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The effect of ethnicity on prescriptions for patient-controlled analgesia for post-operative pain.

We studied if ethnicity influences patient-controlled analgesia (PCA) for the treatment of post-operative pain. Using a retrospective record review, we examined data from all patients treated with PCA for post-operative pain from January to June 1993. We excluded patients who did not have surgery prior to the prescription of PCA or were not prescribed PCA in the immediate post-operative period. The sample consisted of 454 subjects. While there were no differences in the amount of narcotic self-administered, there were significant differences in the amount of narcotic prescribed among Asians, Blacks, Hispanics, and Whites (F--7,352, P < 0.01). The ethnic differences in prescribed analgesic persisted after controlling for age, gender, pre-operative use of narcotics, pain site, and insurance status. Patient's ethnicity has a greater impact on the amount of narcotic prescribed by the physician than on the amount of narcotic self-administered by the patient.

作 者:
Ng BDimsdale JERollnik JDShapiro H
刊 名:
Pain 
年,卷(期):
1996V.66(no.1) 
分类号:
 
关键词:
Analgesia, Patient-Controlled  Ethnic Groups  Pain, Postoperative  Prescriptions, Drug  镇痛, 病人控制  人种群  疼痛, 手术后  处方, 药物
正文语种:
eng 
基金项目:
 
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