Opioid Prescribing to Adolescents in the United States From 2005 to 2016
Opioid Prescribing to Adolescents in the United States From 2005 to 2016
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DOI：
10.1176/appi.ps.201700562
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发表时间：
2018-09-01
影响因子：
3.8
通讯作者：
Mark, Tami L.
中科院分区：
文献类型：
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作者：
Henke, Rachel Mosher;Tehrani, Ali Bonakdar;Mark, Tami L.
目的：本研究评估了使用商业保险和Medicaid的青少年所开阿片类药物处方的日供应趋势。方法：使用IBM MarketScan商业和Medicaid药房索赔数据来测量青少年的日供应（2005-2016），并确定是否有商业保险或医疗补助覆盖的患者之间的差异。2-3天的供应量从50.5%（2005年）下降到36.7%（2016年），而4-5天的供应量从30.2%上升到37.7%。6-7日龄和8-15日龄的填充量略有增加。超过30天的填充量保持在0.0%附近，一天填充量保持在1.0-2.0%，直到2016年，当它们增加到3.6%结论：对于青少年，处方阿片类药物的填充量通常超过三天。通过指南、处方药监测计划和限制天数供应来减少阿片类药物处方的努力似乎并没有像预期的那样影响青少年的处方。
Objective: This study assessed trends in days' supply for opioid prescriptions filled by adolescents with commercial insurance and Medicaid.Methods: IBM MarketScan commercial and Medicaid pharmacy claims data were used to measure days' supply among adolescents (2005-2016) and to determine whether there were differences between patients with commercial insurance or Medicaid coverage.Results: The 2-3 days' supply decreased from 50.5% (2005) to 36.7% of fills (2016), while 4-5 days' supply increased from 30.2% to 37.7%. Fills of 6-7 and 8-15 days increased slightly. Fills of over 30 days remained near 0.0%, and one-day fills remained at 1.0-2.0% until 2016, when they increased to 3.6%Conclusions: For adolescents, fills of prescription opioids generally exceeded three days. Efforts to reduce opioid prescribing through guidelines, prescription drug monitoring programs, and limits on days' supply do not appear to have affected prescribing for adolescents as much as desired.