Opioid-Prescribing Continuity and Risky Opioid Prescriptions

被引：20

作者：

Hallvik, Sara E. ^{[1
]}

Geissert, Peter ^{[2
]}

Wakeland, Wayne ^{[2
]}

Hildebran, Christi ^{[1
]}

Carson, Jody ^{[1
]}

O'Kane, Nicole ^{[1
]}

Deyo, Richard A. ^{[3
,4
]}

机构：

[1] Hlth Insight Oregon, 2020 SW 4th Ave,Suite 520, Portland, OR 97201 USA

[2] Portland State Univ, Portland, OR 97207 USA

[3] Oregon Hlth & Sci Univ, Dept Med, Dept Family Med, Portland, OR 97201 USA

[4] Oregon Hlth & Sci Univ, Oregon Inst Occupat Hlth Sci, Portland, OR 97201 USA

来源：

ANNALS OF FAMILY MEDICINE | 2018年 / 16卷 / 05期

关键词：

opioids; pain; prescribing continuity continuity of care; CHRONIC PAIN; PATTERNS;

D O I：

10.1370/afm.2285

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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 (COO) 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.

引用

页码：440 / 442

页数：3

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