Home > Comparison of medical cannabis use reported on a confidential survey vs documented in the electronic health record among primary care patients.

Lapham, Gwen T and Matson, Theresa E and Carrell, David S and Bobb, Jennifer F and Luce, Casey and Oliver, Malia M and Ghitza, Udi E and Hsu, Clarissa and Browne, Kendall C and Binswanger, Ingrid A and Campbell, Cynthia I and Saxon, Andrew J and Vandrey, Ryan and Schauer, Gillian L and Pacula, Rosalie Liccardo and Horberg, Michael A and Bailey, Steffani R and McClure, Erin A and Bradley, Katharine A (2022) Comparison of medical cannabis use reported on a confidential survey vs documented in the electronic health record among primary care patients. JAMA Network Open, 5, (5), e2211677. doi: 10.1001/jamanetworkopen.2022.11677.

External website: https://jamanetwork.com/journals/jamanetworkopen/f...

Question: What is the prevalence of patient-reported explicit (ie, medical use) and implicit (ie, health reasons for use) medical cannabis use, and how does electronic health record documentation compare with patient report of medical use?

Findings: In this survey study, among 1688 primary care patients, 26.5% reported explicit and 35.1% reported implicit medical use of cannabis. The prevalence of medical use documented in the electronic health record was 4.8%, missing most medical cannabis use reported by patients.

Meaning: These findings suggest that asking about use of cannabis for managing pain, sleep, mood, or other health concerns may increase recognition and documentation of medical cannabis use.


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