Session Information
Session Title: AA 2022 Posters - Pain and Spine Medicine
Session Time: None. Available on demand.
Disclosures: Jennifer C. Lee, MS: No financial relationships or conflicts of interest
Objective: Opioid addiction and misuse to treat pain following surgery has become a public health crisis epidemic in the US. Increased research efforts have been directed towards tracking opioid consumption in surgical populations. However, accurate reporting can be challenging when patient reporting of medications may differ from the electronic medical records (EMR). The purpose of this study is to investigate the agreement between clinically documented vs. patient self-reported use and dose category of pain medications (i.e. acetaminophen, opioid, and anticonvulsant) in a surgical amputee population.
Design: Prospective cohort study
Setting: Patients were recruited at the University of Michigan.
Participants: All patients were undergoing major lower extremity amputation or amputation-related procedures.
Interventions: For three separate clinic visits (preop, 4-month postop, and 12-month postop), both self-reported and EMR data for pain medication intake over the last month prior to the visits were obtained for each patient.
Main Outcome Measures: To understand the agreement between the two different data, self-reported and EMR data were then compared using percent agreement and the Kappa statistic for both usage (yes/no binary variable) and dose category.
Results: 108 sets of self-reported and EMR data were analyzed for this study. Results showed substantial levels of agreement and correlation for opioid EMR and self-reported data (>70% agreement with kappa >0.61) in general, except at the 4-month postoperative time point. Anticonvulsant medication showed high levels of agreement, while acetaminophen showed lower levels of agreements at all time points.
Conclusions: Given substantial agreement, EMR and self-reported medication intake data can be used interchangeably in research and clinical settings except for the period following the acute surgical pain resolution. This study and its results highlight the agreement and divergence between self-reported and EMR medication intake data. These findings impact future opioid study design and clinical decision making.
Level of Evidence: Level II
To cite this abstract in AMA style:
Lee JC, Tinney MJ, Harte S, Geisser M, Kemp S, Kubiak CA. Assessing the Agreement of Medication Intake for Self-Reported and Electronic Medical Record Data in a Surgical Amputee Population [abstract]. PM R. 2022; 14(S1)(suppl 1). https://pmrjabstracts.org/abstract/assessing-the-agreement-of-medication-intake-for-self-reported-and-electronic-medical-record-data-in-a-surgical-amputee-population/. Accessed May 16, 2025.« Back to AAPM&R Annual Assembly 2022
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/assessing-the-agreement-of-medication-intake-for-self-reported-and-electronic-medical-record-data-in-a-surgical-amputee-population/