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A systematic review of opioid prevalence in Australian residential aged care facilities

OBJECTIVE: To systematically review the prevalence of opioid prescribing, dispensing and administration in Australian residential aged care facilities (RACFs). METHODS: MEDLINE, Embase, CINAHL, AgeLine, Web of Science Core Collection, InformIT and International Pharmaceutical Abstracts (inception to...

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Autores principales: Dowd, Laura A., Reynolds, Lorenna, Cross, Amanda J., Veal, Felicity, Steeper, Michelle, Wanas, Zainab, Wu, Nancy, Bell, J. Simon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083958/
https://www.ncbi.nlm.nih.gov/pubmed/35394708
http://dx.doi.org/10.1111/ajag.13071
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author Dowd, Laura A.
Reynolds, Lorenna
Cross, Amanda J.
Veal, Felicity
Steeper, Michelle
Wanas, Zainab
Wu, Nancy
Bell, J. Simon
author_facet Dowd, Laura A.
Reynolds, Lorenna
Cross, Amanda J.
Veal, Felicity
Steeper, Michelle
Wanas, Zainab
Wu, Nancy
Bell, J. Simon
author_sort Dowd, Laura A.
collection PubMed
description OBJECTIVE: To systematically review the prevalence of opioid prescribing, dispensing and administration in Australian residential aged care facilities (RACFs). METHODS: MEDLINE, Embase, CINAHL, AgeLine, Web of Science Core Collection, InformIT and International Pharmaceutical Abstracts (inception to September 2021) were searched for studies reporting opioid prevalence in Australian RACFs. Regular and as‐required (i.e. pro re nata, PRN) opioid uses were considered. Screening, data extraction and quality assessment were performed independently by two review authors. RESULTS: Twenty‐three studies (n = 286,141 residents) reported opioid prevalence, of which 16 provided overall regular or PRN prescribing, dispensing or administration data. Five studies reported 28%–34% of residents were prescribed regular opioids over assessment periods ranging from one week to one month. Five studies reported 11%–42% of residents were prescribed PRN opioids over assessment periods ranging from one week to 30 months. Three studies reported 27%–50% of residents were dispensed an opioid over 12 months. Five studies reported 21%–29% were administered both regular and PRN opioids over 24 hours. Two studies reported 22%–42% of residents were administered PRN opioids over 1 week to 12 months. Two studies reported 6%–13% of residents were using doses >100 mg oral morphine equivalents/day. CONCLUSIONS: Up to half of the residents were dispensed opioids over 12 months. The prevalence of opioid prescribing, dispensing and administration was highly variable, suggesting the potential value of opioid quality indicators and analgesic stewardship interventions to ensure opioid appropriateness.
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spelling pubmed-100839582023-04-11 A systematic review of opioid prevalence in Australian residential aged care facilities Dowd, Laura A. Reynolds, Lorenna Cross, Amanda J. Veal, Felicity Steeper, Michelle Wanas, Zainab Wu, Nancy Bell, J. Simon Australas J Ageing Review Articles OBJECTIVE: To systematically review the prevalence of opioid prescribing, dispensing and administration in Australian residential aged care facilities (RACFs). METHODS: MEDLINE, Embase, CINAHL, AgeLine, Web of Science Core Collection, InformIT and International Pharmaceutical Abstracts (inception to September 2021) were searched for studies reporting opioid prevalence in Australian RACFs. Regular and as‐required (i.e. pro re nata, PRN) opioid uses were considered. Screening, data extraction and quality assessment were performed independently by two review authors. RESULTS: Twenty‐three studies (n = 286,141 residents) reported opioid prevalence, of which 16 provided overall regular or PRN prescribing, dispensing or administration data. Five studies reported 28%–34% of residents were prescribed regular opioids over assessment periods ranging from one week to one month. Five studies reported 11%–42% of residents were prescribed PRN opioids over assessment periods ranging from one week to 30 months. Three studies reported 27%–50% of residents were dispensed an opioid over 12 months. Five studies reported 21%–29% were administered both regular and PRN opioids over 24 hours. Two studies reported 22%–42% of residents were administered PRN opioids over 1 week to 12 months. Two studies reported 6%–13% of residents were using doses >100 mg oral morphine equivalents/day. CONCLUSIONS: Up to half of the residents were dispensed opioids over 12 months. The prevalence of opioid prescribing, dispensing and administration was highly variable, suggesting the potential value of opioid quality indicators and analgesic stewardship interventions to ensure opioid appropriateness. John Wiley and Sons Inc. 2022-04-08 2022-12 /pmc/articles/PMC10083958/ /pubmed/35394708 http://dx.doi.org/10.1111/ajag.13071 Text en © 2022 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc’. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Dowd, Laura A.
Reynolds, Lorenna
Cross, Amanda J.
Veal, Felicity
Steeper, Michelle
Wanas, Zainab
Wu, Nancy
Bell, J. Simon
A systematic review of opioid prevalence in Australian residential aged care facilities
title A systematic review of opioid prevalence in Australian residential aged care facilities
title_full A systematic review of opioid prevalence in Australian residential aged care facilities
title_fullStr A systematic review of opioid prevalence in Australian residential aged care facilities
title_full_unstemmed A systematic review of opioid prevalence in Australian residential aged care facilities
title_short A systematic review of opioid prevalence in Australian residential aged care facilities
title_sort systematic review of opioid prevalence in australian residential aged care facilities
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10083958/
https://www.ncbi.nlm.nih.gov/pubmed/35394708
http://dx.doi.org/10.1111/ajag.13071
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