{"id":5462,"date":"2019-10-02T00:00:00","date_gmt":"2019-10-02T04:00:00","guid":{"rendered":""},"modified":"2023-06-14T20:05:57","modified_gmt":"2023-06-15T00:05:57","slug":"association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription-of-benzodiazepines-opioids-and-proton-pump-inhibitors-to-nursing-home-residents-a-population-based-observationa","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription-of-benzodiazepines-opioids-and-proton-pump-inhibitors-to-nursing-home-residents-a-population-based-observationa\/","title":{"rendered":"Association between physician intensity of antibiotic prescribing and the prescription of benzodiazepines, opioids and proton-pump inhibitors to nursing home residents: a population-based observational study"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Prescribing patterns for episodic medications, such as antibiotics, might make useful surrogate measures of a physician&#x2019;s overall prescribing practice because use is common, and variation exists across prescribers. However, the extent to which a physician&#x2019;s current antibiotic prescribing practices are associated with the rate of prescription of other potentially harmful medications remains unknown.<\/p>\n<p><strong>Objective<\/strong> &#x2014; To examine the association between a physician&#x2019;s rate of antibiotic prescribing and their prescribing rate of benzodiazepines, opioids and proton-pump inhibitors in older adults.<\/p>\n<p><strong>Design<\/strong> Population-based, cohort study in nursing homes in Ontario, Canada, which provides comprehensive clinical, behavioural and functional information on all patients.<\/p>\n<p><strong>Participants<\/strong> &#x2014; 1,926 physicians who provided care among 128,979 physician-patient pairs in 2015.<\/p>\n<p><strong>Main Measures<\/strong> &#x2014; Likelihood of prescribing a benzodiazepine, opioid or proton-pump inhibitor between low-, average- and high-intensity antibiotic prescribers, adjusted for patient characteristics.<\/p>\n<p><strong>Key Results<\/strong> &#x2014; Compared to average-intensity antibiotic prescribers, high-intensity prescribers had an increased likelihood of prescribing a benzodiazepine (odds ratio 1.21 [95% CI, 1.11-1.32]), an opioid (odds ratio 1.28 [95% CI, 1.17-1.39]), or a proton-pump inhibitor (odds ratio 1.38 [95% CI, 1.27-1.51]). High-intensity antibiotic prescribers were more likely to be high prescribers of all three medications (odds ratio 6.24 [95% CI, 2.90-13.39]) and also more likely to initiate all three medications, compared to average-intensity prescribers.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; The intensity of a physician&#x2019;s episodic antibiotic prescribing was significantly associated with the likelihood of new and continued prescribing of opioids, benzodiazepines and proton-pump inhibitors in nursing homes. Patterns of episodic prescribing may be a useful mechanism to target physician-level interventions to optimize general prescribing behaviors, instead of prescribing behaviors for single medications.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Prescribing patterns for episodic medications, such as antibiotics, might make useful surrogate measures of a physician&#x2019;s overall prescribing practice because use is common, and variation exists across prescribers. However, the extent to which a physician&#x2019;s current antibiotic prescribing practices are associated with the rate of prescription of other potentially harmful medications remains unknown. [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-5462","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Quinn KL, Campitelli MA, Diong C, Daneman N, Stall NM, Morris AM, Detsky AS, Jeffs L, Maxwell CJ, Bell CM, Bronskill SE. <em>J Gen Intern Med<\/em>. 2019; 34(12):2763-71. Epub 2019 Oct 1.","source_url":"http:\/\/doi.org\/10.1007\/s11606-019-05333-8","ices_scientist":[1159,1207,1215,1322,1172,1104,17132],"site":[6733],"research_program":[6740],"news_release":[8005],"journal_article":[],"atlas":[],"research_report":[],"infographic":[9559],"video":[],"downloads":null,"links":null,"sitecore_item_id":"F74AEFD1-AB41-4575-BF9E-D8FDCDBBC105","sitecore_item_name":"Association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription","sitecore_field_values":"{\n  \"Title\": \"Association between physician intensity of antibiotic prescribing and the prescription of benzodiazepines, opioids and proton-pump inhibitors to nursing home residents: a population-based observational study\",\n  \"Short title\": \"Association between physician intensity\",\n  \"Summary\": \"The intensity of a physician\u2019s episodic antibiotic prescribing was significantly associated with the likelihood of new and continued prescribing of opioids, benzodiazepines and proton-pump inhibitors.\",\n  \"Citation\": \"<p>Quinn KL, Campitelli MA, Diong C, Daneman N, Stall NM, Morris AM, Detsky AS, Jeffs L, Maxwell CJ, Bell CM, Bronskill SE. <em>J Gen Intern Med<\/em>. 