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Opioid use disorder rates at delivery more than quadrupled nationally from 1999 to 2014

CDC: Rates of Opioid Use Disorder Seen at Time of Delivery Up

Rate of opioid use disorder at time of delivery quadrupled from 1999 to 2014
Children often fill outpatient opioid prescriptions

Outpatient Opioid Prescriptions for Children Often Filled

Cumulative incidence of opioid-related adverse events was 38.3 per 100,000 prescriptions
Reducing the default number of opioid pills prescribed in an electronic medical record system can effectively decrease the amount of opioids prescribed after procedures

Lowering Default Number of Pills Can Reduce Prescribed Opioids

Lowering the default number of pills prescribed in an EMR system effectively cuts amount prescribed
Evidence is lacking about the need for and outcomes of long-term opioid therapy in cancer survivors

Guidelines Conflict for Long-Term Opioid Tx in Cancer Survivors

Inconsistencies exist between CDC and NCCN opioid guideline recommendations
Preoperative opioid use is reported in 23.1 percent of patients undergoing surgery

Preoperative Opioids Used by 23.1 Percent of Surgical Patients

Odds of pre-op opioid use up with age 31 to 40 years, tobacco use, illicit drug use, depression
Duration of preoperative opioid use appears to be the most important predictor of sustained opioid use following back surgery

Most Back Pain Patients Halt Opioid Use After Surgery

Duration of preoperative opioid predicts sustained use after surgery
Any opioid use is associated with involvement in the criminal justice system in the past year

Any Opioid Use Tied to Involvement in Criminal Justice System

History of involvement with criminal justice system increased with intensity of drug use
The U.S. Surgeon General released an advisory urging increased availability of the opioid overdose-reversing drug naloxone earlier this year

U.S. Surgeon General Urges More Americans to Carry Naloxone

More individuals, including family, friends, those personally at risk, urged to carry naloxone
New laws and regulations designed to limit the use of prescription narcotics may further constrain doctors' ability to treat patients

New Rules May Constrain Docs’ Ability to Treat Chronic Pain

Limitations on the use of prescription narcotics could complicate patient treatment
There are opportunities for recalibrating the role of opioids in pain care

Coverage Policies Compared for Back Pain Medications

Utilization management common for opioids; often relies on 30-day limits rather than prior authorization