The Economic Burden of Opioid-Related Poisoning in the United States

Inocencio, Timothy J.; Carroll, Norman V.; Read, Edward; Holdford, David A.

doi:10.1111/pme.12183

Cited by 95 publications

(60 citation statements)

References 27 publications

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“…A final group of 16 publications were selected for inclusion in the report. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] The two primary reasons for exclusion were an abuse treatment focus (15) and lack of cost data (12). A CASP checklist was completed for these 16 publications to assess quality.…”

Section: Resultsmentioning

confidence: 99%

“…During the period included in this systematic review, three publications 11,13,14 14 The costs of opioid misuse and abuse are significant. In this review, we found the highest mean annual costs per opioid abuser were among the publicly funded programs: VA population ($28,882; 1 study), followed by the Medicaid population ($25,140; 2 studies) and commercial population ($22,916; 5 studies).…”

Section: Societal Costsmentioning

confidence: 99%

See 1 more Smart Citation

Economic Burden of Prescription Opioid Misuse and Abuse: A Systematic Review

Oderda

Lake

Rüdell

et al. 2015

Journal of Pain & Palliative Care Pharmacotherapy

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A 2009 systematic review found that the total cost of prescription opioid abuse in 2001 in the United States was approximately $8.6 billion and medical expenses were estimated to be $15,884 for opioid abusers and $1,830 for nonabusers. A search was conducted for English publications on the cost of prescription opioid abuse and misuse from 2009 to 2014. The initial literature search identified 5,412 citations. Title and abstract review selected 59 for further review. The final review process resulted in 16 publications for inclusion that examined cost from the payer perspective. Mean costs to the payer for abusers were $23,000-$25,000 per year and excess costs approximately $15,000 per patient. Three papers were identified that presented societal costs, including direct and indirect costs such as criminal justice costs and costs associated with lost productivity. The strongest evidence suggests that societal cost is in excess of $50 billion per year in the United States. Prescription opioid abuse and misuse is a common and important problem throughout the world that has significant associated societal costs and excess medical costs.

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Section: Resultsmentioning

confidence: 99%

Section: Societal Costsmentioning

confidence: 99%

Economic Burden of Prescription Opioid Misuse and Abuse: A Systematic Review

Oderda

Lake

Rüdell

et al. 2015

Journal of Pain & Palliative Care Pharmacotherapy

View full text Add to dashboard Cite

show abstract

“…CDC searched for evidence on opioid therapy compared with other treatments; costs of misuse, abuse, and overdose from prescription opioids; and costs of specific risk mitigation strategies (e.g., urine drug testing). Yearly direct and indirect costs related to prescription opioids have been estimated (based on studies published since 2010) to be $53.4 billion for nonmedical use of prescription opioids (170); $55.7 billion for abuse, dependence (i.e., opioid use disorder), and misuse of prescription opioids (171); and $20.4 billion for direct and indirect costs related to opioid-related overdose alone (172). In 2012, total expenses for outpatient prescription opioids were estimated at $9.0 billion, an increase of 120% from 2002 (173).…”

Section: Resource Allocationmentioning

confidence: 99%

CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016

Haegerich²,

2016

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“…Although poisoning is the most common cause of attempted self-harm [2], the majority of poisonings are unintentional [1]. In particular, rates of opioid poisoning and associated mortality have increased in the last three decades, making up approximately 40 % of drugrelated deaths and contributing to the overall healthcare and human costs of these poisonings [1,3].…”

Section: Introductionmentioning

confidence: 99%

Trends in Emergency Department Resource Utilization for Poisoning-Related Visits, 2003–2011

et al. 2016

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In recent years, there has been an increase in poisoning-related emergency department (ED) visits. This study examines trends in ED resource utilization for poisoning-related visits over time. A retrospective review of data from the National Hospital Ambulatory Medical Care Survey, 2003-2011, was conducted. All ED visits with a reason for visit or ICD-9 code related to poisoning were included. We examined the number of ED visits and resources used including diagnostic studies and procedures performed, medications provided, admission rates, and length of stay. The proportion of visits involving resource use was tabulated and trends analyzed using survey-weighted logistic regression, grouping into 2-year periods to ensure adequate sample size. Of an estimated 843 million ED visits between 2003 and 2011, 8 million (0.9 %) were related to poisoning. Visits increased from 1.8 million (0.8 %) visits in [2003][2004] to 2.9 million (1.1 %) visits in 2010-2011, p = 0.001. Use of laboratory studies, EKGs, plain radiographs, and procedures remained stable across the study period. CT use was more than doubled, increasing from 5.2 to 13.7 % of visits, p = 0.001. ED length of stay increased by 35.5 % from 254 to 344 min, p = 0.001. Admission rates increased by 45.3 %, from 15.0 to 21.8 %, p = 0.046. Over the entire study period, 52.0 % of poisoned patients arrived via ambulance, and 3.0 % of patients had been discharged from the hospital within the previous 7 days. Poisoning-related ED visits increased over the 8-year study period; poisonings are resource-intensive visits and require increasingly longer lengths of ED stay or hospital admission.

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The Economic Burden of Opioid-Related Poisoning in the United States

Cited by 95 publications

References 27 publications

Economic Burden of Prescription Opioid Misuse and Abuse: A Systematic Review

Economic Burden of Prescription Opioid Misuse and Abuse: A Systematic Review

CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016

Trends in Emergency Department Resource Utilization for Poisoning-Related Visits, 2003–2011

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