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About half of waivered clinicians prescribe buprenorphine for opioid use disorder and most treat at levels below their patient limits

About Half of Waivered Clinicians Prescribe Buprenorphine for OUD

Percentages much higher for actively prescribing U.S. clinicians with 275 and 100 versus 30 patients
For patients undergoing common orthopedic sports procedures

Nonopioid Pain Protocol Feasible After Sports Orthopedic Surgery

45 percent of patients did not require opioids for management of postoperative pain
Cancer survivors have higher rates of prescription opioid use but do not have increased rates of prescription opioid misuse compared with those without a history of cancer

Rates of Prescription Opioid Use Higher in Cancer Survivors

Cancer survivors have similar rates of prescription opioid misuse versus those without cancer
There has been a dramatic increase in overdose fatalities involving illicit opioids

Shift Occurring in Deadly Overdoses

Rx opioid prescriptions down; illicit drugs are dominant cause of lethal drug overdoses
Preoperative opioid and sedative use are risk factors for morbidity and mortality following colorectal resections

GI Surgical Outcomes Worse With Preop Use of Opioids, Sedatives

Findings seen in patients undergoing colorectal resection for nontrauma reasons
Persistent opioid use is a common concern after cardiac surgery

Persistent Opioid Use Seen in ~10 Percent of Patients After Cardiac Surgery

Higher opioid dosage prescribed at discharge associated with increased risk for new persistent use
In 2015 to 2018

CDC: 10.7 Percent of U.S. Adults Used Rx Pain Meds in 2015 to 2018

No change found in use of prescription opioids from 2009-2010 to 2017-2018, but increase seen in nonopioid meds
Filling an opioid prescription in the postpartum period is associated with an increased risk for serious opioid-related events

Filling Opioid Rx Postpartum Ups Serious Opioid-Related Events

Serious opioid-related event rate increased with increasing number of postpartum opioid prescriptions
From 2004 to 2017

AAOS: Opioid Prescribing Down for Minor Ortho Injuries in Youth

However, 54.3 percent of patients received at least one dose of opioid during ED or clinic visit
Large pharmacy chains

Large U.S. Pharmacy Chains Played Role in Opioid Crisis, Lawsuit Claims

Lawsuit charges chains sold millions of pills in small communities, gave bonuses to pharmacists