Zobrazit v EDS

Reductions in sustained prescription opioid use within the US between 2017 and 2021.

Uloženo v:
Podrobná bibliografie
Název: Reductions in sustained prescription opioid use within the US between 2017 and 2021.
Autoři: Schoenfeld, Andrew J., Munigala, Satish, Gong, Jonathan, Schoenfeld, Roman J., Banaag, Amanda, Coles, Christian, Koehlmoos, Tracey P.
Zdroj: Scientific Reports; 1/16/2024, Vol. 14 Issue 1, p1-9, 9p
Témata: OPIOID epidemic, MEDICAL prescriptions, COVID-19 pandemic, FISCAL year, AGE groups, MULTIVARIABLE testing, OPIOID analgesics
Abstrakt: Over the last decade, various efforts have been made to curtail the opioid crisis. The impact of these efforts, since the onset of the COVID-19 pandemic, has not been well characterized. We sought to develop national estimates of the prevalence of sustained prescription opioid use for a time period spanning the COVID-19 pandemic (2017–2021). We used TRICARE claims data (fiscal year 2017–2021) to identify patients who were prescription opioid non-users prior to receipt of a new opioid medication. We evaluated eligible patients for subsequent sustained prescription opioid use. The prevalence of sustained prescription opioid use during 2020–2021 was compared to 2017–2019. We performed multivariable logistic regression analyses to adjust for confounding. We performed secondary analyses that accounted for interactions between the time period and age, as well as a proxy for socioeconomic status. We determined there was a 68% reduction in the odds of sustained prescription opioid use (OR 0.32; 95% CI 0.27, 0.38; p < 0.001) in 2020–2021 as compared to 2017–2019. Significant reductions were identified across all US census divisions and all patient age groups. In both time periods, the plurality of encounters associated with initial receipt of an opioid that culminated in sustained prescription opioid use were associated with non-specific primary diagnoses. We found significant reductions in sustained prescription opioid use in 2020–2021 as compared to 2017–2019. The persistence of prescribing behaviors that result in issue of opioids for poorly characterized conditions remains an area of concern. [ABSTRACT FROM AUTHOR]
Copyright of Scientific Reports is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Databáze: Complementary Index
Popis
Abstrakt:Over the last decade, various efforts have been made to curtail the opioid crisis. The impact of these efforts, since the onset of the COVID-19 pandemic, has not been well characterized. We sought to develop national estimates of the prevalence of sustained prescription opioid use for a time period spanning the COVID-19 pandemic (2017–2021). We used TRICARE claims data (fiscal year 2017–2021) to identify patients who were prescription opioid non-users prior to receipt of a new opioid medication. We evaluated eligible patients for subsequent sustained prescription opioid use. The prevalence of sustained prescription opioid use during 2020–2021 was compared to 2017–2019. We performed multivariable logistic regression analyses to adjust for confounding. We performed secondary analyses that accounted for interactions between the time period and age, as well as a proxy for socioeconomic status. We determined there was a 68% reduction in the odds of sustained prescription opioid use (OR 0.32; 95% CI 0.27, 0.38; p < 0.001) in 2020–2021 as compared to 2017–2019. Significant reductions were identified across all US census divisions and all patient age groups. In both time periods, the plurality of encounters associated with initial receipt of an opioid that culminated in sustained prescription opioid use were associated with non-specific primary diagnoses. We found significant reductions in sustained prescription opioid use in 2020–2021 as compared to 2017–2019. The persistence of prescribing behaviors that result in issue of opioids for poorly characterized conditions remains an area of concern. [ABSTRACT FROM AUTHOR]
ISSN:20452322
DOI:10.1038/s41598-024-52032-4