Article
Substance Abuse
Corey S. Davis, Amy Judd Lieberman
Summary: The number of US states with opioid limitation laws nearly quadrupled between 2016 and 2019, with a significant amount of heterogeneity in state restrictions and changes over time.
Article
Health Care Sciences & Services
Alexander D. McCourt, Kayla N. Tormohlen, Ian Schmid, Elizabeth M. Stone, Elizabeth A. Stuart, Corey S. Davis, Mark C. Bicket, Emma E. McGinty
Summary: This study evaluates the effects of state opioid prescribing cap laws on the treatment of chronic pain among patients with chronic pain diagnoses. The findings suggest that these laws do not lead to changes in opioid prescribing, non-opioid medication prescribing, or non-opioid chronic pain procedures.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Jon P. Furuno, Brie N. Noble, Erik K. Fromme, Daniel M. Hartung, Jennifer Tjia, Mary Lynn, Joan M. Teno
Summary: The study examined trends in opioid prescribing for patients transitioning to hospice care from 2010 to 2018. It found a significant decrease in opioid prescribing and an increase in non-opioid analgesic medications during this time period. Further research is needed to confirm these findings and improve pain management for patients in hospice care.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Critical Care Medicine
Efstathia Polychronopoulou, Yong-Fang Kuo, Denise Wilkes, Mukaila A. Raji
Summary: This study conducted a population-level cohort study of adult burn patients from 2012 to 2018 to evaluate the rates and determinants of gabapentinoid prescribing, with and without opioids. The study found a modest increase in outpatient prescribing of gabapentinoids for burn patients after the 2014 and 2016 guidelines, indicating more opportunities for non-opioid pain management in this population.
Article
Health Care Sciences & Services
Lynn M. Neilson, Caroline Swift, Elizabeth C. S. Swart, Yan Huang, Natasha Parekh, Kiraat D. Munshi, Rochelle Henderson, Chester B. Good
Summary: This study examined the impact of recreational and medical marijuana legalization on opioid utilization among patients with chronic pain. The results indicated that patients in states with both medical and recreational marijuana policies were more likely to receive opioids and use them for longer periods, suggesting that marijuana legalization may not reduce chronic opioid use for pain relief.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Anesthesiology
Erica Langnas, Andrew Bishara, Rhiannon Croci, Rosa Rodriguez-Monguio, Elizabeth C. Wick, Catherine L. Chen, Zhonghui Guan
Summary: The release of the CDC opioid guideline led to a significant reduction in discharge opioid prescriptions for surgical patients without an increase in refill prescription rates.
BMC ANESTHESIOLOGY
(2022)
Article
Anesthesiology
Jean-Luc Kabore, M. Gabrielle Page, Marc O. Martel, Lise Dassieu, Maria Hudspith, Gregg Moor, Kathryn Sutton, Jean-Sebastien Roy, Owen D. Williamson, Manon Choiniere
Summary: This study found that the impact of opioid overdoses was more severe in British Columbia (BC) compared to Quebec (QC), resulting in a higher likelihood of patients being advised to discontinue opioid medication, hoard opioids, and have their opioid dose decreased in BC. Participants in BC also felt that media coverage of the opioid crisis was more harmful to chronic noncancer pain (CNCP) patients compared to those in QC.
CLINICAL JOURNAL OF PAIN
(2021)
Article
Surgery
Ashley Titan, Alexis Doyle, Kayla Pfaff, Ioana Baiu, Angela Lee, Laura Graham, Andrew Shelton, Mary Hawn
Summary: The study showed that formalized opioid-prescribing guidelines and statewide regulations can significantly decrease postoperative opioid prescribing, with high patient satisfaction. Surgeon education can also help minimize narcotic over-prescription without compromising pain management.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Rheumatology
Ian C. Scott, James Bailey, Chris White, Christian D. Mallen, Sara Muller
Summary: This study found that opioid prescribing is common in the management of inflammatory arthritis (IA) pain, despite limited evidence of efficacy and potential harms.
Article
Medicine, Research & Experimental
Z. Jason Qian, Jennifer C. Alyono, Michael C. Jin, Shayna P. Cooperman, Alan G. Cheng, Karthik Balakrishnan
Summary: The study assesses national trends in opioid prescription following pediatric tonsillectomy, showing a decrease in the percentage of children receiving opioids from 2009 to 2017, but no significant change in the mean quantity prescribed. Prescriptions were influenced by factors such as age, household income, comorbidities, and race, highlighting the need for guidance in opioid prescribing practices for children after tonsillectomy.
Article
Medicine, General & Internal
Aimalohi Esechie, Yong-Fang Kuo, James S. Goodwin, Jordan Westra, Mukaila A. Raji
Summary: This study analyzed the prescribing trends of opioid and benzodiazepine alternatives, finding a shift from prescribing opioids and benzodiazepines towards non-opioid analgesics-gabapentinoids and SSRIs/SNRIs for anxiety.
Article
Health Care Sciences & Services
Jordana Laks, Daniel P. Alford, Krupa Patel, Margaret Jones, Emily Armstrong, Katherine Waite, Lori Henault, Michael K. Paasche-Orlow
Summary: The survey revealed that the majority of respondents perceive patient provider agreements (PPAs) as minimally effective in reducing opioid misuse, yet still valuable. However, the readability level of PPAs is generally above recommended standards, primarily focusing on communicating consequences of non-compliance.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Editorial Material
Oncology
Emily C. Serrell, Caprice C. Greenberg, Tudor Borza
Summary: Opioid prescribing after surgery remains a significant contributor to the national opioid epidemic, highlighting the need for direct engagement with surgeons and detailed data to address the limited response to current policies.
