Decline in Prescription Opioids Attributable to Decreases in Long-Term Use: A Retrospective Study in the Veterans Health Administration 2010–2016 1,2 1,3 1,3 Katherine Hadlandsmyth, PhD , Hilary Mosher, MD , Mark W. Vander Weg, PhD ,and Brian C. Lund, PharmD Center for Comprehensive Access and Delivery Research and Evaluation (CADRE), Iowa City VA Healthcare System, Iowa City, IA, USA; 2 3 Department of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, IA, USA; Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, USA. KEY WORDS: opioid; veteran; prevalence. BACKGROUND: Improved understanding of temporal trends in short- and long-term opioid prescribing may J Gen Intern Med 33(6):818–24 inform efforts to curb the opioid epidemic. DOI: 10.1007/s11606-017-4283-8 OBJECTIVE: To characterize the prevalence of short- and © Society of General Internal Medicine (outside the USA) 2018 long-term opioid prescribing in the Veterans Health Ad- ministration (VHA) from 2010 to 2016. DESIGN: Observational cohort study using VHA databases. PARTICIPANTS: All patients receiving at least one outpa- INTRODUCTION tient prescription through the VHA during calendar years Rapid and widespread escalation in long-term opioid prescrib- 2010 through 2016. MAIN MEASURES: Prevalence of opioid use from 2010 ing over
Journal of General Internal Medicine – Springer Journals
Published: Jan 29, 2018
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