Allen, Lindsay D and Pollini, Robin A and Vaglienti, Richard and Powell, David (2024) Opioid prescribing patterns after imposition of setting-specific limits on prescription duration. JAMA Health Forum, 5, (1), e234731. 10.1001/jamahealthforum.2023.4731.
External website: https://jamanetwork.com/journals/jama-health-forum...
Importance: Despite their widespread adoption across the US, policies imposing one-size-fits-all limits on the duration of prescriptions for opioids have shown modest and mixed implications for prescribing.
Question: Do tailored limits on the duration of opioid prescriptions reduce the length of prescriptions for opioid-naive patients?
Findings: This cross-sectional study of 44 703 Medicaid enrollees who received an opioid prescription from 2017 to 2019 before or after implementation of a policy that limited the duration of opioid prescriptions found that implementation was associated with relative reductions of 56.8% for adults in outpatient practices, 37.5% for adults in emergency departments, and 26.5% for pediatric patients in any setting in the proportion of opioid prescriptions exceeding the duration limits.
Meaning: The findings of this cross-sectional study suggest that policies tailored to specific clinical settings may be associated with reduced lengths of opioid prescriptions.
E Concepts in biomedical areas > Medical substance > Prescription drug (medicine / medication)
J Health care, prevention, harm reduction and treatment > Risk and protective factors
J Health care, prevention, harm reduction and treatment > Patient / client care management
VA Geographic area > United States
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