ArticleHealth services research2018
Trends in Opioid Use and Prescribing in Medicare, 2006-2012.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Long-term opioid therapy definitions and predictors: A systematic review.Pharmacoepidemiology and drug safety · 2020Pooled it
- The impact of opioid prescribing guidelines on opioid dispensation: A systematic review and meta-analysis.Canadian journal of pain = Revue canadienne de la douleur · 2026Review
- Patterns of Care for Medicare Beneficiaries With Metastatic Prostate Cancer.Urology practice · 2024Article
- Why higher copayments for opioids did not reduce use among Medicare beneficiaries.Health economics · 2024Article
- Comparison of Opioids Prescribed by Advanced Practice Clinicians vs Surgeons After Surgical Procedures in the US.JAMA network open · 2023Article
- Prescription quantity and duration predict progression from acute to chronic opioid use in opioid-naïve Medicaid patients.PLOS digital health · 2022Article
- The importance of data source in prescription drug monitoring program research.Health services research · 2021Article
- The association between the supply of select nonpharmacologic providers for pain and use of nonpharmacologic pain management services and initial opioid prescribing patterns for Medicare beneficiaries with persistent musculoskeletal pain.Health services research · 2021Article
- Trends and patterns in the use of opioids among metastatic breast cancer patients.Scientific reports · 2020Article
- Opioid Prescribing to Medicare Part D Enrollees, 2013-2017: Shifting Responsibility to Pain Management Providers.Pain medicine (Malden, Mass.) · 2020Article
- Opioid Prescribing by Primary Care Providers: a Cross-Sectional Analysis of Nurse Practitioner, Physician Assistant, and Physician Prescribing Patterns.Journal of general internal medicine · 2020Article
- Long-term opioid use after bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2020Article
- Physician Prescribing Patterns and Risk of Future Long-Term Opioid Use Among Patients With Rheumatoid Arthritis: A Prospective Observational Cohort Study.Arthritis & rheumatology (Hoboken, N.J.) · 2020Observational
- Article
- Characteristics of New Opioid Use Among Medicare Beneficiaries: Identifying High-Risk Patterns.Journal of managed care & specialty pharmacy · 2019Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
objectiveTo determine characteristics and trends in opioid use, questionable use, and prescribing in Medicare. STUDY
settingOpioid prescriptions filled through Medicare Part D for beneficiaries with full-year, fee-for-service Medicare coverage during 2006 to 2012. STUDY
designRetrospective analysis of a 20 percent sample of Medicare claims data. Estimates are adjusted using multivariable regression analysis. DATA COLLECTION: Opioid use, opioid abuse, questionable opioid use, and opioid prescribing by specialty. PRINCIPAL
findingsOpioid use in Medicare was stable from 2006 to 2012 on average. More than 1 in 3 beneficiaries filled an opioid prescription annually; about 1 in 10 were chronic opioid users. The distribution of opioid users shifted in favor of diagnoses often associated with chronic pain. Opioid users were increasingly likely to abuse opioids or display patterns of questionable use from 2006 to 2010, with a slowdown in later years. Average outcomes mask significant variation as the distribution of opioid use widened over the analysis period. Prescribing quantity and intensity varied by specialty. The largest quantity increases were among nurse practitioners and physician assistants.
conclusionsOpioid utilization and prescribing are increasingly heterogeneous from 2006 to 2012. Future research should focus on explaining differential trends in utilization and prescribing.
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Registered trials
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