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An enhanced recovery after surgery program complemented by a preemptive pain management program is associated with a decrease in opioid prescriptions at discharge following minimally invasive foregut surgery

Proactive Pain Management May Cut Postop Opioid Prescriptions

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Program linked to opioid-free discharge following elective minimally invasive benign foregut surgery
A change in the law allowing pharmacists to dispense naloxone correlated with a large increase in the number of naloxone orders dispensed in Ohio

More Naloxone Orders Filled When Pharmacists Can Dispense

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2,328 percent increase in naloxone orders found in Ohio Medicaid population after policy implementation
Altering the default settings in the electronic medical record can influence the quantity of opioids prescribed in an emergency department setting

Altering Default Settings in EHR Influences Opioid Prescribing

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Lower default was associated with lower number of pills prescribed in eight of 15 pairwise comparisons
Exposure to controlled-release hydromorphone

Hydromorphone-CR Exposure Ups Heart Infection Risk in PWID

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Rates of infective endocarditis increased among PWID exposed to controlled-release hydromorphone
Prescription drug monitoring program data from individual states show a decline in opioid prescribing rates in 11 participating states from 2010 to 2016

Opioid Prescribing Rates Down at State Level From 2010 to 2016

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Among 11 states, daily dosage declined the least in Idaho and Maine, the most in Florida
Many patients who develop new low back pain receive advanced imaging and opioids without having been prescribed nonsteroidal anti-inflammatory drugs or physical therapy

Many Patients Receive Guideline-Nonconcordant Care for Low Back Pain

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One-third of patients received opioids, more than half of whom had not received prescription NSAIDs, PT
A small proportion of providers account for almost half of all opioid doses and about one-quarter of opioid prescriptions

Just a Few Providers Account for Large Number of Opioid Scripts

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Top 1 percent of providers account for 49 percent of all opioid doses, 27 percent of all opioid prescriptions
Naloxone prescribing has increased but is still very low among patients at risk for opioid overdose

Naloxone Prescribing Increasing but Still Very Low

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Factors associated with naloxone fills include high opioid daily dosage, concurrent benzodiazepines
Medicaid expansion is associated with a reduction in total opioid overdose deaths and with increases in methadone-related mortality

Total Opioid Overdose Deaths Down With Medicaid Expansion

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But increase observed in methadone-related overdose mortality in Medicaid expansion states
The percentage of emergency department visits with an opioid prescribed increased from 2006-2007 to 2010-2011 then decreased to 2016-2017

Recent Years Saw Drop in Opioid Prescribing at ED Discharge

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Opioid prescribing at discharge increased from 2006-2007 to 2010-2011 followed by drop in 2016-2017