Present: Abby Crocker, Kairn Kelley, Rodger Kessler, Ben
Littenberg, Connie van Eeghen
Start Up: Rodger received formal notice
that the SBIRT grant was approved – congrats!
1.
Discussion: Abby
– Natural History of Opioids projects
a. New
opportunity: examine opioid prescriptions by region or age, based on data
availability and novelty. Abby shared an
article in Pediatrics, 2010; 126:1108-1116 “Prescribing of Controlled
Medications to Adolescents and Young Adults in the US,” which uses ER and
office visit data regarding controlled medications (not just opioids, although
these are broken out on pgs 11-12.)
These NAMCS data end in 2007, whereas we can now access data up to
2010. Also, this article did not focus
on children under the age of 15 or discriminate between newly prescribed
controlled medications and ongoing controlled medications. Another new area of study is region, or urban
vs. rural area of care delivery. No
published study has followed up on this study.
b. Consider:
i.
Separate studies for each kind of controlled
medication: pain, sedative-hypnotic, and stimulants.
ii.
Separate the data by source: ED vs. office visit.
iii.
Analyze the incidence and prevalence of controlled
substance prescription
c. Plan:
i.
Review article carefully (Abby)
ii.
Detailed literature review of the this topic, including
more recent publications from this author-Fortuna (Abby)
1. Assistance
in reviewing journal articles: Rodger and others
iii.
Develop skill with NAMCS and NHAMCS data sets
1. Access
the codebook and make it available (Abby)
2. How
were the data collected, sampling frame (Kairn)
3. What
are the variables (Abby, Kairn)
4. Historical
scope: what have we learned already from these data sets (Abby)
iv.
Next step:
1. Set
up GIMR site for sharing documents (Abby)
2. Research
question
3. Included
population
4. Design:
predictors and outcomes
5. Future
possible topics
a. Stimulant
use in transition from adolescents to young adulthood (Rodger)
2.
Literature
Management: Ben shared Dr. David Craig’s (surgeon specializing in sentinel
node detection) interest in an automated tool for organizing literature, which
is connected to a search engine. Anyone
interested in trialing it should contact Dr. Craig with the introduction: “Ben
sent me.”
a. September
12: Kairn: IRB application (no Rodger; Amanda late)
b. September
19: (no Ben, Connie, or Rodger)
c. September
26: Abby (and Sharon Henry?) – practice presentation about VHCURES data base
d. October
3: Abby - Update on Natural History of Opioids projects
e. October
10:
f. October
17: SPECIAL GUEST: Jay Piccirillo is an ENT from Wash U in St Louis who is
expert in prediction models in cancer. He and Ben did a lot of work together
many years ago about how to incorporate functional status measures into cancer
staging to improve prognosis. Now he is working on how to develop personalized
prognosis estimates and share them with patients. A top-notch researcher and collaborator to
meet and talk with. 10:30 – 12:00
g.
Future agenda to consider:
i.
Peter Callas or other faculty on multi-level modeling
ii.
Charlie MacLean: demonstration of Tableau; or Rodger’s
examples of Prezi
iii.
Journal article: Gomes, 2013, Opioid Dose and MVA in
Canada (Charlie)
iv.
Ben: Tukey chapter reading assignments, or other book
of general interest
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