Opioid Prescribing Before and After the Centers for Disease Control and Prevention's 2016 Opioid Guideline
Authors: Chris Delcher, Svetla Slavova, Yanning Wang, Stephen G. Henry
Journal: Annals of Internal Medicine (2019)

Letters16 April 2019Opioid Prescribing Before and After the Centers for Disease Control and Prevention's 2016 Opioid GuidelineChris Delcher, PhD, Svetla Slavova, PhD, Yanning Wang, MS, and Stephen G. Henry, MDChris Delcher, PhDUniversity of Kentucky, Lexington, Kentucky (C.D., S.S.)Search for more papers by this author, Svetla Slavova, PhDUniversity of Kentucky, Lexington, Kentucky (C.D., S.S.)Search for more papers by this author, Yanning Wang, MSUniversity of Florida, Gainesville, Florida (Y.W.)Search for more papers by this author, and Stephen G. Henry, MDUniversity of California, Davis, Sacramento, California (S.G.H.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L19-0053 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: Bohnert and colleagues (1) evaluated the opioid prescribing guideline for chronic, non–cancer-related pain from the Centers for Disease Control and Prevention (CDC). Their findings suggest that this guideline was associated with an abrupt and accelerated decrease in the rate of opioid prescribing. However, future research should account for competing interventions, unmeasured confounding, or both and focus on the target population: patients with chronic, noncancer pain. Furthermore, long-term evaluation will require research designs that account for the dynamic policy, regulatory, and data environs that have arisen during the opioid crisis.Evaluation of these policy and regulatory aspects should ...References1. Bohnert ASB, Guy GP, Losby JL. Opioid prescribing in the United States before and after the Centers for Disease Control and Prevention's 2016 opioid guideline. Ann Intern Med. 2018;169:367-75. [PMID: 30167651]. doi:10.7326/M18-1243 LinkGoogle Scholar2. Centers for Medicare & Medicaid Services. 2019 Medicare Advantage and Part D rate announcement and call letter. 2 April 2018. Accessed at www.cms.gov/newsroom/fact-sheets/2019-medicare-advantage-and-part-d-rate-announcement-and-call-letter on 10 October 2018. Google Scholar3. Heslin KC, Owens PL, Karaca Z, Barrett ML, Moore BJ, Elixhauser A. Trends in opioid-related inpatient stays shifted after the US transitioned to ICD-10-CM diagnosis coding in 2015. Med Care. 2017;55:918-23. [PMID: 28930890] doi:10.1097/MLR.0000000000000805 CrossrefMedlineGoogle Scholar4. Seth P, Rudd RA, Noonan RK, Haegerich TM. Quantifying the epidemic of prescription opioid overdose deaths. Am J Public Health. 2018;108:500-2. [PMID: 29513577] doi:10.2105/AJPH.2017.304265 CrossrefMedlineGoogle Scholar5. Statement by FDA Commissioner Scott Gottlieb, M.D., on new steps to advance the development of evidence-based, indication-specific guidelines to help guide appropriate prescribing of opioid analgesics [press release]. Silver Spring: U.S. Food and Drug Administration; 22 August 2018. Accessed at www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm617908.htm on 25 September 2018. Google Scholar Author, Article, and Disclosure InformationAffiliations: University of Kentucky, Lexington, Kentucky (C.D., S.S.)University of Florida, Gainesville, Florida (Y.W.)University of California, Davis, Sacramento, California (S.G.H.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L19-0053. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoOpioid Prescribing in the United States Before and After the Centers for Disease Control and Prevention's 2016 Opioid Guideline Amy S.B. Bohnert , Gery P. Guy Jr. , and Jan L. Losby Metrics Cited byOpioid and non-opioid analgesic prescribing before and after the CDC’s 2016 opioid guideline 16 April 2019Volume 170, Issue 8Page: 581-582KeywordsForecastingHealth care qualityHealth care quality assessmentHealth services researchInternational Classification of DiseasesMedicareMorphineOpioidsResearch designResearch quality assessment ePublished: 16 April 2019 Issue Published: 16 April 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...