Impact of Statewide Statute Limiting Days' Supply to Opioid-Naive Patients.

Autor: Sullivan KJ; Colorado Department of Public Health & Environment (CDPHE), Denver, Colorado. Electronic address: katherine.sullivan@state.co.us., Gabella B; Colorado Department of Public Health & Environment (CDPHE), Denver, Colorado., Ziegler K; Avera Research Institute - Sioux Falls, Sioux Falls, South Dakota; Department of Pediatrics, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota; Department of Internal Medicine, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota., Tolle H; Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Giano Z; School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado., Hoppe J; Department of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Jazyk: angličtina
Zdroj: American journal of preventive medicine [Am J Prev Med] 2024 Jan; Vol. 66 (1), pp. 112-118. Date of Electronic Publication: 2023 Aug 20.
DOI: 10.1016/j.amepre.2023.08.015
Abstrakt: Introduction: To address the ongoing opioid crisis, states use policy enactment to restrict prescribing by licensed healthcare providers and mandate the use of Prescription Drug Monitoring Programs. There have been mixed results regarding the effectiveness of such state policies. The purpose of this study is to evaluate the impact of Colorado Senate Bill 18-022, which limits opioid prescriptions to ≤7-day supply among patients without an opioid prescription in the previous year (i.e., are opioid naive).
Methods: This is a retrospective interrupted time-series analysis of opioid prescribing to evaluate the weekly percentage of opioid prescriptions consistent with statutory limits for ≤7-day supply among opioid-naive patients before and after enactment using Prescription Drug Monitoring Programs data from May 21, 2017 to May 25, 2019. Statistical analysis was performed in 2021-2022.
Results: The weekly percentage of opioid prescriptions ≤7-day supply increased by an average of 0.12% per week (p<0.0001) from 79.7% to 87.4% in the week before enactment. The week after enactment, the average increased by 0.2% (p=0.67). The year after enactment, the average weekly percentage change was 0.07% per week, a 0.05% decrease (p=0.01).
Conclusions: Statutory limits on days' supply among opioid-naive patients had little impact on opioid prescribing in Colorado. Legislating limits on opioid prescribing should be evaluated using Prescription Drug Monitoring Program data and considered for deimplementation when not impactful.
(Copyright © 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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