Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy
Context The dramatic rise in the use of prescription opioids to treat non-cancer pain has been paralleled by increasing prescription opioid abuse. However, detailed analyses of these trends and programs to address them are lacking. Objective To study the association between state shipments of prescr...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2009-01-01
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| Series: | Substance Abuse: Research and Treatment |
| Online Access: | https://doi.org/10.4137/SART.S2345 |
| _version_ | 1818331121757192192 |
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| author | Richard M. Reisman Pareen J. Shenoy Adam J. Atherly Christopher R. Flowers |
| author_facet | Richard M. Reisman Pareen J. Shenoy Adam J. Atherly Christopher R. Flowers |
| author_sort | Richard M. Reisman |
| collection | DOAJ |
| description | Context The dramatic rise in the use of prescription opioids to treat non-cancer pain has been paralleled by increasing prescription opioid abuse. However, detailed analyses of these trends and programs to address them are lacking. Objective To study the association between state shipments of prescription opioids for medical use and prescription opioid abuse admissions and to assess the effects of state prescription drug monitoring programs (PDMPs) on prescription opioid abuse admissions. Design and Setting A retrospective ecological cohort study comparing state prescription opioid shipments (source: Automation of Reports and Consolidated Orders Systems database) and inpatient admissions for prescription opioid abuse (source: Treatment Episode Data Set) in 14 states with PDMPs (intervention group) and 36 states without PDMPs (control group) for the period 1997–2003. Results From 1997 to 2003, oxycodone, morphine, and hydrocodone shipments increased by 479%, 100%, and 148% respectively. Increasing prescription oxycodone shipments were significantly associated with increasing prescription opioid admission rates (p < 0.001). PDMP states had significantly lower oxycodone shipments than the control group. PDMP states had less increase in prescription opioid admissions per year (p = 0.063). A patient admitted to an inpatient drug abuse rehabilitation program in a PDMP state was less likely to be admitted for prescription opioid drug abuse (Odds ratio = 0.775, 95% Confidence Interval 0.764–0.785). Conclusions PDMPs appear to decrease the quantity of oxycodone shipments and the prescription opioid admission rate for states with these programs. Overall, opioid shipments rose significantly in PDMP states during the study period indicating a negligible “chilling effect” on physician prescribing. |
| first_indexed | 2024-12-13T13:14:49Z |
| format | Article |
| id | doaj.art-0e33f80c860741d58352d5b4f40b74b5 |
| institution | Directory Open Access Journal |
| issn | 1178-2218 |
| language | English |
| last_indexed | 2024-12-13T13:14:49Z |
| publishDate | 2009-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Substance Abuse: Research and Treatment |
| spelling | doaj.art-0e33f80c860741d58352d5b4f40b74b52022-12-21T23:44:34ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182009-01-01310.4137/SART.S2345Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program EfficacyRichard M. Reisman0Pareen J. Shenoy1Adam J. Atherly2Christopher R. Flowers3Gwinnett Hospital System Pain Management Center, Lawrenceville, GA, U.S.A.School of Medicine, Emory University, Atlanta, GA, U.S.A.Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA, U.S.A.School of Medicine, Emory University, Atlanta, GA, U.S.A.Context The dramatic rise in the use of prescription opioids to treat non-cancer pain has been paralleled by increasing prescription opioid abuse. However, detailed analyses of these trends and programs to address them are lacking. Objective To study the association between state shipments of prescription opioids for medical use and prescription opioid abuse admissions and to assess the effects of state prescription drug monitoring programs (PDMPs) on prescription opioid abuse admissions. Design and Setting A retrospective ecological cohort study comparing state prescription opioid shipments (source: Automation of Reports and Consolidated Orders Systems database) and inpatient admissions for prescription opioid abuse (source: Treatment Episode Data Set) in 14 states with PDMPs (intervention group) and 36 states without PDMPs (control group) for the period 1997–2003. Results From 1997 to 2003, oxycodone, morphine, and hydrocodone shipments increased by 479%, 100%, and 148% respectively. Increasing prescription oxycodone shipments were significantly associated with increasing prescription opioid admission rates (p < 0.001). PDMP states had significantly lower oxycodone shipments than the control group. PDMP states had less increase in prescription opioid admissions per year (p = 0.063). A patient admitted to an inpatient drug abuse rehabilitation program in a PDMP state was less likely to be admitted for prescription opioid drug abuse (Odds ratio = 0.775, 95% Confidence Interval 0.764–0.785). Conclusions PDMPs appear to decrease the quantity of oxycodone shipments and the prescription opioid admission rate for states with these programs. Overall, opioid shipments rose significantly in PDMP states during the study period indicating a negligible “chilling effect” on physician prescribing.https://doi.org/10.4137/SART.S2345 |
| spellingShingle | Richard M. Reisman Pareen J. Shenoy Adam J. Atherly Christopher R. Flowers Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy Substance Abuse: Research and Treatment |
| title | Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy |
| title_full | Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy |
| title_fullStr | Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy |
| title_full_unstemmed | Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy |
| title_short | Prescription Opioid Usage and Abuse Relationships: An Evaluation of State Prescription Drug Monitoring Program Efficacy |
| title_sort | prescription opioid usage and abuse relationships an evaluation of state prescription drug monitoring program efficacy |
| url | https://doi.org/10.4137/SART.S2345 |
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