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Reduce Opioid Duration and Quantity to Limit Use, Avoid Addiction

By Evan Schwarz, MD, FACEP, FACMT; and R. Corey Waller, MD, MS, FACEP, DFASAM | on March 19, 2019 | 1 Comment
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Opioid

Dr. Schwarz is associate professor of emergency medicine and medical toxicology section chief at Washington University School of Medicine in St. Louis.

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ACEP Now: Vol 38 – No 03 – March 2019

Dr. Waller is a fellow at The National Center for Complex Health and Social Needs and managing partner at Complex Care Consulting LLC.

References

  1. https://www.cdc.gov/drugoverdose/data/heroin.htmlHeroin overdose data. Centers for Disease Control and Prevention websit. Accessed Feb. 22, 2019.
  2. Dowell D, Haegerich TM, Chou R. CDC guideline for prescribing opioids for chronic pain–United States, 2016. JAMA. 2016;315(15):1624-1645.
  3. Opioid use in Missouri: opioid prescribing guidelines. Missouri Hospital Association website. Accessed Feb. 22, 2019.
  4. S 826, 99th Leg, 2nd Sess (Mo 2018). Accessed Feb. 22, 2019.
  5. Joseph A. The surgeon general and his brother: a family’s painful reckoning with addiction. STAT website. Accessed Feb. 22, 2019.
  6. Barnett ML, Olenski AR, Jena AB. Opioid-prescribing patterns of emergency physicians and risk of long-term use. N Engl J Med. 2017;376(7):663-673.
  7. Schwarz E. Unpacking the opioid blame game. Emergency Physicians Monthly website. Accessed Feb. 22, 2019.
  8. Alam A, Gomes T, Zheng H, et al. Long-term analgesic use after low-risk surgery: a retrospective cohort study. Arch Intern Med. 2012;172(5):425-430.
  9. Clarke H, Soneji N, Ko DT, et al. Rates and risk factors for prolonged opioid use after major surgery: population based cohort study. BMJ. 2014;348:g1251.
  10. Butler MM, Ancona RM, Beauchamp GA, et al. Emergency department prescription opioids as an initial expsoure preceding addiction. Ann Emerg Med. 2016;68(2):202-208.
  11. Shah A, Hayes CJ, Martin BC. Characteristics of initial prescription episodes and likelihood of long-term opioid use – United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(10):265-269.
  12. Marcusa DP, Mann RA, Cron DC, et al. Prescription opioid use among opioid-naive women undergoing immediate breast reconstruction. Plast Reconstr Surg. 2017;140(6):1081-1090.
  13. Brummett CM, Waljee JF, Goesling J, et al. New persistent opioid use after minor and major surgical procedures in US adults. JAMA Surg. 2017;152(6):e170504.
  14. Chai PR, Carreiro S, Innes BJ, et al. Oxycodone ingestion patterns in acute fracture pain with digital pills. Anesth Analg. 2017;125(6):2105-2112.
  15. Howard R, Fry B, Gunaseelan V, et al. Association of opioid prescribing with opioid consumption after surgery in Michigan. JAMA Surg. 2018:e184234.

Pages: 1 2 3 | Single Page

Topics: Opioid CrisisOpioid EpidemicPain and Palliative Care

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One Response to “Reduce Opioid Duration and Quantity to Limit Use, Avoid Addiction”

  1. April 7, 2019

    Tim Laseter D.O. Reply

    At what point does patient responsibility for their actions come into play – these articles never seem to address this

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