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Tag: Opioids

Persistent opioid use is a common concern after cardiac surgery

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

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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

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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

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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

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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

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Lawsuit charges chains sold millions of pills in small communities, gave bonuses to pharmacists
Patients initiating hemodialysis often are prescribed opioids and short-acting benzodiazepines

Benzodiazepines, Codispensed Opioids Common in Hemodialysis

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Risk for mortality increased for those receiving short-acting benzodiazepines alone or with opioids
Emergency department patients with nonfatal opioid or sedative/hypnotic drug overdose have exceptionally high risks for death in the following year

One-Year Mortality High Following ED Visit for Overdose

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Mortality rates higher from unintentional overdose, suicide, and natural causes at one year
Opioid-related deaths in the cancer population are much rarer than in the general population

Opioid-Related Deaths Less Likely Among Cancer Patients

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Mortality lower despite common opioid prescriptions for cancer-related pain
There are racial differences in pain management and pain outcomes for children seen in the emergency department for long-bone fractures

Racial Differences Found in Managing Children’s Pain From Broken Bones

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Minority children less likely to receive opioids and optimal pain management versus white children
Few primary care physicians report interest in treating patients with opioid use disorder

Physicians Report Low Interest in Opioid Use Disorder Meds

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Few PCPs report obtaining buprenorphine waiver orprescribing buprenorphine, naltrexone for OUD