Overprescribing of opioids to adults by dentists in the US, 2011–2015
American Journal of Preventive Medicine Feb 08, 2020
Suda KJ, Zhou J, Rowan SA, et al. - Given that dentists prescribe 1 in 10 opioid prescriptions in the US, and prescribing low-dose opioids for a short duration, when opioids are required, is advised by national guidelines, so, researchers undertook this cross-sectional study to evaluate the appropriate prescribing of opioids by dentists prior to the implementation of the guideline. For this purpose, they used the Truven Health MarketScan Research Databases and analyzed a population-based sample of 542,958 US commercial dental patient visits between 2011 and 2015. They noted that between 1 in 4 and 1 in 2 opioids prescribed to adult dental patients were overprescribed. Inappropriate opioid prescribing was most likely to be seen in patients aged 18–34 years, men, patients living in the Southern US, and those taking oxycodone. During the study span, a rise was evident in the proportion of opioids that exceed the suggested morphine equivalents, whereas no alteration was evident for opioids exceeding the recommended days’ supply. These findings call for judicious opioid-prescribing interventions that are tailored to oral health conditions and dentists.
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