First Opioid Prescription and Subsequent High-Risk Opioid Use: a National Study of Privately Insured and Medicare Advantage Adults.

ABSTRACT:

Background

National guidelines make recommendations regarding the initial opioid prescriptions, but most of the supporting evidence is from the initial episode of care, not the first prescription.

Objective

To examine associations between features of the first opioid prescription and high-risk opioid use in the 18 months following the first prescription.

Design

Retrospective cohort study using data from a large commercial insurance claims database for 2011-2014 to identify individuals with no recent use of opioids and follow them for 18 months after the first opioid prescription.

Participants

Privately insured patients aged 18-64 and Medicare Advantage patients aged 65 or older who filled a first opioid prescription between 07/01/2011 and 06/30/2013.

Main ou

SUBMITTER: Zhang Y 

PROVIDER: S-EPMC6258623 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature