Opioid Prescriptions for Chronic Pain and Overdose

@article{Dunn2010OpioidPF,
  title={Opioid Prescriptions for Chronic Pain and Overdose},
  author={Kate M. Dunn and Kathleen Saunders and Carolyn M. Rutter and Caleb J Banta-Green and Joseph O. Merrill and Mark D Sullivan and Constance Weisner and Michael J. Silverberg and Cynthia I. Campbell and Bruce M. Psaty and Michael Von Korff},
  journal={Annals of Internal Medicine},
  year={2010},
  volume={152},
  pages={85 - 92}
}
BACKGROUND Long-term opioid therapy for chronic noncancer pain is becoming increasingly common in community practice. Concomitant with this change in practice, rates of fatal opioid overdose have increased. The extent to which overdose risks are elevated among patients receiving medically prescribed long-term opioid therapy is unknown. OBJECTIVE To estimate rates of opioid overdose and their association with an average prescribed daily opioid dose among patients receiving medically prescribed… Expand

Paper Mentions

Interventional Clinical Trial
Due to its prevalence and impact on quality of life and overall health, the National Academy of Medicine has called chronic pain a "public health crisis." Therefore, this proposal is… Expand
ConditionsChronic Pain
InterventionBehavioral
Interventional Clinical Trial
This research project is geared towards geriatric analgesia in the Emergency Department (ED) with a goal of reducing the administration of opioid pain medications to elderly patients… Expand
ConditionsPain
InterventionDrug
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Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain.
TLDR
Prescription of long-acting opioids for chronic noncancer pain, compared with anticonvulsants or cyclic antidepressants, was associated with a significantly increased risk of all-cause mortality, including deaths from causes other than overdose, with a modest absolute risk difference. Expand
Correlates of Prescription Opioid Initiation and Long-term Opioid Use in Veterans With Persistent Pain
TLDR
Opioid initiations are common among veterans with persistent pain, but most veterans are not prescribed opioids long-term, and psychiatric disorders and substance use disorders are associated with receiving COT. Expand
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TLDR
Established SOAPP-R and DSM thresholds provide an opportunity to identify participants at elevated risk for having experienced an opioid overdose, and data support development of additional concentrated efforts to prevent overdose among chronic pain patients. Expand
Opioid Prescribing After Nonfatal Overdose and Association With Repeated Overdose
TLDR
This study sought to characterize opioid use after an overdose among patients receiving long-term opioid therapy for noncancer pain among patients from a large U.S. health insurer with members in all 50 states. Expand
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