Medical conditions of primary care patients with documented cannabis use and cannabis use disorder in electronic health records: a case control study from an academic health system in a medical marijuana state

Autor: Howard Padwa, David Huang, Larissa Mooney, Christine E. Grella, Darren Urada, Douglas S. Bell, Brittany Bass, Anne E. Boustead
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Substance Abuse Treatment, Prevention, and Policy, Vol 17, Iss 1, Pp 1-11 (2022)
Druh dokumentu: article
ISSN: 1747-597X
DOI: 10.1186/s13011-022-00467-1
Popis: Abstract Background Approximately 3.8% of adults worldwide have used cannabis in the past year. Understanding how cannabis use is associated with other health conditions is crucial for healthcare providers seeking to understand the needs of their patients, and for health policymakers. This paper analyzes the relationship between documented cannabis use disorders (CUD), cannabis use (CU) and other health diagnoses among primary care patients during a time when medical use of marijuana was permitted by state law in California, United States of America. Methods The study utilized primary care electronic health record (EHR) data from an academic health system, using a case–control design to compare diagnoses among individuals with CUD/CU to those of matched controls, and those of individuals with CUD diagnoses with individuals who had CU otherwise documented. Associations of documented CU and CUD with general medical conditions and health conditions associated with cannabis use (both medical and behavioral) were analyzed using conditional logistic regression. Results Of 1,047,463 patients with ambulatory encounters from 2013–2017, 729 (0.06%) had CUD diagnoses and 3,731 (0.36%) had CU documented in their EHR. Patients with documented CUD and CU patients had significantly (p
Databáze: Directory of Open Access Journals
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