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Cited by 44Opioid Use Disorder TreatmentPain Management and Opioid UseHealthcare Policy and Management

Trends In Opioid Prescribing And Self-Reported Pain Among US Adults: As efforts to curb inappropriate opioid prescribing continue, an examination of trends in short-term and longer-term opioid prescriptions for US adults who self-report various pain levels.

Olfson, Mark, Wang, Shuai, Wall, Melanie M., Blanco, Carlos·2020·Health Affairs
DOI 10.1377/hlthaff.2019.00783
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Abstract

Clinically informed efforts to curb inappropriate opioid prescribing seek to reduce prescribing to adults with lower pain levels that are potentially manageable with alternative therapies. According to the Medical Expenditure Panel Survey, the annual share of US adults who were prescribed opioids decreased from 12.9 percent in 2014 to 10.3 percent in 2016, and the decrease was concentrated among adults with shorter-term rather than longer-term prescriptions. The decrease was also larger for adults who reported moderate or more severe pain (from 32.8 percent to 25.5 percent) than for those who reported less-than-moderate pain (from 8.0 percent to 6.6 percent). In the same period opioids were prescribed to 3.75 million fewer adults reporting moderate or more severe pain and 2.20 million fewer adults reporting less-than-moderate pain. Because the decline in prescribing primarily involved adults who reported moderate or more severe pain, these trends raise questions about whether efforts to decrease opioid prescribing have successfully focused on adults who report less severe pain.

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  • Managing patients with co-occurring chronic pain and SUD, particularly opioid use disorder, presents unique challenges including sometimes lack of trust between patients and clinicians regarding symptoms of pain and patterns of opioid use.

    “Managing patients with co- occurring chronic pain and SUD - particularly opioid use dis order - presents unique challenges 294,295 , including sometimes lack of trust between patients and clinicians regarding symptoms of pain and patterns of opioid use.”

    From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [295]

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Authors
Olfson, M., Wang, S., Wall, M. M., & Blanco, C.
Affiliations
  • New York State Psychiatric Institute (US)
  • Columbia University (US)
  • National Institute on Drug Abuse (US)
ORCID
Venue
Health Affairs
Publisher
Health Affairs Publishing, LLC
Published
2020-01-01
Volume
39
Issue
1
Pages
146-154
ISSN
  • 0278-2715 (ISSN-L)
  • 1544-5208
DOI
10.1377/hlthaff.2019.00783
OpenAlex
W2996789675
Cited by
44
References
42
Citations by year
2026: 3 · 2025: 5 · 2024: 8 · 2023: 5 · 2022: 12 · 2021: 8 · 2020: 3
FWCI
5.24
Type
journal article
Language
en
Open access
closed
Locations
  • Health Affairs (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Keywords
opioid prescribing, self-reported pain, chronic pain, opioid overprescribing, pain intensity, Medical Expenditure Panel Survey
MeSH terms
Adult, Aged, Analgesics, Opioid, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Self Report, Inappropriate Prescribing, Pain Management

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