The effect of state policies on rates of high-risk prescribing of an initial opioid analgesic.

ABSTRACT:

Background

Multiple state policies, such as prescription drug monitoring programs (PDMPs) and duration limits, have been implemented to decrease high-risk opioid prescribing. Studies demonstrate that many policies decrease certain opioid prescribing behaviors, but few examine their intended effects on the targeted high-risk prescribing practices, nor disentangle the effects of concurrent state or federal policies likely to influence those practices.

Methods

Forty-one million initial prescriptions for new opioid episodes from 2007 to 2018 were identified using national pharmacy claims. We identified high-risk initial prescriptions, defined as >7 days' supply, average daily MME >90, or concurrent with benzodiazepines and estimated three multivariable logistic regression models

SUBMITTER: Stein BD 

PROVIDER: S-EPMC8810626 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature