Opioid-prescribing continuity and risky opioid prescriptions

Sara E. Hallvik; Peter Geissert; Wayne Wakeland; Christi Hildebran; Jody Carson; Nicole O’kane; Richard A. Deyo

doi:10.1370/afm.2285

Opioid-prescribing continuity and risky opioid prescriptions

Sara E. Hallvik, Peter Geissert, Wayne Wakeland, Christi Hildebran, Jody Carson, Nicole O’kane, Richard A. Deyo

Family Medicine

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

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’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.

Original language	English (US)
Pages (from-to)	440-442
Number of pages	3
Journal	Annals of family medicine
Volume	16
Issue number	5
DOIs	https://doi.org/10.1370/afm.2285
State	Published - Sep 1 2018

Keywords

Continuity of care
Opioids
Pain
Prescribing continuity

ASJC Scopus subject areas

Family Practice

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10.1370/afm.2285

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AU - Geissert, Peter

AU - Wakeland, Wayne

AU - Hildebran, Christi

AU - Carson, Jody

AU - O’kane, Nicole

AU - Deyo, Richard A.

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Opioid-prescribing continuity and risky opioid prescriptions

Abstract

Keywords

ASJC Scopus subject areas

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