Laws limiting the prescribing or dispensing of opioids for acute pain in the United States: A national systematic legal review

Davis, Corey S.; Lieberman, Amy; Hernandez-Delgado, Hector; Suba, Carli

doi:10.1016/j.drugalcdep.2018.09.022

Cited by 159 publications

(132 citation statements)

References 45 publications

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“…Pharmacists should realize that electronic resources like PDMPs are one of several tools to be used together to evaluate opioid misuse risk and to maintain patient engagement. Some PDMPs and supply‐side policies may potentially end up unintentionally harming patients if not combined with expansion of treatment and harm reduction interventions like naloxone …”

Section: Discussionmentioning

confidence: 99%

Pharmacists and the opioid crisis: A narrative review of pharmacists' practice roles

Bratberg

Smothers

Collins

et al. 2019

J Am Coll Clin Pharm

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Introduction Nearly 2.5 million Americans have an opioid use disorder (OUD) related to prescription and/or illicit opioids. Pharmacists, as one of the most accessible care providers, are essential in mitigating the mortality and morbidity of the opioid overdose crisis. Pharmacists are involved in numerous care activities related to this crisis and to caring for patients with an OUD. Objective The objective of this paper was to conduct a literature review to highlight several pharmacist‐driven practices that provide a broad range of prevention, harm reduction, treatment, and recovery services to patients affected or potentially affected by the opioid crisis. Methods Articles had to meet the criteria of describing pharmacist‐led practice related to providing care to patients at risk of an opioid overdose, with an OUD, or related to opioid safety. The literature search was conducted in 2018 and utilized numerous sources including: OneSearch (EBSCOhost), PubMed, ScienceDirect, and the Journal of the American Pharmacists Association Opioid Topic Collection. Results Seven articles were chosen for inclusion in this review. These studies report on innovative programs and practices that describe the role of pharmacists in the opioid crisis. Studies demonstrate the types of involvement pharmacists have in caring for patients throughout the care continuum: actively engaged in upstream interventions aimed at preventing misuse and improve safety; screening and monitoring opioid prescribing and usage; providing access to naloxone; and, assisting in the recovery and rehabilitation process of patients with OUD, including collaboratively managing OUD with evidence‐based pharmacotherapy. Conclusion The studies included in our narrative review demonstrate how innovative programs and practices can expand the role of pharmacists throughout the entire spectrum of interventions applied to the opioid crisis by capitalizing on their existing skill sets and knowledge.

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Section: Discussionmentioning

confidence: 99%

Pharmacists and the opioid crisis: A narrative review of pharmacists' practice roles

Bratberg

Smothers

Collins

et al. 2019

J Am Coll Clin Pharm

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“…Surgeons may prescribe a large amount of opioid medications after surgery for convenience [1,3,12e15]. Some states have introduced legislation with prescription limits in an attempt to reduce the amount of available opioids for potential diversion and misuse [16]. A 2014 Cochrane review concluded that opioids pose a relatively high risk for long-term dependence and subsequent withdrawal when compared to other pain medications [17].…”

mentioning

confidence: 99%

Factors Associated with a Second Opioid Prescription Fill in Total Knee Arthroplasty

Wise

McCreary

Parikh

et al. 2020

The Journal of Arthroplasty

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“…Some of these initiatives include legislative changes through guideline recommendations in opioid prescribing for chronic, non-cancer pain, acute pain conditions, and prescription monitoring programs (42,67). Research examining these changes have suggested that there is a decrease in opioid prescribing with these measures in place such as using the recommendation of nonsteroidal anti-inflammatory drugs (NSAIDs) over opioids for acute pain (28,(67)(68)(69)(70). These findings in combination with the ever-changing synthetic opioids drug market would suggest that is important to continue to tailor recommendations to fit the everchanging opioid user.…”

Section: Summary Of Evidencementioning

confidence: 99%

Treatment Outcomes in Patients With Opioid Use Disorder Who Were First Introduced to Opioids by Prescription: A Systematic Review and Meta-Analysis

Sanger¹,

Bhatt²,

Singhal³

et al. 2020

Front. Psychiatry

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Objective: Prescription opioid misuse has led to a new cohort of opioid use disorder (OUD) patients who were introduced to opioids through a legitimate prescription. This change has caused a shift in the demographic profile of OUD patients from predominantly young men to middle age and older people. The management of OUD includes medication-assisted treatment (MAT), which produces varying rates of treatment response. In this study, we will examine whether the source of first opioid use has an effect on treatment outcomes in OUD. Using a systematic review of the literature, we will investigate the association between source of first opioid introduction and treatment outcomes defined as continuing illicit opioid use and poly-substance use while in MAT. Methods: Medline, EMBASE, CINHAL, and PsycInfo were searched from inception to December 31 st , 2019 inclusive using a comprehensive search strategy. Five pairs of reviewers conducted screening and data extraction independently in duplicate. The review is conducted and reported according to the PRISMA guidelines. A randomeffects model was used for meta analyses assuming heterogeneity among the included studies. Results: The initial search results in 27,345 articles that were screened, and five observational studies were included in the qualitative and quantitative analyses. Our

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Laws limiting the prescribing or dispensing of opioids for acute pain in the United States: A national systematic legal review

Cited by 159 publications

References 45 publications

Pharmacists and the opioid crisis: A narrative review of pharmacists' practice roles

Pharmacists and the opioid crisis: A narrative review of pharmacists' practice roles

Factors Associated with a Second Opioid Prescription Fill in Total Knee Arthroplasty

Treatment Outcomes in Patients With Opioid Use Disorder Who Were First Introduced to Opioids by Prescription: A Systematic Review and Meta-Analysis

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