A5050267348- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Musculoskeletal pain and rehabilitation
- Prenatal Substance Exposure Effects
- Poisoning and overdose treatments
- Healthcare Policy and Management
- Anesthesia and Pain Management
- Health Systems, Economic Evaluations, Quality of Life
- Substance Abuse Treatment and Outcomes
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Pharmaceutical Practices and Patient Outcomes
- Migration, Health and Trauma
- Child Abuse and Trauma
- Health Policy Implementation Science
- Nutritional Studies and Diet
- Sodium Intake and Health
- Suicide and Self-Harm Studies
- Gender, Labor, and Family Dynamics
- Patient Satisfaction in Healthcare
- Evaluation and Performance Assessment
- Grief, Bereavement, and Mental Health
- Obesity, Physical Activity, Diet
- Social Policy and Reform Studies
- Cardiac Health and Mental Health
National Center for Injury Prevention and Control
2017-2025
Centers for Disease Control and Prevention
2015-2025
Centers for Disease Control and Prevention
2024
Stanford University
2017
Nanjing Audit University
2017
CT Group Of Institutions
2015
The Centers
2013-2014
Patel Hospital
2013
South Johnston High School
2013
Hunt Institute
2013
Prescription opioid-related overdose deaths increased sharply during 1999-2010 in the United States parallel with opioid prescribing. CDC assessed changes national-level and county-level prescribing 2006-2015.CDC analyzed retail prescription data from QuintilesIMS to assess 2006 2015, including rates, amounts, dosages, durations prescribed. examined patterns 2010 2015.The amount of opioids prescribed peaked at 782 morphine milligram equivalents (MME) per capita then decreased 640 MME 2015....
Background: In response to adverse outcomes from prescription opioids, the Centers for Disease Control and Prevention (CDC) released Guideline Prescribing Opioids Chronic Pain in March 2016. Objective: To test hypothesis that CDC guideline release corresponded declines specific opioid prescribing practices. Design: Interrupted time series analysis of monthly measures IQVIA transactional data warehouse Real-World Data Longitudinal Prescriptions population-level estimates based on retail...
This study uses US National Vital Statistics mortality data to assess change in life expectancy from 2000 2015 attributable opioid-involved poisonings.
The CDC Guideline for Prescribing Opioids Chronic Pain recommends considering prescribing naloxone when factors that increase risk overdose are present (e.g., history of or substance use disorder, opioid dosages ≥50 morphine milligram equivalents per day [high-dose], and concurrent benzodiazepines). In light the high numbers drug deaths involving opioids, 36% which in 2017 involved prescription improving access to is a public health priority. examined trends characteristics dispensing from...
Despite epidemic rates of addiction and death from prescription opioids in the United States, suggesting importance providing alternatives to treatment pain, little is known regarding how payers' coverage policies may facilitate or impede access such treatments.To examine for 5 nonpharmacologic approaches commonly used treat acute chronic low back pain among commercial Medicare Advantage insurance plans, plus an additional 6 treatments Medicaid plans.Cross-sectional study 15 commercial,...
In 2017, prescription opioids were involved in 36% of opioid-involved overdose deaths the United States (1). Prescription can be obtained by or through diversion (the channeling regulated drugs from legal to illegal sources) (2). Among new heroin users, 66%-83% reported that their opioid use began with misuse a (3). Misuse is generally defined as taken for purpose other than directed prescribing physician, greater amounts, more often, longer duration prescribed Exposure lessened ensuring...
<h3>Importance</h3> The Centers for Disease Control and Prevention (CDC) released the "Guideline For Prescribing Opioids Chronic Pain" (hereafter,<i>CDC guideline</i>) in 2016, but its association with prescribing practices patients who are opioid naive is unknown. <h3>Objective</h3> To estimate changes initial rates, duration, dosage to after release of CDC guideline. <h3>Design, Setting, Participants</h3> This cohort study used 6 sequential cohorts preguideline trends among were naive,...
Importance Federal emergency authorities were invoked during the COVID-19 pandemic to expand clinical telehealth for opioid use disorder (OUD). Objective To examine association of receipt services and medications OUD (MOUD) with fatal drug overdoses before pandemic. Design, Setting, Participants This cohort study used exploratory longitudinal data from 2 cohorts (prepandemic cohort: September 1, 2018, February 29, 2020; 2019, 28, 2021) Medicare Fee-for-Service beneficiaries aged 18 years or...
