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Opioid prescribing patterns by drug type: The Pennsylvania experience
Brock K Bakewell1, Chaim Miller2, Matthew Sherman3
1Rothman Orthopaedic Institute Foundation for Opioid Research & Education, Philadelphia, Pennsylvania; Rocky Vista University College of Osteopathic Medicine, Parker, Colorado. ORCID: https://orcid.org/0000-0003-1368-5240.
Journal of Opioid Management
|June 3, 2023
Summary
Pennsylvania
Area of Science:
- Public Health
- Pharmacology
- Health Policy
Background:
- Opioid prescribing patterns are a significant public health concern.
- The implementation of prescription drug monitoring programs (PDMPs) aims to mitigate opioid misuse.
- Understanding the impact of PDMPs on prescribing trends is crucial for evidence-based policy.
Purpose of the Study:
- To evaluate the effect of Pennsylvania's PDMP on opioid prescribing trends.
- To analyze changes in the volume and types of opioid prescriptions from 2016 to 2020.
Main Methods:
- Cross-sectional data analysis of deidentified PDMP data from Pennsylvania (2016-2020).
- Statistical analysis conducted at the Rothman Orthopedic Institute Foundation for Opioid Research & Education.
- Examined changes in opioid prescription volume and drug types.
Main Results:
- Opioid prescriptions decreased by 38% from 2016 to 2020.
- A consistent quarterly decrease of 3.4 ± 1.7% was observed starting Q3 2016.
- Over 700,000 fewer prescriptions were issued in Q1 2020 compared to Q3 2016.
- Oxycodone, hydrocodone, and morphine were the most frequently prescribed opioids.
Conclusions:
- Pennsylvania's PDMP implementation was associated with a significant reduction in overall opioid prescriptions.
- While overall prescribing decreased, the relative proportion of specific opioid types remained similar.
- Fentanyl and hydrocodone prescriptions showed the most substantial decline.
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