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Prescription pain medication abuse decreased significantly from 2007 to 2018

ASA: Sustained Decrease Seen in Prescription Opioid Abuse in U.S.

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Significant declines seen from 2002 to 2013 and 2014 and from 2015 to 2016, 2017, 2018
Opioids prescribed by dentists may pose a threat for interactions with medications for depression or anxiety in older adults

Dentists’ Rx for Opioids Pose Danger for Drug Interactions

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In older adults, interactions with meds for depression, anxiety increase risk for ED visits, hospitalizations
New drug applications for prescription opioids for pain have been based on pivotal trials of short or intermediate duration

New FDA Applications for Opioids Often Based on Short Trials

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Most products for treating chronic pain approved based on narrowly defined populations of patients
More than 83 percent of overdose deaths during January to June 2019 involved illicitly manufactured fentanyls

One or More Opioids Involved in ~80 Percent of OD Deaths

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At least one potential opportunity for prevention intervention for 62.7 percent of overdose deaths
An enhanced recovery after surgery program for cesarean delivery is associated with improved outcomes

Enhanced Recovery Approach Aids Cesarean Birth Outcomes

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Benefits of enhanced recovery after surgery program include decreases in opioid use, length of stay, and costs
The TEACH (Targeting Effective Analgesia in Clinics for HIV) intervention is a promising strategy for improving adherence to opioid prescribing guidelines among HIV care providers and their patients on chronic opioid therapy

Program Improves Use of Chronic Opioid Therapy in HIV Care

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TEACH intervention increases adherence to guideline-concordant care for HIV patients with chronic pain
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

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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

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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

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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

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Rx opioid prescriptions down; illicit drugs are dominant cause of lethal drug overdoses