ArticleHealth services research2022
Effects of state opioid prescribing cap laws on opioid prescribing after surgery.
Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed.
- Examining Statewide Opioid Prescribing Limits and Prescription Drug Monitoring Program Mandates: Provider Compliance and Patient Outcomes.AJPM focus · 2026Article
- Impact of Opioid Limiting Legislation on Prescribing in Adolescent Breast Surgery at a Tertiary Pediatric Hospital.Plastic and reconstructive surgery. Global open · 2026Article
- The Impact of Medical Cannabis Laws on Cannabis and Opioid Use Disorder Treatment and Overdose-Related Health Care Utilization Among Adults With Chronic Noncancer Pain.The Milbank quarterly · 2025Article
- Postoperative Opioid Prescribing Among Adults with Disabilities After a Medicare Opioid Limit Policy.Annals of surgery · 2025Article
- Association Between Legal Access to Medical Cannabis and Frequency of Non-Medical Prescription Opioid Use Among U.S. Adults.International journal of mental health and addiction · 2025Article
- An updated view on the influence of initial opioid prescription characteristics on long-term opioid use among opioid naïve patients.Drug and alcohol dependence · 2024Article
- Changes in Postpartum Opioid Prescribing After Implementation of State Opioid Prescribing Limits.JAMA health forum · 2024Observational
- A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery.Journal of general internal medicine · 2024Article
- Massachusetts' opioid limit law associated with a reduction in postoperative opioid duration among orthopedic patients.Health affairs scholar · 2023Article
- Changes in Surgical Opioid Prescribing and Patient-Reported Outcomes After Implementation of an Insurer Opioid Prescribing Limit.JAMA health forum · 2023Article
- Effects of U.S. State Medical Cannabis Laws on Treatment of Chronic Noncancer Pain.Annals of internal medicine · 2023Article
- Effects of state opioid prescribing cap laws on providers' opioid prescribing patterns among patients with chronic non-cancer pain.Preventive medicine · 2023Article
- Association Between State Opioid Prescribing Limits and Duration of Opioid Prescriptions From Dentists.JAMA network open · 2023Article
- Effects of state opioid prescribing cap laws on opioid prescribing after surgery.Health services research · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo evaluate the effects of state opioid prescribing cap laws on opioid prescribing after surgery. DATA SOURCES: OptumLabs Data Warehouse administrative claims data covering all 50 states from July 2012 through June 2019. STUDY
designWe included individuals from 20 states that had implemented prescribing cap laws without exemptions for postsurgical pain by June 2019 and individuals from 16 control states plus the District of Columbia. We used a difference-in-differences approach accounting for differential timing in law implementation across states to estimate the effects of state prescribing cap laws on postsurgical prescribing of opioids. Outcome measures included filling an opioid prescription within 30 days after surgery; filling opioid prescriptions of specific doses or durations; and the number, days' supply, daily dose, and pill quantity of opioid prescriptions. To assess the validity of the parallel counterfactual trends assumption, we examined differences in outcome trends between law-implementing and control states in the years preceding law implementation using an equivalence testing framework. DATA COLLECTION/EXTRACTION
methodsWe included the first surgery in the study period for opioid-naïve individuals undergoing one of eight common surgical procedures. PRINCIPAL
findingsState prescribing cap laws were associated with 0.109 lower days' supply of postsurgical opioids on the log scale (95% Confidence Interval [CI]: -0.139, -0.080) but were not associated with the number (Average treatment effect on the treated [ATT]: -0.011; 95% CI: -0.043, 0.021) or daily dose of postsurgical opioid prescriptions (ATT: -0.013; 95% CI: -0.030, 0.005). The negative association observed between prescribing cap laws and the probability of filling a postsurgical opioid prescription (ATT: -0.041; 95% CI: -0.054, -0.028) was likely spurious, given differences between law-implementing and control states in the pre-law period.
conclusionsPrescribing cap laws appear to have minimal effects on postsurgical opioid prescribing.
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Registered trials
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