Trends in Opioid Analgesic-Prescribing Rates by Specialty, US, 2007-2012
Trends in Opioid Analgesic-Prescribing Rates by Specialty, US, 2007-2012
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DOI：
10.1016/j.amepre.2015.02.020
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发表时间：
2015-09-01
影响因子：
5.5
通讯作者：
Jones, Christopher M.
中科院分区：
文献类型：
--
作者：
Levy, Benjamin;Paulozzi, Leonard;Jones, Christopher M.
简介：阿片类镇痛药处方正在推动药物过量的趋势，但人们对医学专业的处方模式知之甚少。我们进行这项研究的目的是考察医学专业随时间推移的阿片类药物处方模式。方法：IMS Health 的国家处方审计 (NPA) 估计了 2007 年至 2012 年美国每年开出的药物处方数量。为了便于分析，我们按执业类型对 NPA 处方者专业数据进行分组，并按专业测量了总处方和阿片类药物处方的分布。我们计算了阿片类药物占所有处方的百分比，并评估了 2007 年至 2012 年期间按专业划分的比例变化。该分析于 2013 年进行。 结果：2012 年，美国药房和长期护理机构发放了 42 亿张处方，其中 2.89 亿张（6.8%）为阿片类药物。初级保健专业占所有阿片类药物处方的近一半。疼痛医学专家的阿片类药物处方率最高（48.6%）；手术（36.5%）；和物理医学/康复（35.5%）。 2007 年至 2010 年期间，阿片类药物处方率有所上升，但此后随着大多数专科减少阿片类药物使用而趋于平稳。 2007 年至 2012 年期间，物理医学/康复专家的阿片类药物处方率增幅最大（+12.0%）。阿片类药物处方率下降幅度最大的领域是急诊科 (-8.9%) 和牙科 (-5.7%)。 结论：数据表明 2007 年至 2012 年期间美国各医学专业的阿片类药物处方趋势存在差异。单独参与医学专业对于持续改进安全有效的疼痛治疗至关重要。由爱思唯尔公司代表《美国预防医学杂志》出版
Introduction: Opioid analgesic prescriptions are driving trends in drug overdoses, but little is known about prescribing patterns among medical specialties. We conducted this study to examine the opioid-prescribing patterns of the medical specialties over time.Methods: IMS Health's National Prescription Audit (NPA) estimated the annual counts of pharmaceutical prescriptions dispensed in the U.S. during 2007-2012. We grouped NPA prescriber specialty data by practice type for ease of analysis, and measured the distribution of total prescriptions and opioid prescriptions by specialty. We calculated the percentage of all prescriptions dispensed that were opioids, and evaluated changes in that rate by specialty during 2007-2012. The analysis was conducted in 2013.Results: In 2012, U.S. pharmacies and long-term care facilities dispensed 4.2 billion prescriptions, 289 million (6.8%) of which were opioids. Primary care specialties accounted for nearly half of all dispensed opioid prescriptions. The rate of opioid prescribing was highest for specialists in pain medicine (48.6%); surgery (36.5%); and physical medicine/rehabilitation (35.5%). The rate of opioid prescribing rose during 2007-2010 but leveled thereafter as most specialties reduced opioid use. The greatest percentage increase in opioid-prescribing rates during 2007-2012 occurred among physical medicine/rehabilitation specialists (+12.0%). The largest percentage drops in opioid-prescribing rates occurred in emergency medicine (-8.9%) and dentistry (-5.7%).Conclusions: The data indicate diverging trends in opioid prescribing among medical specialties in the U.S. during 2007-2012. Engaging the medical specialties individually is critical for continued improvement in the safe and effective treatment of pain. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine