Measuring Relationships Between Proactive Reporting State-level Prescription Drug Monitoring Programs and County-level Fatal Prescription Opioid Overdoses
Conclusions: State adoption of PDMPs was associated with fewer PO deaths overall while proactive PDMPs alone were associated with fewer deaths related to natural/semisynthetic opioids and methadone, the specific targets of these programs. See video abstract at, http://links.lww.com/EDE/B619.
Death certificates used in federal counts of drug deaths don't capture those who die due to drug use, but didn't overdose, creating an undercount, according to U Penn and Georgetown researchers.
Nonmedical use of prescription opioids (NUPO) among adolescents is decreasing. However, given the evolving epidemiology of the drug overdose epidemic as well as the association between NUPO and heroin use, NUPO in adolescents is still an important issue. Understanding interrelationships between NUPO and illicit opioid use in adolescents can inform prevention efforts. The purpose of this study is to present the magnitude of the drug overdose problem in adolescents and understand heroin use and injection drug use (IDU) in the context of NUPO.
The opioid epidemic has hit rural West Virginia hard, one school created the "life and recovery coach academy" to educate students on administering opioid overdose reversal medications and on how to help those struggling with substance use disorders.
Occurring against the backdrop of an overdose crisis, stimulant use and stimulant-involved deaths in North America are increasing at an alarming rate. Many of these deaths are being attributed to fentanyl and ...
In response to the opioid epidemic, naloxone distribution programs aim to prevent overdose death by making naloxone available and training people to use it. Peers of individuals at risk of opioid overdose are ...
CONCLUSION: Wastewater-based epidemiology with smart sewer selection and robotic wastewater collection is feasible to detect the presence of specific opioids, naloxone, methadone, and buprenorphine within a city. These results suggest that wastewater epidemiology could be used to detect patterns of opioid exposure and may ultimately provide information for opioid use disorder (OUD) treatment and harm reduction programs. PMID: 31919800 [PubMed - as supplied by publisher]
A new consensus report from the National Academies of Sciences, Engineering, and Medicine aims to address the US epidemic of opioid misuse and overdose while ensuring effective pain management.Medscape Medical News
Conclusion: The data validate the hypothesis that the fentanyl epidemic has affected Jefferson Parish in southeast Louisiana. PMID: 31903054 [PubMed]
This study used a national claims database's billing codes to identify patients in the outpatient setting with a new encounter for isolated low back pain following a 1-year look-back period. The primary outcome was whether an opioid prescription was filled within 30 days after the encounter. Patients with a daily morphine milligram equivalence (MME/day) known to be associated with a higher risk of overdose were also analyzed. Results: A total of 418,565 patients between January 1, 2011 and November 30, 2016 were included. The proportion of patients with filled opioid prescriptions declined significantly between 2011 and 2016 (P
This article describes the current state of research focusing on prescription opioid misuse (POM) among adolescents and emerging adults (A/EAs) in the U.S. Given the rapidly changing nature of the opioid epidemic, we applied PRISMA Scoping Review (PRISMA-ScR) guidelines to identify empirical articles published in the past 5 years (January 2013–September 2018) from nine databases examining POM among A/EAs (ages 10–25) in the U.S. Seventy-six articles met our inclusion criteria focusing on POM in the following areas: cross-sectional surveys (n = 60), longitudinal cohort studies (n = 5), objective, non-s...