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Journal article
Assessment of risk behaviors in patients with opioid prescriptions: A study of Indiana's inspect data
The American journal on addictions, Vol.26(8), pp.822-829
12/2017
PMID: 29143401
Web of Science ID: WOS:000416114000009
Abstract
Prescription Drug Monitoring Programs (PDMPs) can serve as screening tools and support the clinical decision-making process in patients receiving opioids. The objective of the study was to utilize 2014 INSPECT (Indiana's PDMP) data to identify factors that increase patients' likelihood to engage in opioid-related risk behaviors.
Based on a literature review, four risk behaviors were identified: Receiving >90 morphine milligram equivalents (MME), having >4 opioid prescribers, obtaining opioids from >4 pharmacies, and concurrent use of opioids and benzodiazepines. Two binary logistic regression analyses (engaging in at least one risk behaviors; engaging in all four risk behaviors) and an ordinal regression analysis (engaging in 0-4 risk behaviors) were conducted to identify factors associated with these opioid-related risk behaviors.
Of the 1,538,120 unique opioid patients included in the study, 18.4% engaged in one, 5.3% in two, 1.6% in three, and .4% in all four risk behaviors. Depending on the model, prescribing a second monthly opioid increased patients' odds to engage in risk behaviors by a factor of 10 or more and prescribing two or more benzodiazepines annually increased the odds at least 13-fold.
About one-fourth of all patients consuming opioids engaged in one or more risk behaviors; higher number of opioid prescriptions and addition of even a small number of benzodiazepine prescriptions dramatically increased these odds. PDMPs can be helpful in identifying opioid users at high-risk for misuse. This information could be used to target efforts to reduce the prescription drug epidemic. (Am J Addict 2017;26:822-829).
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Details
- Title
- Assessment of risk behaviors in patients with opioid prescriptions
- Publication Details
- The American journal on addictions, Vol.26(8), pp.822-829
- Resource Type
- Journal article
- Copyright
- © 2017 American Academy of Addiction Psychiatry
- Identifiers
- WOS:000416114000009; 99380178996006600
- Academic Unit
- Usha Kundu, MD College of Health; Public Health
- Language
- English