Changes in opioid prescription duration for musculoskeletal injury associated with the North Carolina Strengthen Opioid Misuse Prevention (STOP) Act.

Autor:	Wally MK; Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC 28207, United States.; Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223, United States., Thompson ME; Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223, United States., Odum S; Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC 28207, United States.; Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC 28223, United States., Kazemi DM; College of Health and Human Services, School of Nursing, University of North Carolina at Charlotte, Charlotte, NC 28223, United States., Hsu JR; Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC 28207, United States., Seymour RB; Department of Orthopaedic Surgery, Atrium Health Musculoskeletal Institute, Charlotte, NC 28207, United States.
Jazyk:	angličtina
Zdroj:	Pain medicine (Malden, Mass.) [Pain Med] 2023 Aug 01; Vol. 24 (8), pp. 926-932.
DOI:	10.1093/pm/pnad036
Abstrakt:	Objectives: To assess whether implementation of the Strengthen Opioid Misuse Prevention (STOP) Act was associated with an increase in the percentage of opioid prescriptions written for 7 days or fewer among patients with acute or postsurgical musculoskeletal conditions. Design: An interrupted time-series study was conducted to determine the change in duration of opioid prescriptions associated with the STOP Act. Setting: Data were extracted from the electronic health record of a large health care system in North Carolina. Subjects: Patients presenting from 2016 to 2020 with an acute musculoskeletal injury and the clinicians treating them were included in an interrupted time-series study (n = 12 839). Methods: Trends were assessed over time, including the change in trend associated with implementation of the STOP Act, for the percentage of prescriptions written for ≤7 days. Results: Among patients with acute musculoskeletal injury, less than 30% of prescriptions were written for ≤7 days in January of 2016; by December of 2020, almost 90% of prescriptions were written for ≤7 days. Prescriptions written for ≤7 days increased 17.7% after the STOP Act was implemented (P < .001), after adjustment for the existing trend. Conclusions: These results demonstrate significant potential for legislation to influence opioid prescribing behavior. (© The Author(s) 2023. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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