Doctors Prescribed Opioids With No Clear Reason Almost 30% Of The Time

Desiree Burns
September 13, 2018

Recent data showed that health care providers wrote 259 million prescriptions for opioid pain medication in 2012 alone, which was enough for every adult in the USA, according to the CDC.

"Whatever the reasons, lack of robust documentation undermines our efforts to understand physician prescribing patterns and curtails our ability to stem overprescribing", said study author Tisamarie Sherry, a Harvard Medical School instructor and RAND researcher, in a statement.

A prescription opioid is a common medication used for severe pain and administered to patients following surgery or while undergoing treatment for cancer.

Kirane described the price of poorly documented prescribing viewed in the imagine as "alarming", suggesting that "lax prescribing practices dwell frequent".

Between 1999 and 2016, more than 630,000 people have died from a drug overdose, according to the Centers for Disease Control and Prevention. The remaining 28.5 visits were missing any record of pain or a pain-related condition. So why did his urine test positive for two other drugs - cocaine and hydromorphone, a powerful opioid that doctors had not ordered?

Of those prescriptions, correct over 5 % had been for most cancers-connected disaster and sixty six.four % had been for treating non-most cancers disaster.

The most common noncancer pain diagnoses of patients given opioid prescription are diabetes, osteoarthrosis, back pain, and other chronic pain. On average, 115 Americans die every day from an opioid overdose. Since previous year, more physicians have been cutting back from prescribing opioids, especially to patients who are not diagnosed with acute pain.

Opioid dependence, which accounted for only 2.2% of these diagnoses, can not explain why a doctor failed to give an adequate reason for prescribing addictive painkillers.

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Furthermore, Delgado said given that the study found high-intensity prescriptions were associated with prolonged use not related to the original ankle sprain, the study supports guidelines and policies aimed at reducing the size of new, initial opioid prescriptions.

"It is now more important than ever for physicians to transparently and accurately document their justification for using an opioid so that we can identify and rectify problematic prescribing behavior", Sherry said.

Dr. Robert Glatter is an emergency physician at Lenox Hill Hospital in Fresh York City. He's seen the ravages of opioid addiction firsthand, and believes many cases were avoidable.

How large a role do doctors play in the opioid crisis?

"Are there different which that you might per chance per chance also imagine choices that can also rush, but moreover back cut back dangers for aspect effects, dependence, abuse or misuse?" he stated.

He said even though the paperwork might be time-consuming, it's important for physicians to record their rationale for giving someone an opioid.

Non-opioid medications and different replacement approaches must be thought of, Glatter stated. All of this "requires creativity and taking time to 'think outside the box, ' " he said. "We owe it to our sufferers and their households".

People with opioid use disorder are far more likely to drop out of treatment and relapse if they don't get Food and Drug Administration-approved drug treatment, the researchers noted.

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