Opportunities to Address First Opioid Prescriptions to Reduce Incident Long-Term Opioid Use
Authors: Marc R. Larochelle, Amy S.B. Bohnert
Journal: Annals of Internal Medicine (2019)

Editorials16 July 2019Opportunities to Address First Opioid Prescriptions to Reduce Incident Long-Term Opioid UseMarc R. Larochelle, MD, MPH and Amy S.B. Bohnert, PhD, MHSMarc R. Larochelle, MD, MPHBoston Medical Center and Boston University, Boston, Massachusetts (M.R.L.)Search for more papers by this author and Amy S.B. Bohnert, PhD, MHSUniversity of Michigan, Ann Arbor, Michigan (A.S.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-1394 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Increases in opioid-related harms, particularly overdose deaths, have led to policy, public health, and clinical care efforts to reduce the volume of opioids prescribed. One focus of these efforts is use of opioids for chronic noncancer pain, which is associated with clear risks and unclear benefits. Efforts have led to the total number of opioid prescriptions decreasing by more than a third between 2012 and 2017 (1).Implementation of changes to opioid prescribing has not been without challenges. One challenge has been how to address ongoing use of opioids for the millions of Americans already receiving them, in many cases ...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. Kroenke K, Alford DP, Argoff C, et al. Challenges with implementing the Centers for Disease Control and Prevention opioid guideline: a consensus panel report. Pain Med. 2019;20:724-35. [PMID: 30690556] doi:10.1093/pm/pny307 CrossrefMedlineGoogle Scholar3. Dowell D, Haegerich T, Chou R. No shortcuts to safer opioid prescribing. N Engl J Med. 2019. 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[PMID: 28199807] doi:10.1056/NEJMsa1610524 CrossrefMedlineGoogle Scholar8. Donohue JM, Kennedy JN, Seymour CW, et al. Patterns of opioid administration among opioid-naive inpatients and associations with postdischarge opioid use. A cohort study. Ann Intern Med. 2019;171:81-90. doi:10.7326/M18-2864 LinkGoogle Scholar9. Zgierska A, Rabago D, Miller MM. Impact of patient satisfaction ratings on physicians and clinical care. Patient Prefer Adherence. 2014;8:437-46. [PMID: 24729691] doi:10.2147/PPA.S59077 CrossrefMedlineGoogle Scholar10. Chen Q, Larochelle MR, Weaver DT, et al. Prevention of prescription opioid misuse and projected overdose deaths in the United States. JAMA Netw Open. 2019;2:e187621. [PMID: 30707224] doi:10.1001/jamanetworkopen.2018.7621 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Boston Medical Center and Boston University, Boston, Massachusetts (M.R.L.)University of Michigan, Ann Arbor, Michigan (A.S.B.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-1394.Corresponding Author: Marc R. Larochelle, MD, MPH, Boston Medical Center, 801 Massachusetts Avenue, Second Floor, Boston, MA 02118; e-mail, Marc.[email protected]org.Current Author Addresses: Dr. Larochelle: Boston Medical Center, 801 Massachusetts Avenue, Second Floor, Boston, MA 02118.Dr. Bohnert: University of Michigan, 2800 Plymouth Road, Building 16, Room 227W, Ann Arbor, MI 48109.This article was published at Annals.org on 18 June 2019. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPatterns of Opioid Administration Among Opioid-Naive Inpatients and Associations With Postdischarge Opioid Use Julie M. Donohue , Jason N. Kennedy , Christopher W. Seymour , Timothy D. Girard , Wei-Hsuan Lo-Ciganic , Catherine H. Kim , Oscar C. Marroquin , Patience Moyo , Chung-Chou H. Chang , and Derek C. Angus Metrics Cited byOpioid analgesic prescribing for opioid‐naïve individuals prior to identification of opioid use disorder in British Columbia, Canada“Chasing the pain relief, not the high”: Experiences managing pain after opioid reductions among patients with HIV and a history of substance use 16 July 2019Volume 171, Issue 2Page: 129-130KeywordsAnalgesicsDisclosureEmergency departmentHealth careInpatientsMotivationOpioid use disorderOpioidsPain managementTreatment guidelines ePublished: 18 June 2019 Issue Published: 16 July 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...