04005nam a22005897a 4500
190724s20192019 xxu||||| |||| 00| 0 eng d
1556-9039
10.1007/s13181-019-00715-0 [doi]
10.1007/s13181-019-00715-0 [pii]
PMC6597680 [pmc]
Ovid MEDLINE(R)
31152355
Opioid Use Disorder and Prescribed Opioid Regimens: Evidence from Commercial and Medicaid Claims, 2005-2015.
Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 15(3):156-168, 2019 07.
J Med Toxicol. 15(3):156-168, 2019 07.
J Med Toxicol. 15(3):156-168, 2019 Jul.
Journal of medical toxicology : official journal of the American College of Medical Toxicology
2019
FY2020
ppublish
2019-06-21
Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 15(3):156-168, 2019 Jul.
CONCLUSIONS: Most enrollees with OUD in the data had current opioid prescriptions, suggesting that continuing efforts to reduce misuse of prescribed opioids among patients with prescriptions may be effective. However, a substantial percentage of enrollees with OUD may be obtaining opioids via other, likely illegitimate, channels, particularly younger people, which suggests an opportunity for targeted efforts to reduce opioid diversion.
INTRODUCTION: In response to the US opioid crisis, interventions are being implemented to lower opioid prescribing to reduce opioid misuse and overdose. As opioid prescribing falls, opioid misuse may shift from prescriptions to other, possibly illicit, sources. We examined how the percentage of patients with an opioid use disorder (OUD) diagnosis in a given year without a current opioid prescription changed over a decade among commercially insured enrollees and Medicaid beneficiaries. We also examined how the percentages differed by enrollee demographic factors.
METHODS: We used commercial and Medicaid claims from the IBM MarketScan databases from 2005 to 2015 to identify enrollees with and without current opioid prescriptions who have been diagnosed with OUD. We measured the percentage of enrollees with OUD without a current opioid prescription by year and demographic factors.
RESULTS: We identified 99,396 enrollee-years with OUD covered by commercial insurance and 60,492 enrollee-years with OUD covered by Medicaid. Among enrollees with OUD, the percentage without a current opioid prescription increased from 37% in 2005 to 49% in 2012 before falling back to 39% in 2015 in the commercial population, and increased from 32% in 2005 to 38% in 2015 in the Medicaid population. Differences in percentages were observed by age, sex, race, and region, particularly among young people where 70 to 89% had OUD without a current prescription.
English
*Analgesics, Opioid/tu [Therapeutic Use]
*Opioid-Related Disorders/ep [Epidemiology]
Adolescent
Adult
Age Factors
Child
Drug Prescriptions/sn [Statistics & Numerical Data]
Female
Humans
Male
Medicaid
Middle Aged
Opioid-Related Disorders/eh [Ethnology]
Retrospective Studies
Time Factors
United States
Young Adult
MedStar Washington Hospital Center
Emergency Medicine
Journal Article
Mazer-Amirshahi, Maryann
Ali MM, Cutler E, Diou-Cass J, Henke RM, Mazer-Amirshahi M, Mutter R, O'Brien PL, Pines JM
https://dx.doi.org/10.1007/s13181-019-00715-0
https://dx.doi.org/10.1007/s13181-019-00715-0
ART
Article
0
0
0
0
Article
authcat
authcat
2019-06-21
0
31152355
31152355
2019-06-21
2019-06-21
ART
4303
4303