The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.
Trends in long‐term opioid therapy for chronic non‐cancer pain
Open accessAbstract
Objective: To report trends and characteristics of long‐term opioid use for non‐cancer pain. Methods: CONSORT (CONsortium to Study Opioid Risks and Trends) includes adult enrollees of two health plans serving over 1 per cent of the US population. Using automated data, we constructed episodes of opioid use between 1997 and 2005. We estimated age–sex standardized rates of opioid use episodes beginning in each year (incident) and on‐going in each year (prevalent), and the per cent change in rates annualized (PCA) over the 9‐year period. Long‐term episodes were defined as > 90 days with 120+ days supply or 10+ opioid prescriptions in a given year. Results: Over the study period, incident long‐term use increased from 8.5 to 12.1 per 1000 at Group Health (GH) (6.0% PCA), and 6.3 to 8.6 per 1000 at Kaiser Permanente of Northern California (KPNC) (5.5% PCA). Prevalent long‐term use doubled from 23.9 to 46.8 per 1000 at GH (8.5% PCA), and 21.5 to 39.2 per 1000 at KPNC (8.1% PCA). Non‐Schedule II opioids were the most commonly used opioid among patients engaged in long‐term opioid therapy, particularly at KPNC. Long‐term use of Schedule II opioids also increased substantially at both health plans. Among prevalent long‐term users in 2005, 28.6% at GH and 30.2% at KPNC were also regular users of sedative hypnotics. Conclusion: Long‐term opioid therapy for non‐cancer pain is increasingly prevalent, but the benefits and risks associated with such therapy are inadequately understood. Concurrent use of opioids and sedative‐hypnotics was unexpectedly common and deserves further study. Copyright © 2009 John Wiley & Sons, Ltd.
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Cites
Undertreatment of Medical Inpatients with Narcotic Analgesics
MARKS, R. M., & SACHAR, E. J. (1973) · Annals of Internal Medicine · doi:10.7326/0003-4819-78-2-173 · Cited by 1,094
Portenoy, R. K., & Lesage, P. (1999) · The Lancet · doi:10.1016/s0140-6736(99)01310-0 · Cited by 1,017
Pain Management: A Fundamental Human Right
Brennan, F., Carr, D. B., & Cousins, M. (2007) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000268145.52345.55 · Cited by 1,014
Opioid Therapy for Chronic Pain
Ballantyne, J. C., & Mao, J. (2003) · New England Journal of Medicine · doi:10.1056/nejmra025411 · Cited by 959
Opioids for chronic noncancer pain: A meta-analysis of effectiveness and side effects
Furlan, A. D. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.051528 · Cited by 873
Martell, B. A., O'Connor, P. G., Kerns, R. D., Becker, W. C., Morales, K. H., Kosten, T. R., & Fiellin, D. A. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-2-200701160-00006 · Cited by 774
The United States General Accounting Office
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Paulozzi, L. J., Budnitz, D. S., & Xi, Y. (2006) · Pharmacoepidemiology and Drug Safety · doi:10.1002/pds.1276 · Cited by 696
De Facto Long-term Opioid Therapy for Noncancer Pain
Korff, M. V., Saunders, K., Thomas Ray, G., Boudreau, D., Campbell, C., Merrill, J., Sullivan, M. D., Rutter, C. M., Silverberg, M. J., Banta-Green, C., et al. (2008) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e318169d03b · Cited by 662
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CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016
Dowell, D., Haegerich, T. M., & Chou, R. (2016) · JAMA · doi:10.1001/jama.2016.1464 · Cited by 5,161
CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016
Dowell, D., Haegerich, T. M., & Chou, R. (2016) · MMWR. Recommendations and Reports · doi:10.15585/mmwr.rr6501e1 · Cited by 2,697
Chou, R., Turner, J. A., Devine, E. B., Hansen, R. N., Sullivan, S. D., Blazina, I., Dana, T., Bougatsos, C., & Deyo, R. A. (2015) · Annals of Internal Medicine · doi:10.7326/m14-2559 · Cited by 1,606
The Prescription Opioid and Heroin Crisis: A Public Health Approach to an Epidemic of Addiction
Kolodny, A., Courtwright, D. T., Hwang, C. S., Kreiner, P., Eadie, J. L., Clark, T. W., & Alexander, G. C. (2015) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-031914-122957 · Cited by 1,388
Opioid Prescriptions for Chronic Pain and Overdose: A Cohort Study
Dunn, K. M., Saunders, K. W., Rutter, C. M., Banta-Green, C. J., Merrill, J. O., Sullivan, M. D., Weisner, C. M., Silverberg, M. J., Campbell, C. I., Psaty, B. M., et al. (2010) · Annals of Internal Medicine · doi:10.7326/0003-4819-152-2-201001190-00006 · Cited by 1,255
Self-citation
Metadata
- Authors
- Boudreau, D., Von Korff, M., Rutter, C. M., Saunders, K., Ray, G. T., Sullivan, M. D., Campbell, C. I., Merrill, J. O., Silverberg, M. J., Banta‐Green, C., & Weisner, C.
- Venue
- Pharmacoepidemiology and Drug Safety
- Publisher
- Wiley
- Published
- 2009-08-28
- Volume
- 18
- Issue
- 12
- Pages
- 1166-1175
- ISSN
- 1053-8569 (ISSN-L)
- 1099-1557
- OpenAlex
- W2056370494
- Cited by
- 522
- References
- 44
- FWCI
- 20.38
- Type
- journal article
- Language
- en
- Open access
- green
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