Factors associated with potentially problematic opioid prescriptions among individuals with private insurance and medicaid.

MedStar author(s):
Citation: Addictive Behaviors. 98:106016, 2019 11.PMID: 31247535Institution: MedStar Washington Hospital CenterDepartment: Emergency MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Analgesics, Opioid/tu [Therapeutic Use] | *Inappropriate Prescribing/sn [Statistics & Numerical Data] | *Insurance, Health/sn [Statistics & Numerical Data] | *Medicaid/sn [Statistics & Numerical Data] | *Opioid-Related Disorders/ep [Epidemiology] | Adolescent | Adult | African Americans | Age Factors | Arthritis/dt [Drug Therapy] | Arthritis/ep [Epidemiology] | Back Pain/dt [Drug Therapy] | Back Pain/ep [Epidemiology] | Emergency Service, Hospital/sn [Statistics & Numerical Data] | European Continental Ancestry Group | Female | Health Maintenance Organizations | Hispanic Americans | Humans | Male | Mental Disorders/ep [Epidemiology] | Middle Aged | Migraine Disorders/dt [Drug Therapy] | Migraine Disorders/ep [Epidemiology] | Preferred Provider Organizations | Risk Factors | Sex Factors | United States/ep [Epidemiology] | Young AdultYear: 2019ISSN:
  • 0306-4603
Name of journal: Addictive behaviorsAbstract: Copyright Published by Elsevier Ltd.If opioid analgesics are prescribed and used inappropriately, they can lead to addiction and other adverse effects. In this study, we (1) examine factors associated with potentially problematic opioid prescriptions and (2) quantify the link between potentially problematic prescriptions and the development of opioid use disorder. We found that older age; female sex; having back pain, arthritis, or migraine; hydrocodone prescription; previous pharmacotherapy for opioid use disorder; and frequent emergency department use were associated with problematic prescriptions among individuals with Medicaid and private insurance. Patients with commercial insurance and Medicaid who had potentially problematic opioid prescriptions were eight and three times more likely, respectively, to develop an opioid use disorder than patients without potentially problematic opioid prescriptions. Our findings help identify factors associated with problematic prescriptions and underscore the importance of targeted public health interventions.All authors: Ali MM, Cutler E, Henke RM, Mazer-Amirshahi M, Mutter R, Pines JM, Tehrani ABOriginally published: Addictive Behaviors. 98:106016, 2019 Jun 06.Fiscal year: FY2020Fiscal year of original publication: FY2019Digital Object Identifier: Date added to catalog: 2019-07-24
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Journal Article MedStar Authors Catalog Article 31247535 Available 31247535

Copyright Published by Elsevier Ltd.

If opioid analgesics are prescribed and used inappropriately, they can lead to addiction and other adverse effects. In this study, we (1) examine factors associated with potentially problematic opioid prescriptions and (2) quantify the link between potentially problematic prescriptions and the development of opioid use disorder. We found that older age; female sex; having back pain, arthritis, or migraine; hydrocodone prescription; previous pharmacotherapy for opioid use disorder; and frequent emergency department use were associated with problematic prescriptions among individuals with Medicaid and private insurance. Patients with commercial insurance and Medicaid who had potentially problematic opioid prescriptions were eight and three times more likely, respectively, to develop an opioid use disorder than patients without potentially problematic opioid prescriptions. Our findings help identify factors associated with problematic prescriptions and underscore the importance of targeted public health interventions.

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