State Legal Restrictions and Prescription-Opioid Use among Disabled Adults
In this analysis of Medicare data and a data set of state laws, adoption of legislation to restrict the prescribing and dispensing of opioid medications was not associated with reductions in potentially hazardous use of opioids among disabled Medicare beneficiaries. States have responded to rising r...
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| Veröffentlicht in: | The New England journal of medicine 2016-07, Vol.375 (1), p.44-53 |
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| container_title | The New England journal of medicine |
| container_volume | 375 |
| creator | Meara, Ellen Horwitz, Jill R Powell, Wilson McClelland, Lynn Zhou, Weiping O'Malley, A. James Morden, Nancy E |
| description | In this analysis of Medicare data and a data set of state laws, adoption of legislation to restrict the prescribing and dispensing of opioid medications was not associated with reductions in potentially hazardous use of opioids among disabled Medicare beneficiaries.
States have responded to rising rates of prescription-opioid overdose by adopting laws that restrict the prescribing and dispensing of controlled substances. In 2010, after the adoption of many new controlled-substance restrictions, rates of prescription-opioid overdose dipped slightly before reaching a historic high in 2014.
1
–
3
The relationship between legal restrictions and prescription-opioid use remains unclear, because previous research evaluated one or two laws, short time periods, or few states.
4
–
6
Comprehensive national analyses of controlled-substance restrictions and prescription-opioid use do not yet exist.
Successful regulation of prescription opioids involves a difficult balance. Well-designed laws may reduce misuse and overdose. However, . . . |
| doi_str_mv | 10.1056/NEJMsa1514387 |
| format | Article |
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States have responded to rising rates of prescription-opioid overdose by adopting laws that restrict the prescribing and dispensing of controlled substances. In 2010, after the adoption of many new controlled-substance restrictions, rates of prescription-opioid overdose dipped slightly before reaching a historic high in 2014.
1
–
3
The relationship between legal restrictions and prescription-opioid use remains unclear, because previous research evaluated one or two laws, short time periods, or few states.
4
–
6
Comprehensive national analyses of controlled-substance restrictions and prescription-opioid use do not yet exist.
Successful regulation of prescription opioids involves a difficult balance. Well-designed laws may reduce misuse and overdose. However, . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMsa1514387</identifier><identifier>PMID: 27332619</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Abuse ; Adult ; Aging ; Analgesics, Opioid - therapeutic use ; Disabled Persons - statistics & numerical data ; Drug abuse ; Drug and Narcotic Control - economics ; Drug and Narcotic Control - legislation & jurisprudence ; Drug overdose ; Drug Overdose - epidemiology ; Drug Prescriptions - statistics & numerical data ; Fee-for-Service Plans ; Female ; Humans ; Male ; Medicare ; Middle Aged ; Morphine ; Narcotics ; Opioids ; Overdose ; Pain ; People with disabilities ; Prescription Drug Misuse - statistics & numerical data ; Prescriptions ; State Government ; State laws ; Therapeutic drug monitoring ; United States - epidemiology ; Young Adult</subject><ispartof>The New England journal of medicine, 2016-07, Vol.375 (1), p.44-53</ispartof><rights>Copyright © 2016 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-cb5b0ebe0fb76eee4cb02746aa38e43f39acddf4f2b853350074a908bcfcf16b3</citedby><cites>FETCH-LOGICAL-c489t-cb5b0ebe0fb76eee4cb02746aa38e43f39acddf4f2b853350074a908bcfcf16b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMsa1514387$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1805280034?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,778,782,883,2748,2749,26086,27907,27908,52365,54047,64366,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27332619$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meara, Ellen</creatorcontrib><creatorcontrib>Horwitz, Jill R</creatorcontrib><creatorcontrib>Powell, Wilson</creatorcontrib><creatorcontrib>McClelland, Lynn</creatorcontrib><creatorcontrib>Zhou, Weiping</creatorcontrib><creatorcontrib>O'Malley, A. James</creatorcontrib><creatorcontrib>Morden, Nancy E</creatorcontrib><title>State Legal Restrictions and Prescription-Opioid Use among Disabled Adults</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>In this analysis of Medicare data and a data set of state laws, adoption of legislation to restrict the prescribing and dispensing of opioid medications was not associated with reductions in potentially hazardous use of opioids among disabled Medicare beneficiaries.
States have responded to rising rates of prescription-opioid overdose by adopting laws that restrict the prescribing and dispensing of controlled substances. In 2010, after the adoption of many new controlled-substance restrictions, rates of prescription-opioid overdose dipped slightly before reaching a historic high in 2014.
1
–
3
The relationship between legal restrictions and prescription-opioid use remains unclear, because previous research evaluated one or two laws, short time periods, or few states.
4
–
6
Comprehensive national analyses of controlled-substance restrictions and prescription-opioid use do not yet exist.
