{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T22:03:04Z","timestamp":1789855384461,"version":"4.0.1"},"reference-count":48,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24AG049057"],"award-info":[{"award-number":["K24AG049057"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P01 AG066605"],"award-info":[{"award-number":["P01 AG066605"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30AG044281"],"award-info":[{"award-number":["P30AG044281"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG058616"],"award-info":[{"award-number":["R01AG058616"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG067507"],"award-info":[{"award-number":["R01AG067507"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R24AG064025"],"award-info":[{"award-number":["R24AG064025"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","award":["P0553126"],"award-info":[{"award-number":["P0553126"]}],"id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG073533"],"award-info":[{"award-number":["K01AG073533"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K23AG073523"],"award-info":[{"award-number":["K23AG073523"]}],"id":[{"id":"10.13039\/100000049","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":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The number of older adults being discharged to a skilled nursing facility (SNF) after surgery continues to rise. Prior studies have shown that gabapentinoid prescribing after surgery is increasing, though this work only studied patients transitioning from hospital to home. Therefore, we aim to describe both use and prolonged use of gabapentinoids for older adults who are discharged to SNF and then home after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis by merging patient data from Medicare Carrier, MedPAR, and Outpatient Files with Medicare Part D for 2013\u20132020. We included patients \u2265\u200966\u2009years at time of procedure undergoing one of 14 common surgeries performed in older adults whose discharge was to SNF then home.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The total study cohort included 79,417 patients who were discharged to a SNF. Median length of SNF stay was 15\u2009days (IQR 10, 22\u2009days). A total of 3182 (4%) received a new gabapentinoid prescription. Of these, 38% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091219) had prolonged use. On multivariable logistic regression, we found that female sex, gabapentinoid days supply, emergency surgery, non\u2010orthopedic and nonvascular surgery, and higher area deprivation index were associated with prolonged use.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Of our cohort, 38% had prolonged use, more than 1.5 times the proportion of prolonged use found in a past study among patients being discharged directly home. Importantly, patients who were sicker and more disadvantaged were more likely to have prolonged use. Our study highlights that additional work needs to focus on understanding and preventing inappropriate prolonged use of gabapentinoids after SNF discharge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70578","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T15:36:38Z","timestamp":1783784198000},"page":"2573-2582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prolonged Use of Postoperative Gabapentin After Discharge From a Skilled Nursing Facility"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4568-2087","authenticated-orcid":false,"given":"Tasce","family":"Bongiovanni","sequence":"first","affiliation":[{"name":"Department of Surgery University of California San Francisco School of Medicine  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siqi","family":"Gan","sequence":"additional","affiliation":[{"name":"Division of Geriatrics University of California San Francisco School of Medicine  San Francisco California USA"},{"name":"Northern California Institute for Research and Education  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Finlayson","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California San Francisco School of Medicine  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. John","family":"Boscardin","sequence":"additional","affiliation":[{"name":"Department of Medicine University of California San Francisco School of Medicine  San Francisco California USA"},{"name":"Department of Epidemiology &amp; Biostatistics University of California San Francisco School of Medicine  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Steinman","sequence":"additional","affiliation":[{"name":"Division of Geriatrics University of California San Francisco School of Medicine  San Francisco California USA"},{"name":"San Francisco VA Medical Center  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7761-7039","authenticated-orcid":false,"given":"James D.","family":"Harrison","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine University of California San Francisco School of Medicine  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2019.04.034"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.123.029833"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001495"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2016.12.013"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921\u201020190122\u201001"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010009\u20100948\u20102"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/HMR.0000000000000000"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhm.2614"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18372"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010024\u201001003\u2010z"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.70248"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.33980"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12328"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40267\u2010017\u20100468\u20109"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/17512433.2019.1615442"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ph17081009"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.18626"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18005"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.12.008"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.5055\/jom.2012.0110"},{"key":"e_1_2_12_22_1","unstructured":"American College of Surgeons \u201cGeriatric Surgery Verification Program Standards \u201d(2022) https:\/\/www.facs.org\/quality\u2010programs\/geriatric\u2010surgery\/standards."},{"issue":"6","key":"e_1_2_12_23_1","first-page":"33","article-title":"Medication Prescribing for Older Adults","volume":"14","author":"Roehl B.","year":"2006","journal-title":"Annals of Long\u2010Term Care"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15767"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20232"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.2005.53523.x"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv013"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.2165\/11319530000000000\u201000000"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1517\/14740338.2013.827660"},{"key":"e_1_2_12_30_1","unstructured":"Bureau UC U.S. Older Population Grew From 2010 to 2020 at Fastest Rate Since 1880 to 1890. Census.gov(2025) https:\/\/www.census.gov\/library\/stories\/2023\/05\/2020\u2010census\u2010united\u2010states\u2010older\u2010population\u2010grew.html."},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18173"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq433"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001503"},{"key":"e_1_2_12_34_1","article-title":"The Pandemic's Hidden Victims: Sick or Dying, but Not From the Virus","author":"Grady D.","year":"2020","journal-title":"New York Times"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1802313"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473\u20103099(13)70324\u20104"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l1849"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.12794"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002365"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16308"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895\u20104356(92)90133\u20108"},{"key":"e_1_2_12_43_1","unstructured":"Research Triangle Institute (RTI) Race Code \u201cResDAC \u201d(2022) https:\/\/resdac.org\/cms\u2010data\/variables\/research\u2010triangle\u2010institute\u2010rti\u2010race\u2010code."},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2022.05.018"},{"key":"e_1_2_12_45_1","unstructured":"Opioid Conversion Calculator for Morphine Equivalents \u201cOregon Pain Guidance \u201d(2020) https:\/\/www.oregonpainguidance.org\/opioidmedcalculator\/."},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.4234"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.5075"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2021.06.001"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000001216"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70578","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.70578","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70578","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T21:19:19Z","timestamp":1789852759000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70578"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,11]]},"references-count":48,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/jgs.70578"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70578","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,11]]},"assertion":[{"value":"2025-11-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}