Opioid-Prescribing Continuity and Risky Opioid Prescriptions
| Autor: | Peter Geissert, Sara E. Hallvik, Christi Hildebran, Jody Carson, Wayne W. Wakeland, Richard A. Deyo, Nicole O'Kane |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Poison control Inappropriate Prescribing Pharmacy Research Brief Drug Prescriptions Occupational safety and health Oregon Young Adult 03 medical and health sciences 0302 clinical medicine Injury prevention medicine Humans Registries 030212 general & internal medicine Practice Patterns Physicians' Medical prescription Aged Retrospective Studies business.industry Human factors and ergonomics Retrospective cohort study Continuity of Patient Care Middle Aged Opioid-Related Disorders Patient Discharge Analgesics Opioid Opioid Emergency medicine Prescription Drug Monitoring Programs Female Drug Overdose Family Practice business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | The Annals of Family Medicine. 16:440-442 |
| ISSN: | 1544-1717 1544-1709 |
| DOI: | 10.1370/afm.2285 |
| Popis: | We aimed to better understand the association between opioid-prescribing continuity, risky prescribing patterns, and overdose risk. For this retrospective cohort study, we included patients with long-term opioid use, pulling data from Oregon's Prescription Drug Monitoring Program (PDMP), vital records, and hospital discharge registry. A continuity of care index (COCI) score was calculated for each patient, and we defined metrics to describe risky prescribing and overdose. As prescribing continuity increased, likelihood of filling risky opioid prescriptions and overdose hospitalization decreased. Prescribing continuity is an important factor associated with opioid harms and can be calculated using administrative pharmacy data. |
| Databáze: | OpenAIRE |
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