Article
Surgery
Hallbera Gudmundsdottir, Daniel S. Ubl, Kathleen J. Yost, Halena M. Gazelka, Elizabeth B. Habermann, Cornelius A. Thiels
Summary: The objective of this study was to compare patient-reported outcomes before and after the implementation of evidence-based, procedure-specific opioid prescribing guidelines. The study found that although the guidelines successfully reduced opioid prescribing without increasing refill rates, there was still a reluctance to prescribe no opioids after surgery. Rating: 8 out of 10.
Article
Pediatrics
Kao-Ping Chua, Chad M. Brummett, Rena M. Conti, Amy S. Bohnert
Summary: In 2019, 3.5% of US children and young adults had >= 1 dispensed opioid prescription, with nearly half being high risk prescriptions. The high-volume prescribers accounted for a large portion of high-risk prescriptions and targeted interventions may be needed to address this issue.
Editorial Material
Medicine, General & Internal
Scott Burris, Evan D. Anderson, Corey S. Davis, Leo Beletsky
NEW ENGLAND JOURNAL OF MEDICINE
(2020)
Article
Substance Abuse
Christopher M. Shea, Alex K. Gertner, Sherri L. Green
Summary: The UNC MAT ECHO project aimed to evaluate interventions for reducing barriers to delivery of M-OUD by rural primary care providers in North Carolina through tele-conferenced sessions. Participants were generally satisfied with ECHO sessions and provider-to-provider consultations, but barriers to consistent participation included timing and length of sessions. Recording ECHO sessions for later viewing, as well as providing incentives for participation, were recommended by participants to address these barriers.
Article
Health Care Sciences & Services
Alex K. Gertner, Allison G. Robertson, Hendree Jones, Byron J. Powell, Pam Silberman, Marisa E. Domino
HEALTH SERVICES RESEARCH
(2020)
Article
Public, Environmental & Occupational Health
Amir R. Pashmineh Azar, Alexandra Cruz-Mullane, Jaclyn C. Podd, Warren S. Lam, Suhail H. Kaleem, Laura B. Lockard, Mark R. Mandel, Daniel Y. Chung, Olapeju M. Simoyan, Corey S. Davis, Stephanie D. Nichols, Kenneth L. McCall, Brian J. Piper
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
(2020)
Review
Substance Abuse
Rosanna Smart, Bryce Pardo, Corey S. Davis
Summary: The existing literature on naloxone access laws in the United States supports beneficial effects for increased naloxone distribution, but provides inconclusive evidence for reduced fatal opioid overdose. Mixed findings may reflect variation in the laws' design and implementation, confounding effects of concurrent policy adoption, or differential effectiveness in light of changing opioid environments.
Article
Public, Environmental & Occupational Health
Traci C. Green, Corey Davis, Ziming Xuan, Alexander Y. Walley, Jeffrey Bratberg
AMERICAN JOURNAL OF PUBLIC HEALTH
(2020)
Article
Health Care Sciences & Services
Alex K. Gertner, Allison G. Robertson, Byron J. Powell, Hendree Jones, Pam Silberman, Marisa Elena Domino
Article
Health Care Sciences & Services
Lexie R. Grove, Alex K. Gertner, Karen E. Swietek, Ching-Ching Claire Lin, Neepa Ray, Tyler L. Malone, David L. Rosen, Theodore R. Zarzar, Marisa Elena Domino, Brian Sheitman, Beat D. Steiner
Summary: Enhanced primary care for individuals with serious mental illness (SMI) can increase uptake of preventive screening measures and reduce the utilization of non-psychiatric inpatient care compared to standard primary care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Substance Abuse
Alex K. Gertner, Jason S. Rotter, Margaret E. Holly, Christopher M. Shea, Sherri L. Green, Marisa Elena Domino
Summary: This study found that individuals newly diagnosed with OUD had a high rate of contact with primary care providers before diagnosis, indicating the importance of primary care providers in diagnosing OUD and connecting individuals to MOUD. Policies and programs are needed to increase access to MOUD and improve primary care providers' ability to connect individuals to evidence-based treatment.
JOURNAL OF ADDICTION MEDICINE
(2022)
Article
Substance Abuse
Alex K. Gertner, Hannah Margaret Clare, Byron J. Powell, Allison R. Gilbert, Hendree E. Jones, Pam Silberman, Christopher M. Shea, Marisa Elena Domino
Summary: This study aimed to identify provider factors that could drive differences in treatment retention for opioid use disorder (OUD) while considering patient characteristics. The findings suggest that providers who adopt low-threshold approaches to treatment may achieve higher retention rates than those who adopt high-threshold approaches.
INTERNATIONAL JOURNAL OF DRUG POLICY
(2022)
Letter
Medicine, General & Internal
Alex K. Gertner, Nabarun Dasgupta, Louise Vincent
Letter
Medicine, General & Internal
Alex K. Gertner, Nabarun Dasgupta, Louise Vincent
Letter
Education, Scientific Disciplines
Demitra A. Canoutas, Alex Gregor, Alex K. Gertner
Article
Medicine, General & Internal
Nicole Kravitz-Wirtz, Corey S. Davis, William R. Ponicki, Ariadne Rivera-Aguirre, Brandon D. L. Marshall, Silvia S. Martins, Magdalena Cerda