduce low-value spinal imaging: study protocol for a randomized trial Open
Background Patients with acute low back pain frequently request diagnostic imaging, and clinicians feel pressure to acquiesce to such requests to sustain patient trust and satisfaction. Spinal imaging in patients with acute low back pain p…
View article: Watchful Waiting as a Strategy to Reduce Low-Value Spinal Imaging: Study Protocol for a Randomized Trial
Watchful Waiting as a Strategy to Reduce Low-Value Spinal Imaging: Study Protocol for a Randomized Trial Open
Background: Patients with acute low back pain frequently request diagnostic imaging, and clinicians feel pressure to acquiesce to such requests to sustain patient trust and satisfaction. Spinal imaging in patients with acute low back pain …
View article: Watchful Waiting as a Strategy to Reduce Low-Value Spinal Imaging: Study Protocol for a Randomized Trial
Watchful Waiting as a Strategy to Reduce Low-Value Spinal Imaging: Study Protocol for a Randomized Trial Open
• Background : Patients with acute low back pain frequently request diagnostic imaging, and clinicians feel pressure to acquiesce to such requests to sustain patient trust and satisfaction. Spinal imaging in patients with acute low back pa…
View article: Pilot randomized controlled trial Protocol: Life context-informed pre-visit planning to improve care plans for primary care patients with multiple chronic conditions including diabetes
Pilot randomized controlled trial Protocol: Life context-informed pre-visit planning to improve care plans for primary care patients with multiple chronic conditions including diabetes Open
Background Multimorbidity is common, and care is impacted by patient life context. Effective, efficient interventions to improve patient-centered outcomes such as perceived treatment burden are limited. There is a need for interventions th…
View article: Satisfaction with Health Care Among Prescription Opioid Recipients
Satisfaction with Health Care Among Prescription Opioid Recipients Open
In a US national sample, individuals who received ≥6 opioid prescriptions in a year were more likely to have top quartile satisfaction than those receiving fewer or no opioid prescriptions after accounting for health status. Whether the hi…
View article: Cancer Screening Among Women Prescribed Opioids: A National Study
Cancer Screening Among Women Prescribed Opioids: A National Study Open
In a nationally representative sample, receipt of opioid prescriptions was not associated with less recommended cancer screenings. Rather, women receiving opioids had greater adjusted odds of receiving breast, cervical, and colorectal canc…
View article: When Physicians Say No: Predictors of Request Denial and Subsequent Patient Satisfaction
When Physicians Say No: Predictors of Request Denial and Subsequent Patient Satisfaction Open
Approximately one fifth of visits in primary care have a denied request. Having an office visit with one's usual physician is associated with reduced likelihood of request denial and may mitigate the adverse impacts of request denial on pa…
View article: Trends and Rapidity of Dose Tapering Among Patients Prescribed Long-term Opioid Therapy, 2008-2017
Trends and Rapidity of Dose Tapering Among Patients Prescribed Long-term Opioid Therapy, 2008-2017 Open
Patients using long-term opioid therapy are increasingly undergoing dose tapering, particularly women and those prescribed higher doses; in addition, dose tapering has become more common since 2016. Many patients undergoing tapering reduce…
View article: Patient Characteristics Associated with Making Requests during Primary Care Visits
Patient Characteristics Associated with Making Requests during Primary Care Visits Open
Primary care physicians should expect a greater frequency of requests from older patients, patients with greater symptoms bother or worry, more extroverted patients, patients with greater global life satisfaction, and patients with whom th…
View article: Relationship of Volunteer Student-Run Clinic Experience with Future Primary Care and Underserved Practice
Relationship of Volunteer Student-Run Clinic Experience with Future Primary Care and Underserved Practice Open
Background: Student-run clinics (SRCs) are increasingly common at or in partnership with medical schools, providing service-based learning to students and increasing access to care for underserved populations. Early, small studies suggest …
View article: Effect of Mobile Device–Supported Single-Patient Multi-crossover Trials on Treatment of Chronic Musculoskeletal Pain
Effect of Mobile Device–Supported Single-Patient Multi-crossover Trials on Treatment of Chronic Musculoskeletal Pain Open
ClinicalTrials.gov identifier: NCT02116621.