ArticleAmerican journal of preventive medicine2020
Opioid Prescribing Patterns Before Fatal Opioid Overdose.
Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Correlates of stocking naloxone: a cross-sectional survey of community pharmacists.International journal of clinical pharmacy · 2024Article
- Observational
- Drugs involved in Kentucky drug poisoning deaths and relation with antecedent controlled substance prescription dispensing.Substance abuse treatment, prevention, and policy · 2023Article
- Article
- Can academic detailing reduce opioid prescriptions in chronic non-cancer pain?BMC primary care · 2023Article
- Hospital Care for Opioid use in Illinois, 2016-2019.The journal of behavioral health services & research · 2021Article
- Abuse-deterrent extended-release oxycodone and risk of opioid-related harm.Addiction (Abingdon, England) · 2021Article
- Article
- Incidence of opioid use disorder in the year after discharge from an emergency department encounter.Journal of the American College of Emergency Physicians open · 2021Article
- Application of Distributed Agent-based Modeling to Investigate Opioid Use Outcomes in Justice Involved Populations.IEEE International Symposium on Parallel & Distributed Processing, Workshops and Phd Forum : [proceedings]. IEEE International Symposium on Parallel & Distributed Processing, Workshops and Phd Forum · 2021Article
- Opioids and Chronic Pain: An Analytic Review of the Clinical Evidence.Frontiers in pain research (Lausanne, Switzerland) · 2021Review
- A Vulnerability Assessment for a Future HIV Outbreak Associated With Injection Drug Use in Illinois, 2017-2018.Frontiers in sociology · 2021Article
- Community Versus Hospital Opioid-Related Overdose Deaths in Illinois.Public health reports (Washington, D.C. : 1974)Article
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Authors and funding
5 authors.
Funding
Abstract
introductionAlthough opioid prescribing has decreased since 2010, overdose deaths involving illicit opioids have continued to rise. This study explores prescribing patterns before fatal overdose of decedents who died of prescription and illicit opioid overdoses.
methodsThis retrospective cohort study was conducted in 2019 and included all 1,893 Illinois residents who died of an opioid-related overdose in 2016. Each decedent was linked to any existing Prescription Monitoring Program records, calculating weekly morphine milligram equivalents for 52 weeks before overdose.
resultsAmong the 1,893 fatal opioid overdoses, 309 involved any prescription opioid and 1,461 involved illicit opioids without the involvement of prescription opioids. The death rate because of illicit opioids was 23/100,000 among black residents versus 10.5/100,000 among whites. During the last year of life, 76% of prescription opioid decedents filled any opioid prescription totaling 10.7 prescriptions per decedent, compared with 36% of illicit opioid decedents totaling 2.6 prescriptions per decedent. During the last week of life, 33% of prescription opioid decedents filled an opioid prescription totaling 0.42 prescriptions per decedent, compared with 4% of illicit opioid decedents totaling 0.05 prescriptions per decedent.
conclusionsPrescribing patterns alone may not be sufficient to identify patients who are at high risk for opioid overdose, especially for those using illicit opioids. Interventions aimed at reducing opioid overdoses should take into account different patterns of opioid prescribing associated with illicit and prescription opioid overdose deaths and be designed around the local characteristics of the opioid overdose epidemic.
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