📄 New from Kao-Ping Chua, MD, PhD Results of this study suggest that patients who switch to a HDHP may experience heightened barriers to buprenorphine use. 🔗 jamanetwork.com/journals/jam... @kaopingchua.bsky.social @ihpidirector.bsky.social
Kao-Ping Chua
@kaopingchua.bsky.social
Primary care pediatrician and health policy researcher at the University of Michigan studying the opioid epidemic, out-of-pocket spending, low-value care, child health. Director, CHEAR Center (chear.org). MD (Wash U), PhD (Harvard). Go Lions and Go Blue
📄New from Kao-Ping Chua, MD, PhD US dental opioid dispensing ⬇️27.1% from '21–'24 but was 24× the country with the lowest rate. This comparison suggests there are opportunities to reduce opioid rx by US dentists. 🔗 jamanetwork.com/journals/jam... @ihpidirector.bsky.social @kaopingchua.bsky.social
New pub: 90% of dental opioid Rx in youth are for tooth extraction, even though non-opioids are equally effective for pain. As dentists write 42% of opioid Rx to youth, ~1/3 of youth opioid Rx may be for tooth extraction. @drchadb @umchear.bsky.social www.sciencedirect.com/science/arti...
New pub at JAMA Network Open: opioid prescribing by U.S. dentists is declining but remains high by international standards. In 2024, the U.S. dental opioid dispensing rate was 24x higher than the Netherlands. jamanetwork.com/journals/jam... @umchear.bsky.social
International Trends in Dental Opioid Prescriptions
This cross-sectional study compares dental opioid dispensing rates in the US, Canada, Australia, France, Belgium, Germany, the Netherlands, and Puerto Rico from 2021 to 2024.
jamanetwork.com
📄New from @jo-constantin.bsky.social, fellow grad and @kaopingchua.bsky.social North Carolina’s Medicaid expansion under the Affordable Care Act slowed the decline in buprenorphine dispensing that occurred during Medicaid unwinding. 🔗 jamanetwork.com/journals/jam... @um-ihpi.bsky.social @umich.edu
📄New from @jo-constantin.bsky.social, fellow grad and @kaopingchua.bsky.social For Medicare surgical patients, mandates to check the prescription drug monitoring program database did not reduce opioid prescribing or adverse events. 🔗 academic.oup.com/healthaffair... @um-ihpi.bsky.social @umich.edu
📄New from @ninahillmd.bsky.social and @kaopingchua.bsky.social. From 2019–2023, U.S. children with chronic conditions were consistently more likely to experience food insecurity than peers without such conditions. 🔗 michmed.org/GQ3DW @jamanetworkopen.com @um-ihpi.bsky.social
New pub in Pediatrics: child/teen vaccination declined from 2017-2023 in Michigan. HPV vaccination increased less than expected. Declines were more pronounced in low-income and high-uninsurance counties. @um-ihpi.bsky.social @umchear.bsky.social Link: publications.aap.org/pediatrics/a...
With #HIV prevention medications (called PrEP for short) at the center of a #SCOTUS case that will receive a ruling soon, this new research from @ninahillmd.bsky.social & @kaopingchua.bsky.social is especially timely: ihpi.umich.edu/news-events/...
More young adults than ever take HIV-prevention medication, but gaps remain
Trends in use of pre-exposure prophylaxis, or PrEP, medication suggest more effort is needed to boost consistent use
ihpi.umich.edu
New @journalgim.bsky.social: using national pharmacy data, we show that PrEP use is increasing among young people aged 18-25, but these patients are using PrEP for shorter periods of time. @kaopingchua.bsky.social @um-ihpi.bsky.social link.springer.com/article/10.1...
New study in Pediatrics: using national data, we show that the Adderall shortage caused some children using this drug to switch to other stimulants. Other children stopped using stimulants altogether, especially Medicaid patients. @um-ihpi.bsky.social publications.aap.org/pediatrics/a...
People receiving emergency care for an opioid overdose have only a 1 in 16 chance of getting medication to treat substance use disorder in ER or the month after, according to this new study led by Thuy Nguyen of @umichsph.bsky.social & @kaopingchua.bsky.social: www.healthaffairs.org/doi/full/10....
