Abstract | OBJECTIVE: To evaluate opioid prescribing and monitoring trends for musculoskeletal (MSK) conditions and the use of medication-assisted treatment (MAT) for opioid-related disorders in mid-Michigan. DESIGN: Retrospective chart review of 500 randomly selected charts coded for MSK conditions and opioid-related disorders based on the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10) codes during the time frame of January 1 to June 30, 2019. Data were compared to baseline data collected in a previous 2016 study to evaluate prescribing trends. SETTING: Outpatient clinics and emergency departments. MAIN OUTCOME MEASURES: Variables included prescription of opioid, nonopioid, use of prescription monitoring such as assessing urine drug screens (UDSs), a Prescription Drug Monitoring Program ( PDMP), pain agreements, prescription of MAT, and sociodemographic factors. RESULTS: 31.3 percent of patients in 2019 had a new or current opioid prescription, which is a significant decrease compared to opioid prescriptions in 2016 (65.7 percent) (p = 0.001). Monitoring of opioid prescribing using PDMP and pain agreements increased, whereas UDS monitoring remained low. MAT prescribing for patients with opioid use disorder in 2019 was 31.4 percent. State-sponsored insurance was associated with a higher odds of using PDMP and pain agreements with an odds ratio (OR) of 1.72 (0.97, 3.13), while alcohol misuse had a lower odds of using PDMP (OR 0.40). CONCLUSION:
Opioid prescribing guidelines have been effective in reducing opioid prescribing and increasing opioid prescription monitoring. MAT prescribing is low in 2019 and does not reflect a declining trend of opioid prescriptions during a public health crisis.
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Authors | Mariam Zunnu Rain, Danielle Cremat, Chin-I Cheng, Alyson McClintock, Juliette Perzhinsky |
Journal | Journal of opioid management
(J Opioid Manag)
2023 Mar-Apr
Vol. 19
Issue 2
Pg. 117-132
ISSN: 1551-7489 [Print] United States |
PMID | 37270419
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Humans
- Analgesics, Opioid
(therapeutic use)
- Retrospective Studies
- Michigan
- Practice Patterns, Physicians'
- Opioid-Related Disorders
(diagnosis, epidemiology, drug therapy)
- Drug Prescriptions
- Pain
(drug therapy)
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