{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T01:51:05Z","timestamp":1768009865652,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100020097","name":"Foundation for Opioid Response Efforts","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020097","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Opioid use disorder (OUD) prevalence has increased threefold among Medicare beneficiaries 65\u2009years and older (hereafter \u201colder adults\u201d) since 2013, with a prevalence of 15.7 per 1000 Medicare beneficiaries in 2018. Yet, access to treatment that addresses the needs of older adults with OUD is limited, including patterns of buprenorphine prescribing to older adults. Therefore, we sought to describe buprenorphine treatment patterns among older adults and prescribing clinician specialties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective observational study using 2019\u20132020 IQVIA Real World Data\u2013Longitudinal Prescriptions. High\u2010prescribing clinicians are those who prescribed buprenorphine to &gt;15 unique older adults within a calendar year. We used T\u2010test and chi\u2010square tests to compare characteristics associated with differences in prescribing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 26,202 clinicians prescribing buprenorphine to 67,921 unique older adults, 1232 (5%) prescribed to more than 15 older adults (mean 28.1, SD\u2009=\u200923.6), corresponding to buprenorphine prescribing for 24,672 (36%) older adults. Among older adults dispensed buprenorphine, the majority (58%) were 66\u201370\u2009years of age and male (54%). Individuals older than 70\u2009years (44%) and males (51%) were slightly more common among high prescribers than non\u2010high\u2010prescribing clinicians (41% and 49%, respectively). Primary care clinicians (42%) and advance practice providers (APPs) (29%) were the most common specialties prescribing buprenorphine. Most (87%) buprenorphine prescribers were in urban counties; with a slightly higher percentage of high\u2010prescribing clinicians in urban counties (91%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A relatively small subset of clinicians prescribes most buprenorphine to older adults. This work provides evidence of gaps in care delivery. Scalable systems\u2010level interventions should be developed and tested to improve treatment availability mindful of existing clinical infrastructure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.19291","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T13:09:36Z","timestamp":1733317776000},"page":"1204-1209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Buprenorphine prescribing practices for older adults in 2019 and 2020"],"prefix":"10.1111","volume":"73","author":[{"given":"Natalie C.","family":"Ernecoff","sequence":"first","affiliation":[{"name":"RAND  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flora","family":"Sheng","sequence":"additional","affiliation":[{"name":"RAND  Arlington Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Cantor","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley D.","family":"Stein","sequence":"additional","affiliation":[{"name":"RAND  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.AMEPRE.2021.01.010"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/GPSYCH\u20102020\u2010100412"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/APPI.PS.201700137"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JSAT.2015.10.003"},{"key":"e_1_2_10_6_1","unstructured":"DunlapB CifuAS.Clinical Management of Opioid use Disorder. Published Online2016. Accessed June 30 2024http:\/\/www.vch.ca\/media\/Opioid-Addiction"},{"key":"e_1_2_10_7_1","unstructured":"Office of the Inspector General.Many Medicare Beneficiaries Are Not Receiving Medication to Treat Their Opioid Use Disorder.2021Accessed February 26 2024.https:\/\/oig.hhs.gov\/oei\/reports\/OEI-02-20-00390.pdf"},{"key":"e_1_2_10_8_1","unstructured":"Economic Research Service.Rural\u2010Urban Continuum Codes. U.S. Department of Agriculture."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/S11606\u2010022\u201007891\u2010W\/TABLES\/2"},{"key":"e_1_2_10_10_1","unstructured":"BryanS Fern\u00e1ndez\u2010Vi\u00f1aMH.Panel Discussion: Stigma Around Opioid Use Disorder Presents Challenges to Treatment.2022. Accessed September 26 2024https:\/\/www.pewtrusts.org\/en\/research\u2010and\u2010analysis\/articles\/2022\/05\/04\/panel\u2010discussion\u2010stigma\u2010around\u2010opioid\u2010use\u2010disorder\u2010presents\u2010challenges\u2010to\u2010treatment"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.DRUGALCDEP.2021.108627"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/JNU.12837"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.DRUGALCDEP.2021.109107"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","unstructured":"AroraA O'NeillA CromeP MartinFC.Clinical medicine and substance misuse: Research assessments and treatment. In: Crome I Wu L.\u2010T Rao R. (T.) Crome P. eds.Substance use and older people. Wiley Blackwell;2014:35\u201055. doi:10.1002\/9781118430965.CH5","DOI":"10.1002\/9781118430965.ch5"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMC2312906\/SUPPL_FILE\/NEJMC2312906_DISCLOSURES.PDF"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/29767342231223721"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2023.2171107"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108715"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2022.2082301"},{"key":"e_1_2_10_20_1","doi-asserted-by":"crossref","unstructured":"SteinBD SalonerBK GolanOK et al.Association of Selected State Policies and Requirements for Buprenorphine Treatment with per Capita Months of Treatment. doi:10.1001\/jamahealthforum.2023.1102","DOI":"10.1001\/jamahealthforum.2023.1102"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.19291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T11:04:25Z","timestamp":1762167865000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.19291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,4]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/jgs.19291"],"URL":"https:\/\/doi.org\/10.1111\/jgs.19291","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,4]]},"assertion":[{"value":"2024-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}