State prescribing cap laws' association with opioid analgesic prescribing and opioid overdose.
State prescribing cap laws' association with opioid analgesic prescribing and opioid overdose.
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DOI：
10.1016/j.drugalcdep.2022.109626
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发表时间：
2022-11-01
影响因子：
4.2
通讯作者：
McGinty, Emma E.
中科院分区：
文献类型：
--
作者：
Tormohlen, Kayla N.;McCourt, Alex D.;Schmid, Ian;Stone, Elizabeth M.;Stuart, Elizabeth A.;Davis, Corey;Bicket, Mark C.;McGinty, Emma E.
为了应对阿片类药物处方在美国阿片类药物危机中的作用，各州颁布了旨在遏制高风险阿片类药物处方做法的法律。这项研究评估了限制阿片类药物处方剂量和/或持续时间的州处方上限法对阿片类药物处方模式和阿片类药物过量的影响。我们从美国大型行政保险索赔数据库中识别出 1,414,908 名成年人。治疗州包括 32 个在 2017 年至 2019 年期间实施了处方上限法的州。比较州包括 16 个州和华盛顿特区，到 2019 年尚未制定处方上限法。采用交错政策采用的双重差分法来评估这些法律对阿片类镇痛药处方和阿片类药物过量的影响。州阿片类药物处方上限法与接受阿片类药物镇痛处方的人数比例、阿片类药物处方的剂量或持续时间或阿片类药物过量的变化无关。法律仅规定天数供应限制与天数供应和剂量限制以及具体法律规定的州也显示与阿片类药物处方或阿片类药物过量结果无关。州阿片类药物处方上限法似乎并未影响与阿片类药物镇痛处方或阿片类药物过量相关的结果。这些发现可能是由于这些法律的范围有限，通常仅适用于阿片类药物处方的一部分，并包括专业判断豁免。
In response to the role of opioid prescribing in the U.S. opioid crisis, states have enacted laws intended to curb high risk opioid prescribing practices. This study assessed the effects of state prescribing cap laws that limit the dose and/or duration of dispensed opioid prescriptions on opioid prescribing patterns and opioid overdose. We identified 1,414,908 adults from a large U.S. administrative insurance claims database. Treatment states included 32 states that implemented a prescribing cap law between 2017 and 2019. Comparison states included 16 states and DC without a prescribing cap law by 2019. A difference-in-differences approach with staggered policy adoption was used to assess effects of these laws on opioid analgesic prescribing and opioid overdose. State opioid prescribing cap laws were not associated with changes in the proportion of people receiving opioid analgesic prescriptions, the dose or duration of opioid prescriptions, or opioid overdose. States with laws that imposed days’ supply limits only versus days’ supply and dosage limits, as well as with specific law provisions also showed no association with opioid prescribing or opioid overdose outcomes. State opioid prescribing cap laws did not appear to impact outcomes related to opioid analgesic prescribing or opioid overdose. These findings are potentially due to the limited scope of these laws, which often apply only to a subset of opioid prescriptions and include professional judgment exemptions.
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影响因子：
6
作者：
Davis, Corey S.;Lieberman, Amy Judd
通讯作者：
Lieberman, Amy Judd
影响因子：
6.3
作者：
Goodman-Bacon, Andrew
通讯作者：
Goodman-Bacon, Andrew
影响因子：
13.8
作者：
Lee B;Zhao W;Yang KC;Ahn YY;Perry BL
通讯作者：
Perry BL
影响因子：
2.6
作者：
Green, Carla A.;Perrin, Nancy A.;Coplan, Paul M.
通讯作者：
Coplan, Paul M.
影响因子：
2
作者：
Heins, Sara E.;Sorbero, Mark J.;Stein, Bradley D.
通讯作者：
Stein, Bradley D.