Journal ArticleDOI
Iatrogenic Opioid Dependence in the United States: Are Surgeons the Gatekeepers?
TLDR
Today, 1 of every 25 adults regularly uses prescription opioid medications, and prescription opioid use results in greater healthcare utilization and mortality than in previous years.Abstract:
Opioid-associated morbidity and mortality are described by the Centers for Disease Control as a national “prescription painkiller overdose epidemic.”1 Today, 1 of every 25 adults regularly uses prescription opioid medications. Prescription opioid use results in greater healthcare utilization and assread more
Citations
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Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study.
Gabriel A. Brat,Denis Agniel,Andrew L. Beam,Brian K. Yorkgitis,Mark C. Bicket,Mark L. Homer,Kathe Fox,Daniel B Knecht,Cheryl N. McMahill-Walraven,Nathan Palmer,Isaac S. Kohane +10 more
TL;DR: The data from this study suggest that duration of the prescription rather than dosage is more strongly associated with ultimate misuse in the early postsurgical period, and each refill and week of opioid prescription is associated with a large increase in opioid misuse among opioid naive patients.
Journal ArticleDOI
Opioid-Prescribing Guidelines for Common Surgical Procedures: An Expert Panel Consensus
Heidi N. Overton,Marie N. Hanna,William E. Bruhn,Susan Hutfless,Mark C. Bicket,Mark C. Bicket,Martin A. Makary,Martin A. Makary,Brian R. Matlaga,Clark T. Johnson,Jeanne S. Sheffield,Ronen Shechter,Hien Nguyen,Greg Osgood,Christi Walsh,Richard A. Burkhart,Alex B. Blair,Wes Ludwig,Suzanne A. Nesbit,Peiqi Wang,Suzette Morgan,Christian Jones,Lisa M. Kodadek,James Taylor,Zachary Obinna Enumah,Richard C. Gilmore,Mehran Habibi,Kayode Williams,Jon Russell,Karen Wang,Joanna W. Etra,Stephen R. Broderick,Tiffany Zavadsky +32 more
TL;DR: In this paper, a 3-step modified Delphi method involving a multidisciplinary expert panel of 6 relevant stakeholder groups (surgeons, pain specialists, outpatient surgical nurse practitioners, surgical residents, patients, and pharmacists) was used to develop consensus ranges for outpatient opioid prescribing at the time of discharge after 20 common procedures in 8 surgical specialties.
Journal ArticleDOI
Association of Opioid Prescribing With Opioid Consumption After Surgery in Michigan.
Ryan Howard,Brian T. Fry,Vidhya Gunaseelan,Jay Lee,Jennifer F. Waljee,Chad M. Brummett,Darrell A. Campbell,Elizabeth Seese,Michael J. Englesbe,Joceline Vu +9 more
TL;DR: The quantity of opioid prescribed is associated with higher patient-reported opioid consumption, and patients in the lowest quintile of opioid prescribing had significantly lower mean opioid consumption compared with those in the highest quintile.
Journal ArticleDOI
Statewide Implementation of Postoperative Opioid Prescribing Guidelines.
Joceline V. Vu,Ryan Howard,Vidhya Gunaseelan,Chad M. Brummett,Jennifer F. Waljee,Michael J. Englesbe +5 more
TL;DR: Postoperative Opioid Prescribing Guidelines To improve opioid prescribing after surgery, the Michigan Surgical Quality Collaborative developed evidence-based prescribing guidelines.
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Opioid Prescribing Patterns, Patient Use, and Postoperative Pain After Hysterectomy for Benign Indications.
Sawsan As-Sanie,Sara R. Till,Erika L. Mowers,Courtney S. Lim,Bethany Skinner,Laura Fritsch,Alexander Tsodikov,Vanessa K. Dalton,Daniel J. Clauw,Chad M. Brummett +9 more
TL;DR: The best fit model of total opioid consumption identified preoperative Fibromyalgia Survey Score, overall body pain, preoperative opioid use, prior endometriosis, abdominal hysterectomy, and uterine weight as significant predictors of postsurgical opioid use and pain recovery.
References
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Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
TL;DR: This guideline is intended to improve communication about benefits and risks of opioids for chronic pain, improve safety and effectiveness of pain treatment, and reduce risks associated with long-term opioid therapy.
Journal ArticleDOI
CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016.
TL;DR: This guideline is intended to improve communication between clinicians and patients about the risks and benefits of opioid therapy for chronic pain, improve the safety and effectiveness of pain treatment, and reduce the risks associated with long-term opioid therapy, including opioid use disorder, overdose, and death.
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Trends in Opioid Analgesic Abuse and Mortality in the United States
Richard C. Dart,Hilary L. Surratt,Theodore J. Cicero,Mark Parrino,S. Geoff Severtson,Becki Bucher-Bartelson,Jody L. Green +6 more
TL;DR: Postmarketing surveillance indicates that the diversion and abuse of prescription opioid medications increased between 2002 and 2010 and plateaued or decreased between 2011 and 2013, suggesting that the United States may be making progress in controlling the abuse of opioid analgesics.
Journal ArticleDOI
Relationship between Nonmedical Prescription-Opioid Use and Heroin Use
TL;DR: A large fraction of heroin users now report that they formerly used prescription opioids nonmedically, a finding that has led to restrictions on opioid prescribing, but only a small fraction of prescription-opioid users move on to heroin use.