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Opioid-Prescribing Continuity and Risky Opioid Prescriptions.
Ann Fam Med. 2018 09; 16(5):440-442.AF

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.

Authors+Show Affiliations

HealthInsight Oregon, Portland, Oregon shallvik@healthinsight.org.Portland State University, Portland, Oregon.Portland State University, Portland, Oregon.HealthInsight Oregon, Portland, Oregon.HealthInsight Oregon, Portland, Oregon.HealthInsight Oregon, Portland, Oregon.Department of Family Medicine, Department of Medicine, and The Oregon Institute for Occupational Health Sciences, Oregon Health and Science University, Portland, Oregon.

Pub Type(s)

Evaluation Study
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30201641

Citation

Hallvik, Sara E., et al. "Opioid-Prescribing Continuity and Risky Opioid Prescriptions." Annals of Family Medicine, vol. 16, no. 5, 2018, pp. 440-442.
Hallvik SE, Geissert P, Wakeland W, et al. Opioid-Prescribing Continuity and Risky Opioid Prescriptions. Ann Fam Med. 2018;16(5):440-442.
Hallvik, S. E., Geissert, P., Wakeland, W., Hildebran, C., Carson, J., O'Kane, N., & Deyo, R. A. (2018). Opioid-Prescribing Continuity and Risky Opioid Prescriptions. Annals of Family Medicine, 16(5), 440-442. https://doi.org/10.1370/afm.2285
Hallvik SE, et al. Opioid-Prescribing Continuity and Risky Opioid Prescriptions. Ann Fam Med. 2018;16(5):440-442. PubMed PMID: 30201641.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Opioid-Prescribing Continuity and Risky Opioid Prescriptions. AU - Hallvik,Sara E, AU - Geissert,Peter, AU - Wakeland,Wayne, AU - Hildebran,Christi, AU - Carson,Jody, AU - O'Kane,Nicole, AU - Deyo,Richard A, PY - 2017/12/21/received PY - 2018/05/02/revised PY - 2018/05/24/accepted PY - 2018/9/12/entrez PY - 2018/9/12/pubmed PY - 2019/10/24/medline KW - continuity of care KW - opioids KW - pain KW - prescribing continuity SP - 440 EP - 442 JF - Annals of family medicine JO - Ann Fam Med VL - 16 IS - 5 N2 - 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. SN - 1544-1717 UR - https://www.unboundmedicine.com/medline/citation/30201641/Opioid_Prescribing_Continuity_and_Risky_Opioid_Prescriptions_ L2 - http://www.annfammed.org/cgi/pmidlookup?view=long&pmid=30201641 DB - PRIME DP - Unbound Medicine ER -