Evaluating Opioid Dispensing Rates among Pediatrics and Young Adults based on CURES Data Reporting in California from 2015-2019.
Evaluating Opioid Dispensing Rates among Pediatrics and Young Adults based on CURES Data Reporting in California from 2015-2019.
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DOI：
10.37901/jcphp20-00012
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发表时间：
2021
影响因子：
--
通讯作者：
Yang S
中科院分区：
文献类型：
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作者：
Phan MT;Wong C;Tomaszewski DM;Kain ZN;Jenkins B;Donaldson C;Fortier M;Yang S
儿童和年轻成人患者接受阿片类药物处方可能是未来阿片类药物滥用的风险因素。来自处方药监测计划的数据提供了对门诊阿片类药物使用的见解。在我们的研究中，我们分析了加州儿科和年轻人的阿片类药物分配率。使用控制使用审查和评价系统数据对2015-2019年进行了二次分析。该数据库提供了加州受控物质的分配数据。按县分析了25岁以下服用阿片类药物的患者。我们进一步将他们分为两组（儿童：≤14岁;青少年和年轻人：15-24岁）。使用描述性统计和热图来说明不同年龄组中阿片类药物使用的趋势。在过去四年中，向25岁以下患者分发类阿片的总体百分比有所下降。2015年，加州58个县中有6个县被认为是“高比率”，超过2.9%的阿片类药物分配给25岁以下的患者; 2019年，这一数字降至零。与年轻人群相比，25岁及以上的患者接受阿片类药物的比例更高; 2019年，35.91%的阿片类药物分配给45-64岁的患者，8.92%分配给25岁以下的患者。近年来，儿科阿片类药物处方有所减少。然而，注意到人口统计县之间处方率的高度变异性。需要进行更多的研究，以了解儿科和年轻成人患者中阿片类药物处方的差异。
Receipt of opioid prescriptions in pediatric and young adult patients may be a risk factor for future opioid misuse. Data from prescription drug monitoring programs provide insight on outpatient opioid use. In our study, we analyzed the opioid dispensing rates for pediatrics and young adults in California. A secondary analysis was performed from 2015–2019 using Controlled Utilization Review and Evaluation System data. This database provides dispensing data of controlled substances in California. Patients younger than 25 years who were prescribed opiates were analyzed by county. We further divided them into two groups (children: ≤14 years; adolescents and young adult: 15–24 years). Descriptive statistics and heat maps were used to illustrate the trends in opioid usage among different age groups. The overall percentages for the number of opioids being dispensed to patients aged <25 years have decreased over the past four years. In 2015, 6 out of 58 counties in California were considered “high-rate” with >2.9% of opioids dispensed to patients younger than 25 years old; in 2019, this number reduced to zero. Patients 25 and older received a higher proportion of opioids compared to younger populations; in 2019, 35.91% of opioids were dispensed to patients 45–64, and 8.92% to patients younger than 25. Pediatric opioid prescriptions have declined over the recent years. However, a high degree of variability of prescription rates between demographic counties was noted. More studies are warranted in order to understand this discrepancy in opioid prescribing among pediatric and young adult patients.