Citation

Hallvik SE, Geissert P, Wakeland W, Hildebran C, Carson J, O'Kane N, Deyo RA. Ann. Fam. Med. 2018; 16(5): 440-442.

Affiliation

Department of Family Medicine, Department of Medicine, and The Oregon Institute for Occupational Health Sciences, Oregon Health and Science University, Portland, Oregon.

Copyright

(Copyright © 2018, Annals of Family Medicine, Inc.)

DOI

10.1370/afm.2285

PMID

30201641

Abstract

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.

© 2018 Annals of Family Medicine, Inc.

Language: en

Keywords

continuity of care; opioids; pain; prescribing continuity