Medicaid Patients With ED Visits For Overdose: Disparities In Initiation Of Medications For Opioid Use Disorder | Health Affairs Journal
Medications for opioid use disorder (MOUD) after emergency department (ED) visits for overdose can reduce subsequent overdose deaths, but disparities in receiving MOUD persist in the US. Using nationa...
healthaffairs.org
New pub: using national data, we show that disruptions in chronic medication therapy were more common among Medicaid-insured kids and young adults living in states experiencing large Medicaid enrollment losses during Medicaid unwinding. @um-ihpi.bsky.social publications.aap.org/pediatrics/a...
🧵By total coincidence, @kaopingchua.bsky.social & @jo-constantin.bsky.social have not one but TWO papers out today looking at the impacts of #Medicaid unwinding on the prescription-filling patterns of people with serious illness. The findings could have implications for any new changes to Medicaid.
Children and young adults taking drugs for #ADHD, #depression, #epilepsy, #asthma and #psychosis need to take them consistently to stay on track at school and work. But a new study led by @kaopingchua.bsky.social links #Medicaid unwinding to medicine interruptions: ihpi.umich.edu/news-events/...
Medicaid unwinding disrupted kids’ and young adults’ access to chronic disease medicine
Prescriptions for mental and behavioral health, epilepsy and asthma affected among those living in states with largest drops in Medicaid enrollment
ihpi.umich.edu
New pub in JAMA: withdrawal of brand-name Flovent, an inhaled steroid used to prevent asthma attacks, led many families of children using Flovent to stop filling inhaled steroid prescriptions altogether. @um-ihpi.bsky.social jamanetwork.com/journals/jam...
Today, I became the new Director of the Susan B Meister Child Health Evaluation and Research Center at the University of Michigan (chear.org). I am lucky to have the opportunity to give back to the center that has meant so much for my career. @um-ihpi.bsky.social
CHEAR | Susan B. Meister Child Health Evaluation and Research Center
The Susan B. Meister Child Health Evaluation and Research (CHEAR) Center at the University of Michigan is one of the largest health services research centers that focuses on children. Our work is mult...
chear.org
1/ New pub: people initiating stimulants via telehealth are more likely to develop a substance use disorder (SUD). They are also more likely to have mental health conditions (SUD risk factors). When controlling for these conditions, the association goes away. www.healthaffairs.org/doi/full/10....
Alas @joyclee.bsky.social & @kaopingchua.bsky.social ‘s work documenting use of GLP-1 meds in teens and young adults was not mentioned so I’ll link it here: www.michiganmedicine.org/health-lab/y...
Young people are increasingly using Wegovy and Ozempic
A national study from Michigan Medicine shows that the use of these weight loss drugs is increasing rapidly in adolescents and young adults 12-25 years, especially females.
michiganmedicine.org
New @washingtonpost.com story in which @kaopingchua.bsky.social’s work is cited/linked and a #Umich health insurance researcher is quoted: wapo.st/4hW2xGI
Trump casts psychiatric and weight-loss drugs as threats to children
Trump directed a panel headed by HHS Secretary Robert F. Kennedy Jr. to assess “the prevalence of and threat” posed by SSRIs, mood stabilizers, stimulants, and weight-loss drugs.
wapo.st
New pub: using commercial claims, we show that mortality in the adult family members of children rose in winter 2020 and late 2021. Some of these family members were 19-25, suggesting kids lost older siblings during the pandemic. @norabeckermd.bsky.social link.springer.com/article/10.1...
Mortality in the families of children during the COVID-19 pandemic: evidence from a repeated cross-sectional study of children in the United States - BMC Public Health
Background Modeling studies suggest that hundreds of thousands of U.S. children have lost caregivers since the COVID-19 pandemic began. However, few studies have directly evaluated changes in mortalit...
link.springer.com
1/ New pub in Pediatrics: the stimulant dispensing rate to U.S. children declined after the pandemic began. The Adderall shortage didn’t change this rate but likely caused children using Adderall to switch to other stimulants. publications.aap.org/pediatrics/a...