Successful regulation of prescription opioids involves a difficult balance. Well-designed laws may reduce misuse and overdose. However, . . .</description><subject>Abuse</subject><subject>Adult</subject><subject>Aging</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Disabled Persons - statistics & numerical data</subject><subject>Drug abuse</subject><subject>Drug and Narcotic Control - economics</subject><subject>Drug and Narcotic Control - legislation & jurisprudence</subject><subject>Drug overdose</subject><subject>Drug Overdose - epidemiology</subject><subject>Drug Prescriptions - statistics & numerical data</subject><subject>Fee-for-Service Plans</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicare</subject><subject>Middle Aged</subject><subject>Morphine</subject><subject>Narcotics</subject><subject>Opioids</subject><subject>Overdose</subject><subject>Pain</subject><subject>People with disabilities</subject><subject>Prescription Drug Misuse - statistics & numerical data</subject><subject>Prescriptions</subject><subject>State Government</subject><subject>State laws</subject><subject>Therapeutic drug monitoring</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kN9LwzAQx4Mobk4ffZWC-FhNmrRNX4Qx5y-mE3XPIUmvM6NtZtIK_vd2bA734L0c3H343ve-CJ0SfElwnFw9jx-fvCQxYZSne6hPYkpDxnCyj_oYRzxkaUZ76Mj7Be6KsOwQ9aKU0ighWR89vjWygWACc1kGr-AbZ3RjbO0DWefBiwOvnVmuJuF0aazJg5mHQFa2ngc3xktVQh4M87Zs_DE6KGTp4WTTB2h2O34f3YeT6d3DaDgJNeNZE2oVKwwKcKHSBACYVjhKWSIl5cBoQTOp87xgRaR490uMccpkhrnShS5IougAXa91l62qINdQN06WYulMJd23sNKI3U1tPsTcfgmW8ThOok7gfCPg7Gfb_SwWtnV151kQjuOIY0xZR4VrSjvrvYNie4FgsYpe7ETf8Wd_bW3p36w74GINVJUXNSyqf4R-ACSKjEQ</recordid><startdate>20160707</startdate><enddate>20160707</enddate><creator>Meara, Ellen</creator><creator>Horwitz, Jill R</creator><creator>Powell, Wilson</creator><creator>McClelland, Lynn</creator><creator>Zhou, Weiping</creator><creator>O'Malley, A. James</creator><creator>Morden, Nancy E</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>20160707</creationdate><title>State Legal Restrictions and Prescription-Opioid Use among Disabled Adults</title><author>Meara, Ellen ; Horwitz, Jill R ; Powell, Wilson ; McClelland, Lynn ; Zhou, Weiping ; O'Malley, A. James ; Morden, Nancy E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-cb5b0ebe0fb76eee4cb02746aa38e43f39acddf4f2b853350074a908bcfcf16b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abuse</topic><topic>Adult</topic><topic>Aging</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Disabled Persons - statistics & numerical data</topic><topic>Drug abuse</topic><topic>Drug and Narcotic Control - economics</topic><topic>Drug and Narcotic Control - legislation & jurisprudence</topic><topic>Drug overdose</topic><topic>Drug Overdose - epidemiology</topic><topic>Drug Prescriptions - statistics & numerical data</topic><topic>Fee-for-Service Plans</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicare</topic><topic>Middle Aged</topic><topic>Morphine</topic><topic>Narcotics</topic><topic>Opioids</topic><topic>Overdose</topic><topic>Pain</topic><topic>People with disabilities</topic><topic>Prescription Drug Misuse - statistics & numerical data</topic><topic>Prescriptions</topic><topic>State Government</topic><topic>State laws</topic><topic>Therapeutic drug monitoring</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meara, Ellen</creatorcontrib><creatorcontrib>Horwitz, Jill R</creatorcontrib><creatorcontrib>Powell, Wilson</creatorcontrib><creatorcontrib>McClelland, Lynn</creatorcontrib><creatorcontrib>Zhou, Weiping</creatorcontrib><creatorcontrib>O'Malley, A. 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James</au><au>Morden, Nancy E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>State Legal Restrictions and Prescription-Opioid Use among Disabled Adults</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2016-07-07</date><risdate>2016</risdate><volume>375</volume><issue>1</issue><spage>44</spage><epage>53</epage><pages>44-53</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>In this analysis of Medicare data and a data set of state laws, adoption of legislation to restrict the prescribing and dispensing of opioid medications was not associated with reductions in potentially hazardous use of opioids among disabled Medicare beneficiaries.
States have responded to rising rates of prescription-opioid overdose by adopting laws that restrict the prescribing and dispensing of controlled substances. In 2010, after the adoption of many new controlled-substance restrictions, rates of prescription-opioid overdose dipped slightly before reaching a historic high in 2014.
1
–
3
The relationship between legal restrictions and prescription-opioid use remains unclear, because previous research evaluated one or two laws, short time periods, or few states.
4
–
6
Comprehensive national analyses of controlled-substance restrictions and prescription-opioid use do not yet exist.
Successful regulation of prescription opioids involves a difficult balance. Well-designed laws may reduce misuse and overdose. However, . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>27332619</pmid><doi>10.1056/NEJMsa1514387</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2016-07, Vol.375 (1), p.44-53 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4985562 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Abuse Adult Aging Analgesics, Opioid - therapeutic use Disabled Persons - statistics & numerical data Drug abuse Drug and Narcotic Control - economics Drug and Narcotic Control - legislation & jurisprudence Drug overdose Drug Overdose - epidemiology Drug Prescriptions - statistics & numerical data Fee-for-Service Plans Female Humans Male Medicare Middle Aged Morphine Narcotics Opioids Overdose Pain People with disabilities Prescription Drug Misuse - statistics & numerical data Prescriptions State Government State laws Therapeutic drug monitoring United States - epidemiology Young Adult |
| title | State Legal Restrictions and Prescription-Opioid Use among Disabled Adults |
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