Reducing Long-term Opioid Use in the Veterans Health Administration 1,2,3 1,2,4 Taeko Minegishi, MS and Austin Frakt, PhD 1 2 3 VA Boston Healthcare System, Boston, MA, USA; Boston University School of Public Health, Boston, MA, USA; Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA; Harvard T.H. Chan School of Public Health, Boston, MA, USA. J Gen Intern Med 33(6):781–2 This is where the VHA’s experience offers considerable DOI: 10.1007/s11606-018-4352-7 hope. Based on a cohort of patients with any prescriptions © Society of General Internal Medicine (outside the USA) 2018 (about five million patients per year), the study by Hadlandsmyth et al. shows that the VHA’s reduction in opioid prescribing has been led by lower rates of long-term opioid use. The investigators classified the duration of opioid n 2015, 25% of US adults had at least one opioid prescrip- use into four categories: no use, short-term use (single opioid tion. In the same year, over 33,000 people died of opioids prescription or two prescriptions separated by > 90 days), and approximately 40% were attributed to opioid prescrip- long-term use (> 90 days), and intermediate-term use (any- tions, contributing to what the Centers for Disease Control thing else).
Journal of General Internal Medicine – Springer Journals
Published: Feb 15, 2018
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