Factors Associated with Black Cancer Patients' Ability to Obtain Their Opioid Prescriptions at the Pharmacy

Jefferson, Kevin; Quest, Tammie E.; Yeager, Katherine A.

doi:10.1089/jpm.2018.0536

Cited by 19 publications

(20 citation statements)

References 14 publications

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“…This finding is consistent with prior work demonstrating that black patients are less likely to receive opioid analgesics compared to white patients 19–21 . Black patients with cancer also report difficulty in obtaining opioids from the pharmacy and adhering to an opioid prescription schedule 22,23 . Opioid use disparities may explain the perception of poorer pain control in black patients with cancer 24 .…”

Section: Discussionsupporting

confidence: 84%

Opioid use patterns in patients with head and neck cancer receiving radiation therapy: Single‐institution retrospective analysis characterizing patients who did not require opioid therapy

et al. 2021

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Background We had previously analyzed the variables that determine the rates of opioid use at 1‐year postradiotherapy in patients with head and neck cancer. Here we analyze the variables associated with opioid abstinence during and in the 12 months after radiotherapy at our institution. Methods We identified a cohort of patients with head and neck cancer who received radiotherapy as part of curative treatment at our institution. Logistic regression analyses were performed to determine socioeconomic and clinical factors associated with opioid abstinence. Results The cohort included 376 patients. On multivariable analysis, patients from an upper‐income class (p = 0.004), black race (p = 0.004), older (p = 0.008), with dependent children (p < 0.001) or receiving surgery (p = 0.002) were more likely to abstain from opioids, while patients using analgesic mouthwash (p = 0.009) or higher pain scale (p = 0.002) were less likely. Conclusion Socioeconomic and treatment characteristics are associated with opioid abstinence during and following radiation treatment in patients with head and neck cancer.

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Section: Discussionsupporting

confidence: 84%

Opioid use patterns in patients with head and neck cancer receiving radiation therapy: Single‐institution retrospective analysis characterizing patients who did not require opioid therapy

et al. 2021

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“…Although patients' demographic and clinical information was obtained, the geographic location of the pharmacy where the patient had difficulties was not collected because of concerns over patient privacy and zip code as potentially identifying information; thus, we were unable to assess if certain geographic regions were associated with difficulty filling opioid prescriptions. Because reports suggest that geographic factors could play a role in opioid access for patients, 26 future studies overcoming privacy concerns around patient geography could prove extremely insightful. Another limitation is that the results might not be generalizable to patients receiving cancer care at other institutions and hospitals because this study was carried out at a single institution: a comprehensive cancer center with its own outpatient pharmacy.…”

Section: Discussionmentioning

confidence: 99%

Cancer Patients' Perceived Difficulties Filling Opioid Prescriptions After Receiving Outpatient Supportive Care

Brown

Torres

Maddi

et al. 2020

Journal of Pain and Symptom Management

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Context. Limited access to opioids for patients with cancer has been reported as a potential unintended consequence of recent regulations restricting opioid use and prescribing practices. To our knowledge, there are a limited number of peerreviewed studies that evaluate the perceived difficulties of the patients with cancer when filling their opioid prescription. To understand these difficulties, we surveyed patients receiving opioids in our outpatient supportive care center (SCC).Objectives. The primary objective of this study was to evaluate cancer patients' perceptions of overall difficulties when filling their opioid prescription. Secondary objectives included determining associations between patient characteristics and difficulty and comparing difficulty between filling opioid and nonopioid prescriptions.Methods. Patients with cancer receiving opioids that had been seen two times or more at our SCC were asked to complete a survey. The information collected included patient demographics, clinical characteristics, and patients' experiences filling their opioid prescription.Results. The patients' median age was 60 years; 54% were female and 69% were white. Forty-four patients (32%) reported that they have experienced difficulty filling their opioid prescription. More than 25% of those 44 patients perceived difficulty from interactions with the pharmacy and/or pharmacist. Forty-six patients (33%) reported more difficulty filling their opioid prescriptions than filling their nonopioid prescriptions.Conclusion. This study provides evidence that patients with cancer visiting our SCC perceived difficulties obtaining their opioid prescriptions. The results suggest that negative interactions with the pharmacy and/or pharmacist contribute to their perceived difficulty. Additional research is needed to further characterize the contributors of the difficulties patients with cancer face in filling their opioid prescriptions. J Pain Symptom Manage 2020;60:915e922.

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“…Among the scoped articles, survival disparities, primary care, environmental exposures, quality of life, and residential mobility were the main themes related to surveillance. Neighborhood measures utilized in these articles were: nSES, neighborhood ethnic enclaves [ 36 ], residential segregation [ 37 ], access and travel distance [ 38 ], pharmacy access [ 39 ], food access [ 18 ], social and economic polarization [ 40 ], neighborhood amenities [ 39 ], neighborhood tenure [ 41 ], perceived social cohesion [ 41 , 42 ], and social capital [ 43 ]. nSES was the most common metric and there is abundant literature that shows lower nSES exerts a deleterious effect on cancer outcomes which goes beyond the area supply of specific heath care types [ 44 ].…”

Section: Resultsmentioning

confidence: 99%

“…One study also showed that access and travel distance to primary care is significantly related to survival outcomes [ 38 ]. Another study found that neighborhood rating based on perceived neighborhood characteristics was associated with access to prescription opioids [ 39 ]. One article showed that social and economic polarization was associated with receipt of a Survivorship Care Plan (SCP) [ 40 ].…”

Section: Resultsmentioning

confidence: 99%

Neighborhood Characteristics and Cancer Survivorship: An Overview of the Current Literature on Neighborhood Landscapes and Cancer Care

Namin

Zhou

Neuner

et al. 2021

IJERPH

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There is a growing literature on the association between neighborhood contexts and cancer survivorship. To understand the current trends and the gaps in the literature, we aimed to answer the following questions: To what degree, and how, has cancer survivorship research accounted for neighborhood-level effects? What neighborhood metrics have been used to operationalize neighborhood factors? To what degree do the neighborhood level metrics considered in cancer research reflect neighborhood development as identified in the Leadership for Energy and Environmental Design for Neighborhood Development (LEED-ND) guidelines? We first conducted a review guided by PRISMA extension for scoping review of the extant literature on neighborhood effects and cancer survivorship outcomes from January 2000 to January 2021. Second, we categorized the studied neighborhood metrics under six main themes. Third, we assessed the findings based on the LEED-ND guidelines to identify the most relevant neighborhood metrics in association with areas of focus in cancer survivorship care and research. The search results were scoped to 291 relevant peer-reviewed journal articles. Results show that survivorship disparities, primary care, and weight management are the main themes in the literature. Additionally, most articles rely on neighborhood SES as the primary (or only) examined neighborhood level metric. We argue that the expansion of interdisciplinary research to include neighborhood metrics endorsed by current paradigms in salutogenic urban design can enhance the understanding of the role of socioecological context in survivorship care and outcomes.

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Factors Associated with Black Cancer Patients' Ability to Obtain Their Opioid Prescriptions at the Pharmacy

Cited by 19 publications

References 14 publications

Opioid use patterns in patients with head and neck cancer receiving radiation therapy: Single‐institution retrospective analysis characterizing patients who did not require opioid therapy

Opioid use patterns in patients with head and neck cancer receiving radiation therapy: Single‐institution retrospective analysis characterizing patients who did not require opioid therapy

Cancer Patients' Perceived Difficulties Filling Opioid Prescriptions After Receiving Outpatient Supportive Care

Neighborhood Characteristics and Cancer Survivorship: An Overview of the Current Literature on Neighborhood Landscapes and Cancer Care

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