[Increase in opioid prescribing in extramural care in the Netherlands: assessment of use and prescription behaviour, based on claims data]
| Autor: | Maike H J, Schepens, Maarten, Leusink, Sytske E, de Vries, Judith A, van Erkelens, Henk, Eleveld, Anneke, Prenger, Jacques, van Limbeek, Marjolein Y, Berger |
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| Jazyk: | Dutch; Flemish |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Aged 80 and over Male Adolescent General Practice Age Factors Infant Newborn Infant Middle Aged Drug Prescriptions Analgesics Opioid Young Adult Sex Factors Child Preschool Humans Female Practice Patterns Physicians' Child Administrative Claims Healthcare Oxycodone Aged Netherlands Retrospective Studies |
| Zdroj: | Nederlands tijdschrift voor geneeskunde. 163 |
| ISSN: | 1876-8784 |
| Popis: | Describe the trends in extramural prescription of opioids in the Netherlands.Descriptive, retrospective research based on claims data of Dutch health insurers.For each healthcare-insured Dutch resident we selected claims data for all opioids, except codeine and buprenorphine, for the period 2010-2017. We calculated the total numbers of opioid and oxycodone users, and stratified these numbers by age and sex. The average number of prescribed Defined Daily Doses (DDD), the chronicity of use, the type of prescriber, and regional patterns in opioid use were investigated.A total of 3,655,265 different insured persons used opioids during the research period. The yearly number of opioid users increased from 650,864 in 2010 to 1,010,474 in 2017. This increase was mainly driven by an increase in oxycodone prescriptions. Elderly and female patients were more frequent users of opioids. The ratio of short- versus long-term opioid users remained steady during the research period, with opioids being used for four months or longer in 21% of cases. General practitioners prescribed 82% of the DDDs of all opioids in 2017. The percentage of DDDs of oxycodone prescribed by medical specialists increased from 2.8% in 2010 to 14.2% in 2017.Opioid use is increasing in the Netherlands, but the long-term vs short-term use ratio has not changed in recent years. General practitioners prescribe the largest share of opioids, but a growing number of prescriptions originates from medical specialists. |
| Databáze: | OpenAIRE |
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