| Title |
Opioid Prescribing in the United States Before and After the Centers for Disease Control and Prevention's 2016 Opioid Guideline.
|
|---|---|
| Published in |
ACP Journal Club, August 2018
|
| DOI | 10.7326/m18-1243 |
| Pubmed ID | |
| Authors |
Amy S B Bohnert, Gery P Guy, Jan L Losby |
| Abstract |
In response to adverse outcomes from prescription opioids, the Centers for Disease Control and Prevention (CDC) released the Guideline for Prescribing Opioids for Chronic Pain in March 2016. To test the hypothesis that the CDC guideline release corresponded to declines in specific opioid prescribing practices. Interrupted time series analysis of monthly prescribing measures from the IQVIA transactional data warehouse and Real-World Data Longitudinal Prescriptions population-level estimates based on retail pharmacy data. Population size was determined by U.S. Census monthly estimates. United States, 2012 to 2017. Persons prescribed opioid analgesics. Outcomes included opioid dosage, days supplied, overlapping benzodiazepine prescriptions, and the overall rate of prescribing. The rate of high-dosage prescriptions (≥90 morphine equivalent milligrams per day) was 683 per 100 000 persons in January 2012 and declined by 3.56 (95% CI, -3.79 to -3.32) per month before March 2016 and by 8.00 (CI, -8.69 to -7.31) afterward. Likewise, the percentage of patients with overlapping opioid and benzodiazepine prescriptions was 21.04% in January 2012 and declined by 0.02% (CI, -0.04% to -0.01%) per month before the CDC guideline release and by 0.08% (CI, -0.08% to -0.07%) per month afterward. The overall opioid prescribing rate was 6577 per 100 000 persons in January 2012 and declined by 23.48 (CI, -26.18 to -20.78) each month before the guideline release and by 56.74 (CI, -65.96 to -47.53) per month afterward. No control population; inability to determine the appropriateness of opioid prescribing. Several opioid prescribing practices were decreasing before the CDC guideline, but the time of its release was associated with a greater decline. Guidelines may be effective in changing prescribing practices. CDC. |
X Demographics
The data shown below were collected from the profiles of 202 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 106 | 52% |
| Spain | 6 | 3% |
| Canada | 4 | 2% |
| Australia | 4 | 2% |
| Singapore | 1 | <1% |
| Yemen | 1 | <1% |
| Mexico | 1 | <1% |
| Vietnam | 1 | <1% |
| El Salvador | 1 | <1% |
| Other | 2 | <1% |
| Unknown | 75 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 148 | 73% |
| Practitioners (doctors, other healthcare professionals) | 33 | 16% |
| Scientists | 20 | 10% |
| Science communicators (journalists, bloggers, editors) | 1 | <1% |
Mendeley readers
The data shown below were compiled from readership statistics for 182 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 182 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 27 | 15% |
| Student > Ph. D. Student | 19 | 10% |
| Student > Master | 19 | 10% |
| Other | 16 | 9% |
| Student > Doctoral Student | 15 | 8% |
| Other | 42 | 23% |
| Unknown | 44 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 44 | 24% |
| Nursing and Health Professions | 14 | 8% |
| Pharmacology, Toxicology and Pharmaceutical Science | 14 | 8% |
| Social Sciences | 12 | 7% |
| Psychology | 7 | 4% |
| Other | 32 | 18% |
| Unknown | 59 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 323. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 October 2022.
All research outputs
#105,642
of 25,732,188 outputs
Outputs from ACP Journal Club
#534
of 13,120 outputs
Outputs of similar age
#2,103
of 345,130 outputs
Outputs of similar age from ACP Journal Club
#13
of 166 outputs
Altmetric has tracked 25,732,188 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 13,120 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 63.6. This one has done particularly well, scoring higher than 95% of its peers.
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We're also able to compare this research output to 166 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.