ArticlePain medicine (Malden, Mass.)2020
Prescription and Prescriber Specialty Characteristics of Initial Opioid Prescriptions Associated with Chronic Use.
Article in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed.
- A qualitative analysis on the implementation of a nudge intervention to reduce post-surgical opioid prescribing.BMC health services research · 2025Trial
- Organisational practices in postoperative opioid prescribing at discharge in UK NHS day surgery units: the OPIOID-discharge survey.Anaesthesia · 2026Article
- Surgeons' views of peer comparison and guideline-based feedback on postsurgery opioid prescriptions: a qualitative investigation.BMJ open quality · 2024Article
- Contextualising opioid-related risk factors before an initial opioid prescription.BMJ quality & safety · 2023Article
- Association of Household Opioid Availability With Opioid Overdose.JAMA network open · 2023Article
- Opioid prescribing practices and patient-requested refill patterns following laparoscopic inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Factors Associated With Opioid Overdose After an Initial Opioid Prescription.JAMA network open · 2022Observational
- Predicting the Physician's Specialty Using a Medical Prescription Database.Computational and mathematical methods in medicine · 2022Article
- Opioid-related overdose and chronic use following an initial prescription of hydrocodone versus oxycodone.PloS one · 2022Article
- Addressing the ignored complication: chronic opioid use after surgery.BMJ quality & safety · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
objectiveThis study evaluated the characteristics of opioid prescriptions, including prescriber specialty, given to opioid-naïve patients and their association with chronic use.
designCross-sectional analysis of the Ohio prescription drug monitoring program from January 2010 to November 2017.
settingOhio, USA. SUBJECTS: Patients who had no opioid prescriptions from 2010 to 2012 and a first-time prescription from January 2013 to November 2016.
methodsChronic use was defined as at least six opioid prescriptions in one year and either one or more years between the first and last prescription or an average of ≤30 days not covered by an opioid during that year.
resultsA total of 4,252,809 opioid-naïve patients received their first opioid prescription between 2013 and 2016; 364,947 (8.6%) met the definition for chronic use. Those who developed chronic use were older (51.7 vs 45.6 years) and more likely to be female (53.6% vs 52.8%), and their first prescription had higher pill quantities (44.9 vs 30.2), higher morphine milligram equivalents (MME; 355.3 vs 200.0), and was more likely to be an extended-release formulation (2.9% vs 0.7%, all P < 0.001). When compared with internal medicine, the adjusted odds of chronic use were highest with anesthesiology (odds ratio [OR] = 1.46) and neurology (OR = 1.43) and lowest with ophthalmology (OR = 0.33) and gynecology (OR = 0.37).
conclusionsEight point six percent of opioid-naïve individuals who received an opioid prescription developed chronic use. This rate varied depending on the specialty of the provider who wrote the prescription. The risk of chronic use increased with higher MME content of the initial prescription and use of extended-release opioids.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.