Importance Parents’ overdose death can have a profound short- and long-term impact on their children, yet little is known about the number of children who lost parent to drug in US. Objective To estimate rate from 2011 2021 overall by parental age, sex, race ethnicity. Design, Setting, Participants This was cross-sectional study US community-dwelling persons using data National Survey Drug Use Health (2010-2014 2015-2019) Vital Statistics System (2011-2021). Data were analyzed January June...
Abstract Deaths of parents and grandparent caregivers threaten child well-being owing to losses care, financial support, safety family stability, but are relatively unrecognized as a public health crisis. Here we used cause-specific vital statistics death registrations in modeling approach estimate the full magnitude orphanhood incidence prevalence among US children aged 0–17 years between 2000 2021 by cause, age, race ethnicity, sex deceased parent state, also accounted for caregiver loss...
<h3>Importance</h3> Although opioids can be effective medications in certain situations, they are associated with harms, including opioid use disorder and overdose. Studies have revealed unexplained prescribing variation mismatched patient-reported pain for many indications. <h3>Objective</h3> To summarize frequency, dosages, durations, stratified across numerous painful medical <h3>Design, Setting, Participants</h3> Retrospective cross-sectional analysis of 2017 US administrative claims...
Importance Given the high number of opioid overdose deaths in US and complex epidemiology use disorder (OUD), systems models can serve as a tool to identify opportunities for public health interventions. Objective To estimate projected 3-year association between interventions overdose-related outcomes among persons with OUD. Design, Setting, Participants This decision analytical model used simulation estimated population aged 12 years older OUD that was developed analyzed January 2019...
The United States is in the midst of a public health epidemic with more than 40 people dying each day from prescription opioid overdoses. Health care systems are taking steps to address overdose by implementing policy and practice interventions mitigate risks long-term therapy. Kaiser Permanente Southern California launched comprehensive initiative transform way that chronic pain viewed treated. created prescribing dispensing policies, monitoring follow-up processes, clinical coordination...
<h3>Importance</h3> Despite unprecedented injuries and deaths from prescription opioids, little is known regarding medication coverage policies for the treatment of chronic noncancer pain among US insurers. <h3>Objective</h3> To assess 62 products used to treat low back pain. <h3>Design, Setting, Participants</h3> A cross-sectional study health plan documents 15 Medicaid, Medicare Advantage, 20 commercial plans in 2017 16 states representing more than half population interviews with 43...
Importance Evidence suggests that opioid prescribing was reduced nationally following the 2016 release of Guideline for Prescribing Opioids Chronic Pain by US Centers Diseases Control and Prevention (CDC). State-to-state variability in postguideline changes has not been quantified could point to further avenues reducing opioid-related harms. Objective To estimate state-level dispensing CDC explore state-to-state heterogeneity those changes. Design, Setting, Participants This cross-sectional...
Importance Recognizing and providing services to individuals at highest risk for drug overdose are paramount addressing the crisis. Objective To examine receipt of medications opioid use disorder (MOUD), naloxone, behavioral health in 12 months after an index nonfatal association between these interventions fatal overdose. Design, Setting, Participants This cohort study was conducted US from January 2020 December 2021 using claims, demographic, mortality, other data Centers Medicare...
<h3>Importance</h3> In 2016, the Centers for Disease Control and Prevention (CDC) released evidence-based Guideline Prescribing Opioids Chronic Pain. How release of this guideline coincided with changes in nonopioid pain medication prescribing rates remains unknown. <h3>Objective</h3> To evaluate after 2016 CDC to assess heterogeneity these as a function patient demographic clinical characteristics. <h3>Design, Setting, Participants</h3> This cohort study constructed 7 (4 preguideline 3...
Background: This paper concerns public health crises today—the problem of opioid prescription access and related abuse. Inspired by Case Deaton’s seminal work on increasing mortality among white Americans with lower education, this explores the relationship between prescribing local economic factors. Objective: We examined association county-level socioeconomic factors (median household income, unemployment rate, Gini index) prescribing. Subjects: used complete 2014 Medicare enrollment part...
Approximately 90% of Americans aged 2 years or older consume too much sodium. The consumption sodium increases blood pressure, which the risk for stroke, coronary heart disease, failure, and renal disease. Population-based strategies to reduce salt intake are cost-effective, can and, according Institute Medicine, needed at national, state, community levels.
In Brief Practice-based evidence arises from programs implemented in real-world settings. Program success may be judged on the basis of experience; however, formal evaluation studies methodological rigor can provide a high level credible to inform public health practice. Such lengthy and expensive. Furthermore, even well-designed not reach conclusive findings, for example, when program lacks full implementation, data systems do have capacity collect data, or implementation has attained...