Predictors of Safe Prescription Opioid Storage and Participation in Drug Take-Back Events: Results from a Statewide Survey

Broman, Michael J.; Ellis, Jennifer D.; Victor, Grant; Kollin, Rachel; Pasman, Emily; Lister, Jamey J.; Resko, Stella M.

doi:10.1007/s10900-021-00983-4

Cited by 3 publications

(4 citation statements)

References 27 publications

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“…21,46 Published interventions have focused on patient education, [18][19][20][21][22][23][24] provision of drug disposal kits, [25][26][27][28][29][30][31][32]47 and take-back programs. [33][34][35] These initiatives have shown mixed results in trials and generally rely on patient self-report without a mechanism to directly verify opioid removal from the home. To our knowledge, only one other study has evaluated mail return of unused pills.…”

Section: Discussionmentioning

confidence: 99%

“…Although there is agreement about the need for disposal of unused pills, the optimal method is uncertain 21,46 . Published interventions have focused on patient education, 18–24 provision of drug disposal kits, 25–32,47 and take‐back programs 33–35 . These initiatives have shown mixed results in trials and generally rely on patient self‐report without a mechanism to directly verify opioid removal from the home.…”

Section: Discussionmentioning

confidence: 99%

“…Interventions to enhance disposal of unused pills have focused on patient education,, 18–24 provision of drug disposal kits, 25–32 and take‐back programs 33–35 . These endeavors have shown mixed results in trials and are likely insufficient in isolation.…”

Section: Introductionmentioning

confidence: 99%

“…17 Interventions to enhance disposal of unused pills have focused on patient education,, [18][19][20][21][22][23][24] provision of drug disposal kits, [25][26][27][28][29][30][31][32] and take-back programs. [33][34][35] These endeavors have shown mixed results in trials and are likely insufficient in isolation. A more comprehensive solution is needed to promote safe storage and disposal of opioids, with the potential to improve patient comfort with indicated opioid use for postsurgical pain.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of a password‐protected, pill‐dispensing device with mail return capacity to enhance disposal of unused opioids after cancer surgery

Cogan

Accordino

Beauchemin

et al. 2022

Cancer

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Background Opioid misuse is a public health crisis, and unused postoperative opioids are an important source. Although 70% of pills prescribed go unused, only 9% are discarded. This study evaluated whether an inexpensive pill‐dispensing device with mail return capacity could enhance disposal of unused opioids after cancer surgery. Methods A prospective pilot study was conducted among adult patients who underwent major cancer‐related surgery. Patients received opioid prescriptions in a mechanical device (Addinex) linked to a smartphone application (app). The app provided passwords on a prescriber‐defined schedule. Patients could enter a password into the device and receive a pill if the prescribed time had elapsed. Patients were instructed to return the device and any unused pills in a disposal mailer. The primary end point was feasibility of device return, defined as ≥50% of patients returning the device within 6 weeks of surgery. Also explored was total pill use and return as well as patient satisfaction. Results Among 30 patients enrolled, the majority (n = 24, 80%) returned the device, and 17 (57%) returned it within 6 weeks of surgery. In total, 567 opioid pills were prescribed and 170 (30%) were used. Of 397 excess pills, 332 (84% of unused pills, 59% of all pills prescribed) were disposed of by mail. Among 19 patients who obtained opioids from the device, most (n = 14, 74%) felt the benefits of the device justified the added steps involved. Conclusions Use of an inexpensive pill‐dispensing device with mail return capacity is a feasible strategy to enhance disposal of unused postoperative opioids.

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