RT Journal Article
SR Electronic
T1 Opioid-Prescribing Continuity and Risky Opioid Prescriptions
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 440
OP 442
DO 10.1370/afm.2285
VO 16
IS 5
A1 Sara E. Hallvik
A1 Peter Geissert
A1 Wayne Wakeland
A1 Christi Hildebran
A1 Jody Carson
A1 Nicole O’Kane
A1 Richard A. Deyo
YR 2018
UL http://www.annfammed.org/content/16/5/440.abstract
AB We aimed to better understand the association between opioid-prescribing continuity, risky prescribing patterns, and overdose risk. For this retrospective cohort study, we included patients with long-term opioid use, pulling data from Oregon’s Prescription Drug Monitoring Program (PDMP), vital records, and hospital discharge registry. A continuity of care index (COCI) score was calculated for each patient, and we defined metrics to describe risky prescribing and overdose. As prescribing continuity increased, likelihood of filling risky opioid prescriptions and overdose hospitalization decreased. Prescribing continuity is an important factor associated with opioid harms and can be calculated using administrative pharmacy data.