Dose Changes for Long-term Opioid Patients Following a State Opioid Prescribing Policy.

ABSTRACT:

Background

In 2018, Nevada implemented opioid prescribing legislation (AB474) to support the uptake of CDC pain care guidelines. We studied the law's association with doses over threshold levels of morphine milligram equivalents (MMEs) and with time to dose increases and decreases, among long-term opioid patients.

Methods

A difference-in-difference study examined dosing changes across opioid prescription episodes (ie, prescriptions within 30 day and within the same dosing threshold). Patients with at least 120 days supply over 6 months in Nevada and Colorado Medicaid pharmacy claims were included. Using a logistic regression model, we compare the predicted probabilities that opioid episodes exceeded 50 MME before and after implementation of the law, in both states. Adjusted

SUBMITTER: Qiu S 

PROVIDER: S-EPMC10566257 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature