Effect of a legislative mandate on opioid prescribing for back pain in the emergency department

Evaluation of Interventions to Reduce Opioid Prescribing for Patients Discharged From the Emergency Department

“…Of these, 180 were kept for full-text review, and 63 unique studies were included in the review ( Figure 1 ). 12 , 27 , 28 , 29 , 30 , 31 , 32 , 35 , 36 , 37 , 39 , 40 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , …”

“… 69 , 94 , 102 All studies were published within the last 10 years (2013 to 2021). Studies used mainly preintervention-postintervention (n = 39) 12 , 28 , 30 , 31 , 32 , 35 , 39 , 40 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 92 , 93 , 94 , 99 , 100 , 101 , 102 and ITS (n = 21) 27 , 29 , 36 , 37 , 54 , 55 , 56 , 57 , 71 , 72 , 73 , 74 , 87 , 88 , 89 , 90 , 91 , ...…”

“… 103 , 104 Fifty-two studies 12 , 27 , 28 , 29 , 31 , 35 , 36 , 37 , 39 , 40 , 54 , 55 , 57 , 59 , 60 , 61 , 62 , 65 , 66 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 included a mix of pain problems, and 56 included both acute and chronic pain. 12 , 27 , 28 , 29 , 30 , 31 , …”

“… 22 , 23 Several opioid reduction strategies have been proposed by medical institutions, cities, states, and other stakeholders. These approaches vary extensively, ranging from prescription drug monitoring programs, 24 , 25 , 26 , 27 new laws, 28 , 29 , 30 policies, guidelines, 31 , 32 , 33 , 34 prescriber education initiatives, 35 , 36 or changing the default quantity of opioids in electronic medical record prescription orders. 37 , 38 , 39 , 40 The efficacy of these interventions on the opioid prescribing rate or quantity at ED discharge remains uncertain and, to our knowledge, has never been examined systematically.…”

An Effective Intervention: Limiting Opioid Prescribing as a Means of Reducing Opioid Analgesic Misuse, and Overdose Deaths

“…52 In fact, a recent examination of the effects of a law mandating that providers review PMP data before prescribing opioids in the emergency department found no differences in pre-PMP legislation to post-PMP legislation on the prescribing of opioids. 53 The percentages of patients prescribed opioids and the morphine milligram equivalent doses were exactly the same. Automated PMPs (where the PMP "pushes" clinically relevant data to providers during a patient encounter) have also shown no effect on opioid prescribing in emergency departments.…”