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A reduction in postoperative opioid prescription size was observed following release of evidence-based opioid prescribing guidelines in Michigan

Postoperative Opioid Rx Size Down After Guideline Release

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No change seen in satisfaction or pain scores despite reductions in prescription size, opioid use
For children undergoing tonsillectomy

No Evidence for Benefits of Opioids After Pediatric Tonsillectomy

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Perioperative opioid fills linked to risk of return visit for constipation but not pain, dehydration or hemorrhage
From 2012 to 2018

2012 to 2018 Saw Substantial Rise in Naloxone Dispensing

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Regional variation in naloxone dispensing considerable; rates lowest in most rural counties
U.S. physicians prescribe opioids more frequently during patient hospitalizations and at discharge compared with physicians in other countries

U.S. Hospital Patients Receive More Opioids Versus Other Countries

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Patients' perceptions of pain, pain medication may affect prescribing practices
Tighter rules on opioid painkiller prescriptions for U.S. government employees will be implemented in the fall

New Opioid Rx Rules Coming for U.S. Employees’ Health Plans

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New Federal Employee Health Benefits Program rules are meant to prevent overprescribing
Since 2008

Opioid Prescribing, New Persistent Use Down After Childbirth

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Strongest modifiable factor linked to new persistent use after delivery was filling Rx before delivery
Access to primary care may be reduced for patients taking prescription opioids

Taking Prescription Opioids Could Limit Primary Care Access

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40 percent of primary care clinics won't take new patients using opioid painkillers, regardless of insurance type
Only one-fourth of U.S. plastic surgery residents report receiving opioid-prescriber education

Opioid Rx Education Insufficient for Plastic Surgery Trainees

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Significantly more opioids prescribed by U.S. versus Canadian trainees for seven of eight procedures
The number of days supplied of an initial opioid prescription is the strongest risk factor for developing long-term opioid use among previously opioid-free injured workers

Supply of Opioids Predicts Long-Term Use in Injured Workers

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Odds of long-term opioid use up with initial Rx for five- to nine-day supply versus supply of less than five days
Medical marijuana laws do not appear to impact nonmedical prescription opioid use or opioid use disorder

Medical Marijuana Laws May Not Impact Opioid Use

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No reduction seen in individual-level nonmedical prescription opioid use from 2002 to 2014