2019; 34(12):2763-71. Epub 2019 Oct 1.  DOI: <a href=\"http:\/\/doi.org\/10.1007\/s11606-019-05333-8\" title=\"opens external link\">10.1007\/s11606-019-05333-8<\/a>.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Prescribing patterns for episodic medications, such as antibiotics, might make useful surrogate measures of a physician&rsquo;s overall prescribing practice because use is common, and variation exists across prescribers. However, the extent to which a physician&rsquo;s current antibiotic prescribing practices are associated with the rate of prescription of other potentially harmful medications remains unknown.<\/p>n<p><strong>Objective<\/strong> &mdash; To examine the association between a physician&rsquo;s rate of antibiotic prescribing and their prescribing rate of benzodiazepines, opioids and proton-pump inhibitors in older adults.<\/p>n<p><strong>Design<\/strong> Population-based, cohort study in nursing homes in Ontario, Canada, which provides comprehensive clinical, behavioural and functional information on all patients.<\/p>n<p><strong>Participants<\/strong> &mdash; 1,926 physicians who provided care among 128,979 physician-patient pairs in 2015.<\/p>n<p><strong>Main Measures<\/strong> &mdash; Likelihood of prescribing a benzodiazepine, opioid or proton-pump inhibitor between low-, average- and high-intensity antibiotic prescribers, adjusted for patient characteristics.<\/p>n<p><strong>Key Results<\/strong> &mdash; Compared to average-intensity antibiotic prescribers, high-intensity prescribers had an increased likelihood of prescribing a benzodiazepine (odds ratio 1.21 [95% CI, 1.11-1.32]), an opioid (odds ratio 1.28 [95% CI, 1.17-1.39]), or a proton-pump inhibitor (odds ratio 1.38 [95% CI, 1.27-1.51]). High-intensity antibiotic prescribers were more likely to be high prescribers of all three medications (odds ratio 6.24 [95% CI, 2.90-13.39]) and also more likely to initiate all three medications, compared to average-intensity prescribers.<\/p>n<p><strong>Conclusions<\/strong> &mdash; The intensity of a physician&rsquo;s episodic antibiotic prescribing was significantly associated with the likelihood of new and continued prescribing of opioids, benzodiazepines and proton-pump inhibitors in nursing homes. Patterns of episodic prescribing may be a useful mechanism to target physician-level interventions to optimize general prescribing behaviors, instead of prescribing behaviors for single medications.<\/p>\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{68FD9EE5-974B-4CED-A597-82186232FF1D}|{A63E52B6-A1CB-4479-9F43-492E65695C5B}|{AB44D37A-7B8D-4D5E-80E9-092E8FC19B8E}|{64CBC73D-F272-4F47-B285-D309E4B58736}|{9F60496B-63FD-4BE5-A7EF-C4969D7AACB3}|{4877D9F0-48A0-4083-92F2-9C6BD7C096BE}\",\n  \"Posted Date\": \"20191002T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2019\/October\/Association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Association between physician intensity of antibiotic prescribing and the prescription of benzodiazepines, opioids and proton-pump inhibitors to nursing home residents: a population-based observational study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Prescribing patterns for episodic medications, such as antibiotics, might make useful surrogate measures of a physician&#x2019;s\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription-of-benzodiazepines-opioids-and-proton-pump-inhibitors-to-nursing-home-residents-a-population-based-observationa\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Association between physician intensity of antibiotic prescribing and the prescription of benzodiazepines, opioids and proton-pump inhibitors to nursing home residents: a population-based observational study\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Prescribing patterns for episodic medications, such as antibiotics, might make useful surrogate measures of a physician&#x2019;s\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription-of-benzodiazepines-opioids-and-proton-pump-inhibitors-to-nursing-home-residents-a-population-based-observationa\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-15T00:05:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription-of-benzodiazepines-opioids-and-proton-pump-inhibitors-to-nursing-home-residents-a-population-based-observationa\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/association-between-physician-intensity-of-antibiotic-prescribing-and-the-prescription-of-benzodiazepines-opioids-and-proton-pump-inhibitors-to-nursing-home-residents-a-population-based-observationa\\\/\",\"name\":\"ICES | Association between physician intensity of antibiotic prescribing and the prescription of benzodiazepines, opioids and proton-pump inhibitors to nursing home residents: a population-based observational study\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2019-10-02T04:00:00+00:00\",\"dateModified\":\"2023-06-15T00:05:57+00:00\",\"description\":\"Background &#x2014; 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