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Opioid Prescribing in the United States Before and After the Centers for Disease Control and Prevention's 2016 Opioid Guideline

Overview of attention for article published in Annals of Internal Medicine, August 2018
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (92nd percentile)

Mentioned by

news
18 news outlets
blogs
3 blogs
policy
1 policy source
twitter
223 tweeters
facebook
4 Facebook pages

Citations

dimensions_citation
105 Dimensions

Readers on

mendeley
109 Mendeley
Title
Opioid Prescribing in the United States Before and After the Centers for Disease Control and Prevention's 2016 Opioid Guideline
Published in
Annals of Internal Medicine, 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.

Twitter Demographics

The data shown below were collected from the profiles of 223 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 109 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 109 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 17 16%
Student > Master 13 12%
Student > Ph. D. Student 13 12%
Student > Doctoral Student 10 9%
Other 9 8%
Other 27 25%
Unknown 20 18%
Readers by discipline Count As %
Medicine and Dentistry 32 29%
Pharmacology, Toxicology and Pharmaceutical Science 8 7%
Social Sciences 6 6%
Nursing and Health Professions 6 6%
Psychology 4 4%
Other 22 20%
Unknown 31 28%

Attention Score in Context

This research output has an Altmetric Attention Score of 302. 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 20 November 2020.
All research outputs
#55,773
of 16,292,334 outputs
Outputs from Annals of Internal Medicine
#336
of 11,716 outputs
Outputs of similar age
#1,783
of 279,101 outputs
Outputs of similar age from Annals of Internal Medicine
#13
of 165 outputs
Altmetric has tracked 16,292,334 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 11,716 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 48.5. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,101 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 165 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.