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Description

This study examines a set of retrospective electronic health record data documentation encounters describing adverse events in patients who have been prescribed opioid medication assisted treatment (MAT). We sought to determine whether adverse events related to MAT, including withdrawal, toxicity, and overdose, have an association with the choice of therapy: methadone versus buprenorphine. We also sought to find the treatment outcomes with methadone and buprenorphine in terms of the number of adverse events after the initiation of therapy.
Electronic Healthcare Records (EHR) from the different clinical data warehouse sources were collected, merged, and deidentified and then placed on a secure serve.Deterministic patient matching was done with the patients social security number, date of birth, last name and first three digits of the first name with the patients records from different sources. The interoperability of electronic health care records across different types of clinical setting was ensured.
We found that patients who were prescribed buprenoprhine compounds for opioid replacement therapy tended to have a higher incidence of adverse events than those on methadone. The risk of adverse events was 3.54 times higher among patients who were on methadone substitution therapy compared to buprenorphine therapy.

Learning Objective: 1. Interoperability of electronic healthcare record data:
Electronic Healthcare Records (EHR) from the different clinical data warehouse sources were collected, merged, and deidentified and then placed on a secure server.Deterministic patient matching was done with the patients social security number, date of birth, last name and first three digits of the first name with the patients records from different sources. The interoperability of electronic health care records across different types of clinical setting was ensured.
2. Quality of care for opioid addicted patients undergoing medication assisted treatment

Authors:

Shyamashree Sinha (Presenter)
University at Buffalo

Robert Lee, University at Buffalo
Sarah Mullin, University at Buffalo
Jinwei Hu, University at Buffalo
Arlen Brickman, University at Buffalo
Angie Li, University at Buffalo
Peter Elkin, University at Buffalo

Presentation Materials:

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