Prescribing Associated with High-Risk Opioid Exposures Among Non-cancer Chronic Users of Opioid Analgesics: a Social Network Analysis.

ABSTRACT:

Background

The continued rise in fatalities from opioid analgesics despite a steady decline in the number of individual prescriptions directing ≥ 90 morphine milligram equivalents (MME)/day may be explained by patient exposures to redundant prescriptions from multiple prescribers.

Objectives

We evaluated prescribers' specialty and social network characteristics associated with high-risk opioid exposures resulting from single-prescriber high-daily dose prescriptions or multi-prescriber discoordination.

Design

Retrospective cohort study.

Participants

A cohort of prescribers with opioid analgesic prescription claims for non-cancer chronic opioid users in an Illinois Medicaid managed care program in 2015-2016.

Main measures

Per prescriber rates of single-pre

SUBMITTER: Hinami K 

PROVIDER: S-EPMC6848735 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature