TY - JOUR
PY - 2023//
TI - Changes in opioid prescription duration for musculoskeletal injury associated with the STOP Act
JO - Pain medicine
A1 - Wally, Meghan K.
A1 - Thompson, Michael E.
A1 - Odum, Susan
A1 - Kazemi, Donna M.
A1 - Hsu, Joseph R.
A1 - Seymour, Rachel B.
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVES: To assess whether implementation of the Strengthen Opioid Misuse Prevention (STOP) Act was associated with an increase in the percent of opioid prescriptions written for 7 days or less among patients with acute or post-surgical musculoskeletal conditions.
DESIGN: An interrupted time series study was conducted to determine the change in duration of opioid prescriptions associated with the STOP Act. SETTING: Data were extracted from the electronic health record of a large healthcare system in North Carolina. SUBJECTS: Patients presenting from 2016-2020 with an acute musculoskeletal injury and the clinicians treating them were included in an interrupted time series study (n = 12,839).
METHODS: Trends were assessed over time, including the change in trend associated with implementation of the STOP Act, for the percentage of prescriptions written for seven days or less.
RESULTS: Among patients with acute musculoskeletal injury, less than 30% of prescriptions were written for 7 days or less in January of 2016; by December of 2020, almost 90% of prescriptions were written for 7 days or less. Prescriptions written for ≤ 7 days increased 17.7% after STOP Act was implemented (p < 0.001), after adjusting for the existing trend.
CONCLUSIONS: These results demonstrate significant potential for legislation to influence opioid prescribing behavior.
Language: en
LA - en SN - 1526-2375 UR - http://dx.doi.org/10.1093/pm/pnad036 ID - ref1 ER -