@article{ab6b46f16c7b47dfa97ba728b8aa1a20,
title = "Opioid-prescribing continuity and risky opioid prescriptions",
abstract = "We aimed to better understand the association between opioid-prescribing continuity, risky prescribing patterns, and overdose risk. For this retrospective cohort study, we included patients with long-term opioid use, pulling data from Oregon{\textquoteright}s Prescription Drug Monitoring Program (PDMP), vital records, and hospital discharge registry. A continuity of care index (COCI) score was calculated for each patient, and we defined metrics to describe risky prescribing and overdose. As prescribing continuity increased, likelihood of filling risky opioid prescriptions and overdose hospitalization decreased. Prescribing continuity is an important factor associated with opioid harms and can be calculated using administrative pharmacy data.",
keywords = "Continuity of care, Opioids, Pain, Prescribing continuity",
author = "Hallvik, {Sara E.} and Peter Geissert and Wayne Wakeland and Christi Hildebran and Jody Carson and Nicole O{\textquoteright}kane and Deyo, {Richard A.}",
note = "Funding Information: This study was supported by a grant No. R01 DA031208 from the National Institute on Drug Abuse, and by grant No. UL 1RR024140, from the National Center for Advancing Translational Sciences. Funding Information: Conflicts of interest: Richard A. Deyo receives royalties from UpToDate for authoring topics on low back pain and previously received honoraria for board membership at the nonprofit Informed Medical Decisions Foundation. His salary at Oregon Health & Science University is supported in part by an endowment from Kaiser Permanente. He received a financial award from NuVasive as part of a lifetime achievement award from the International Society for Study of the Lumbar Spine. All other authors report none. Publisher Copyright: {\textcopyright} 2018, Annals of Family Medicine, Inc. All rights reserved.",
year = "2018",
month = sep,
day = "1",
doi = "10.1370/afm.2285",
language = "English (US)",
volume = "16",
pages = "440--442",
journal = "Annals of Family Medicine",
issn = "1544-1709",
publisher = "Annals of Family Medicine, Inc",
number = "5",
}