Although surveys have found that few clinicians discuss cannabis use with their patients, experts make the case why they should.
A few years ago, UCLA Health began asking patients if they used cannabis as part of an electronic previsit questionnaire completed before well visits. The question is still an unusual ask for most primary care clinicians, said Lillian Gelberg, MD, a professor of family medicine at the UCLA David Geffen School of Medicine.
And while some clinicians may not think their patients are part of that increase, screening may help identify those who are. A study of nearly 1700 patients found that 38.8% responding to a confidential survey in 2021 reported using cannabis in the previous year, but only 4.8% had that information in their electronic health record.inconsistent regulations between states
Marjan Javanbakht, PhD, an adjunct professor in the Department of Epidemiology at the UCLA Fielding School of Public Health and co-lead author of the study, said her team uncovered much more cannabis use than they expected. She was also surprised at the 80% of patients who classified themselves as recreational users who were taking cannabis to manage a symptom. The most common uses were for sleep , mental health symptoms , stress , worry or anxiety , and nonspecific pain .
“A lot of young people, teenagers and young adults, are showing up in ERs for psychotic breaks that can go for 5-7 days, depending on the potency of what they’re using,” he said.When Rottnek teaches medical students, residents, and fellows about clinical interviewing, he advises starting with legal substances: Alcohol, tobacco, and cannabis.
Cannabis Compound Abuse Toxicology Toxicity Poisoning Toxins Pain Management Tobacco Cessation Quitting Tobacco Use Smoking Cessation Children Child Childhood Pediatrics Kids Lung Chronic Obstructive Pulmonary Disease COPD Chronic Obstructive Lung Disease COAD Chronic Obstructive Airway Disease (COAD) Chronic Obstructive Pulmonary Disease (COPD) Hypertension
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