However, no reduction observed in prescribed opioid quantity<\/p>\n<\/h3>\n
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THURSDAY, Jan. 20, 2022 (HealthDay News) — Most emergency department interventions aimed at cutting opioid prescribing cut the prescription rate but not the prescribed opioid quantity, according to a review published online Jan. 13 in JAMA Network Open<\/em>.<\/p>\n Raoul Daoust, M.D., from Le Centre Int \u00a9gr \u00a9 Universitaire de Sant \u00a9 et de Services Sociaux du Nord-de-l \u008ele de-Montr \u00a9al, and colleagues conducted a systematic literature review to identify intervention studies aimed at reducing opioid prescriptions at emergency department discharge.<\/p>\n Based on 45 studies included in the meta-analysis, the researchers found a statistically significant reduction in the opioid prescription rate for both interrupted time series (ITS; six-month step change, \u00e2\u0088\u009222.61 percent) and other study designs (odds ratio, 0.56). ITS studies showed no significant reduction in prescribed opioid quantities (six-month step change, \u00e2\u0088\u00928.64 percent), but there was a small, significant reduction in other study designs (standardized mean difference, \u00e2\u0088\u00920.30). Education, policies, and guideline interventions were better at reducing the opioid prescription rate in ITS studies (six-month step change, \u00e2\u0088\u009233.31 percent) versus prescription drug monitoring programs and laws (six-month step change, \u00e2\u0088\u009211.18 percent). Prescribed opioid quantities were not reduced by most intervention categories.<\/p>\n “Novel interventions are needed to reduce the quantity of opioids per prescription by emergency department physicians while evaluating their associations with patient-centered outcomes,” the authors write.<\/p>\n Abstract\/Full Text<\/a><\/p>\n