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Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High
PURPOSE: To quantify the prevalence of opioid and benzodiazepine prescriptions for patients with rotator cuff disease across a large health care system and to describe evidence-based risk factors for opioid use within this population. METHODS: We conducted a retrospective cohort study at a major hea...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129054/ https://www.ncbi.nlm.nih.gov/pubmed/34027445 http://dx.doi.org/10.1016/j.asmr.2020.09.028 |
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author | Gorbaty, Jacob Odum, Susan M. Wally, Meghan K. Seymour, Rachel B. Hamid, Nady Hsu, Joseph R. Beuhler, Michael Bosse, Michael J. Gibbs, Michael Griggs, Christopher Jarrett, Steven Leas, Daniel Roomian, Tamar Runyon, Michael Saha, Animita Watling, Bradley Wyatt, Stephen Yu, Ziqing |
author_facet | Gorbaty, Jacob Odum, Susan M. Wally, Meghan K. Seymour, Rachel B. Hamid, Nady Hsu, Joseph R. Beuhler, Michael Bosse, Michael J. Gibbs, Michael Griggs, Christopher Jarrett, Steven Leas, Daniel Roomian, Tamar Runyon, Michael Saha, Animita Watling, Bradley Wyatt, Stephen Yu, Ziqing |
author_sort | Gorbaty, Jacob |
collection | PubMed |
description | PURPOSE: To quantify the prevalence of opioid and benzodiazepine prescriptions for patients with rotator cuff disease across a large health care system and to describe evidence-based risk factors for opioid use within this population. METHODS: We conducted a retrospective cohort study at a major health care system of all patients with qualifying diagnostic codes. Emergency department, urgent care, and outpatient encounters between January and December 2016 for an acute rotator cuff tear, listed as the primary diagnosis, were included. Encounters with prescriptions for opioids or benzodiazepines were identified using the Prescription Reporting With Immediate Medication Utilization Mapping (PRIMUM) system. Descriptive statistics and the rate of controlled-substance prescribing were calculated for the population as a whole and among subgroups. RESULTS: We identified 9,376 encounters meeting the inclusion criteria. Of these encounters, 1,559 (16.6%) resulted in 1 or more prescriptions for an opioid or benzodiazepine that were issued during the visit. A total of 2,007 opioid and/or benzodiazepine prescriptions were issued for the 1,559 encounters (rate of 1.29 prescriptions per prescribing encounter). This represented 5,310 patients, of whom 1,096 (20.6%) received a prescription for an opioid or benzodiazepine during at least 1 of their encounters. Of patients who received a prescription, 20.9% had at least 1 risk factor for prescription misuse; 3.6% of patients had more than 1 risk factor. There were no demographic differences between patients with risk factors and patients without them. CONCLUSIONS: The prescribing of opioids for the treatment of pain in patients with rotator cuff disease remains high across multiple locations and specialties within a large health care system. Using alternative pain management pathways as primary prevention for opioid misuse and abuse in high opioid-prescribing locations—and especially for patients identified as having a high risk of opioid misuse—is an important practice to continue in our shift away from opioid use as a health care system. LEVEL OF EVIDENCE: Level IV, case series. |
format | Online Article Text |
id | pubmed-8129054 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-81290542021-05-21 Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High Gorbaty, Jacob Odum, Susan M. Wally, Meghan K. Seymour, Rachel B. Hamid, Nady Hsu, Joseph R. Beuhler, Michael Bosse, Michael J. Gibbs, Michael Griggs, Christopher Jarrett, Steven Leas, Daniel Roomian, Tamar Runyon, Michael Saha, Animita Watling, Bradley Wyatt, Stephen Yu, Ziqing Arthrosc Sports Med Rehabil Original Article PURPOSE: To quantify the prevalence of opioid and benzodiazepine prescriptions for patients with rotator cuff disease across a large health care system and to describe evidence-based risk factors for opioid use within this population. METHODS: We conducted a retrospective cohort study at a major health care system of all patients with qualifying diagnostic codes. Emergency department, urgent care, and outpatient encounters between January and December 2016 for an acute rotator cuff tear, listed as the primary diagnosis, were included. Encounters with prescriptions for opioids or benzodiazepines were identified using the Prescription Reporting With Immediate Medication Utilization Mapping (PRIMUM) system. Descriptive statistics and the rate of controlled-substance prescribing were calculated for the population as a whole and among subgroups. RESULTS: We identified 9,376 encounters meeting the inclusion criteria. Of these encounters, 1,559 (16.6%) resulted in 1 or more prescriptions for an opioid or benzodiazepine that were issued during the visit. A total of 2,007 opioid and/or benzodiazepine prescriptions were issued for the 1,559 encounters (rate of 1.29 prescriptions per prescribing encounter). This represented 5,310 patients, of whom 1,096 (20.6%) received a prescription for an opioid or benzodiazepine during at least 1 of their encounters. Of patients who received a prescription, 20.9% had at least 1 risk factor for prescription misuse; 3.6% of patients had more than 1 risk factor. There were no demographic differences between patients with risk factors and patients without them. CONCLUSIONS: The prescribing of opioids for the treatment of pain in patients with rotator cuff disease remains high across multiple locations and specialties within a large health care system. Using alternative pain management pathways as primary prevention for opioid misuse and abuse in high opioid-prescribing locations—and especially for patients identified as having a high risk of opioid misuse—is an important practice to continue in our shift away from opioid use as a health care system. LEVEL OF EVIDENCE: Level IV, case series. Elsevier 2021-02-03 /pmc/articles/PMC8129054/ /pubmed/34027445 http://dx.doi.org/10.1016/j.asmr.2020.09.028 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Gorbaty, Jacob Odum, Susan M. Wally, Meghan K. Seymour, Rachel B. Hamid, Nady Hsu, Joseph R. Beuhler, Michael Bosse, Michael J. Gibbs, Michael Griggs, Christopher Jarrett, Steven Leas, Daniel Roomian, Tamar Runyon, Michael Saha, Animita Watling, Bradley Wyatt, Stephen Yu, Ziqing Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High |
title | Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High |
title_full | Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High |
title_fullStr | Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High |
title_full_unstemmed | Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High |
title_short | Prevalence of Prescription Opioids for Nonoperative Treatment of Rotator Cuff Disease Is High |
title_sort | prevalence of prescription opioids for nonoperative treatment of rotator cuff disease is high |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8129054/ https://www.ncbi.nlm.nih.gov/pubmed/34027445 http://dx.doi.org/10.1016/j.asmr.2020.09.028 |
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