ArticleThe Journal of clinical psychiatry2013
National trends in the office-based prescription of schedule II opioids.
Article in The Journal of clinical psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.
- A Systematic Review of Opioid and Benzodiazepine Misuse in Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2016Pooled it
- The 10 top prescribed medicines in Germany from 1985 to 2022: pharmacological analysis.Naunyn-Schmiedeberg's archives of pharmacology · 2025Article
- Associations between acute pain after vaginal delivery and postpartum opioid prescription fills: a retrospective case-controlled study.British journal of anaesthesia · 2024Article
- Agitated Depression Associated With Flurazepam Discontinuation.Case reports in psychiatry · 2024Article
- Patient Perceptions of Opioids and Benzodiazepines and Attitudes Toward Deprescribing.Drugs & aging · 2023Article
- Screening the "Invisible Population" of Older Adult Patients for Prescription Pain Reliever Non-Medical Use and Use Disorders.Substance use & misuse · 2023Article
- Pharmacist interventions to deprescribe opioids and benzodiazepines in older adults: A rapid review.Research in social & administrative pharmacy : RSAP · 2022Review
- Association between 1-year patient outcomes and opioid-prescribing group of emergency department clinicians: A cohort study with Army active-duty soldiers.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2021Article
- How do contraindications to non-opioid analgesics and opioids affect the likelihood that patients with back pain diagnoses in the primary care setting receive an opioid prescription? An observational cross-sectional study.BMC family practice · 2021Observational
- Using Twitter to Surveil the Opioid Epidemic in North Carolina: An Exploratory Study.JMIR public health and surveillance · 2020Article
- Article
- Opioid Administration and Prescribing in Older Adults in U.S. Emergency Departments (2005-2015).The western journal of emergency medicine · 2018Article
- A Pharmacological Rationale to Reduce the Incidence of Opioid Induced Tolerance and Hyperalgesia: A Review.Pain and therapy · 2018Review
- Opioids and Other Central Nervous System-Active Polypharmacy in Older Adults in the United States.Journal of the American Geriatrics Society · 2017Article
- Trends in substance use admissions among older adults.BMC health services research · 2017Article
- Filled Prescriptions for Opioids After Vaginal Delivery.Obstetrics and gynecology · 2017Article
- Advances in the delivery of buprenorphine for opioid dependence.Drug design, development and therapy · 2017Review
- Evaluation of the current opioid misuse measure among substance use disorder treatment patients.Journal of substance abuse treatment · 2015Article
- Developing and Initiating Validation of a Model Opioid Patient-Prescriber Agreement as a Tool for Patient-Centered Pain Treatment.The patient · 2015Article
- Trends in prevalent and incident opioid receipt: an observational study in Veterans Health Administration 2004-2012.Journal of general internal medicine · 2015Observational
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo investigate national trends and patterns in opioid prescription within office-based medical practice.
methodAn analysis is presented of 1995-2010 data from the National Ambulatory Medical Care Survey, focusing on overall and stratified trends in the percentage of medical visits involving prescriptions for Schedule II opioids. Among visits with opioid prescriptions in 2003-2010, first-time visits were also compared to return visits, and visits in which pain was the primary complaint were compared to visits with other primary complaints.
resultsAmong all office visits, the percentage with an opioid prescription increased from 0.65% in 1995-1998 to 2.63% in 2007-2010 (odds ratio [OR] = 8.01; 95% CI, 4.96-12.94). During the study period (1995-2010), opioid prescriptions significantly increased in visits by male patients (OR = 6.54; 95% CI, 3.21-13.31); female patients (OR = 9.38; 95% CI, 6.70-13.14); and patients aged 18-35 years (OR = 5.82; 95% CI, 2.59-13.10), 36-64 years (OR = 8.30; 95% CI, 4.63-14.86), and ≥ 65 years (OR = 8.85; 95% CI, 6.13-12.77), but not ≤ 17 years (OR = 1.52; 95% CI, 0.50-4.63). Prescriptions for opioids also significantly increased in visits by patients with clinical depression (OR = 9.96; 95% CI, 5.45-18.21) or anxiety (OR = 10.99; 95% CI, 5.02-24.06) diagnoses. However, a significant decline occurred in opioid prescriptions in visits among patients with substance use diagnoses (OR = 0.10; 95% CI, 0.00-3.30). The number of opioid prescriptions rose faster among patients making a first visit (OR = 23.36; 95% CI, 11.82-46.17) versus a return visit (OR = 7.26; 95% CI, 4.38-12.03).
conclusionsA substantial increase occurred between 1995 and 2010 in opioid prescriptions in office-based medical visits, especially in visits by middle-aged and older adults and by patients making their first visit to the treating physician. These trends suggest that physicians have pursued greater pain control despite potential risks of nonmedical use of prescription opioids.
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