NH Medical Society Herbal Marijuana Survey
The NH Medical Society conducted a survey to gauge clinician engagement in herbal marijuana use, assess their understanding of effects and side effects, and willingness to certify patients. Findings reveal insights on clinician recommendations, knowledge levels, and willingness to be on a list of certifying physicians. The survey provided valuable data on clinician practices and attitudes towards herbal marijuana and cannabinoid medications.
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Presentation Transcript
NH Medical Society Herbal Marijuana Survey Presented by Seddon R. Savage MD, MS
Survey Goals Learn current and anticipated engagement by NH clinicians in use of herbal marijuana for therapeutic purposes Assess clinician understanding of marijuana effects and side effects
Link mailed to 2642 physicians with four reminders 900 APNPs on one occasion Total 3540 467 responses 239 physicians 64 APRNs 164 unknowns Response rate overall: 13.2%
If you know a patient uses or want to try MJ, how often do you advise them on risks & benefits Advise risks/benefits if using 250 200 150 Advise risks/benefits if using 100 50 0 Never Rarely Sometimes Often NA
How often have you recommended a trial of marijuana for clinical purpose Recommend MJ 400 350 300 250 200 Recommend MJ 150 100 50 0 Never Rarely Sometimes Often NA
How often have you recommended a trial of cannabinoid medications? 400 350 300 250 Recommend Cannabinoid Med 200 150 100 50 0 Never Rarely Sometimes Often NA
Will you be willing to certify a patients medical condition and symptoms for certification to use MJ? 160 140 120 Willing to certify 100 80 60 40 20 0 Never Rarely Sometime Often NA
Would you want to be on a list of physicians willing to certify patients for Clinical Cannabis? List MJ Providers? 450 400 350 300 250 200 150 100 50 0 Yes No
How would you rate your knowledge of herbal marijuana/cannabis effects? 160 140 Knowledge 400 120 300 200 100 100 0 80 0 to 2 3 to 5 60 40 20 0 0 1 2 3 4 5 Comprehensive None
Marijuana Knowledge Challenges Herbal marijuana primarily studied in terms of outcomes and effects of illicit use Cannabinoids studied in terms of therapeutic effects and side effects Less research on therapeutic effects of herbal MJ Highly variable herb with 50-200 biologically active chemicals (>50 cannabinoids all with different actions) Cannot extrapolate from research on cannabinoids to herbal marijuana Cannot extrapolate from one strain of marijuana to another strain
Marijuana Sources of Evidence Research related to illicit use Few research studies of therapeutic use Few randomized controlled clinical trials Observation and experience Clinical case reports in popular media Extrapolation from cannabinoid research Expert consensus reached by any or all of above
Perception of Evidence Acute Therapeutic Effects 450 400 350 300 250 200 150 100 50 0 Mod-Strong None-Sketchy
Perception of Evidence Acute Side-Effects 450 400 350 300 250 200 150 100 50 0 Mod-Strong None-Sketchy
Perception of Evidence Chronic Side-Effects 450 400 350 300 250 200 150 100 50 0 Mod-Strong None-Sketchy
Key Messages Education is needed to enhance clinician understanding of Potential effects and side effects Possible risks Patient counseling is needed to ensure understanding Potential effects and side effects Possible risks Data collection and research are needed to determine actual effects, side-effects & risks
