دورية أكاديمية
Oral opioid prescribing to active duty US military personnel: a cross-sectional population.
| العنوان: | Oral opioid prescribing to active duty US military personnel: a cross-sectional population. |
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| المؤلفون: | Junge JM; Department of Anesthesiology and Pain Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.; Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.; Naval Biotechnology Group, Naval Medical Center Portsmouth, Portsmouth, VA, USA., Murray H; Family Medicine, US Naval Hospital Jacksonville, Jacksonville, Florida, USA., Goldman AH; Bone & Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA., Booth GJ; Department of Anesthesiology and Pain Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.; Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA.; Naval Biotechnology Group, Naval Medical Center Portsmouth, Portsmouth, VA, USA., Balazs GC; Bone & Joint Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA gcbalazs@gmail.com.; Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA. |
| المصدر: | Regional anesthesia and pain medicine [Reg Anesth Pain Med] 2024 May 07; Vol. 49 (5), pp. 339-345. Date of Electronic Publication: 2024 May 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Country of Publication: England NLM ID: 9804508 Publication Model: Electronic Cited Medium: Internet ISSN: 1532-8651 (Electronic) Linking ISSN: 10987339 NLM ISO Abbreviation: Reg Anesth Pain Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : [London, United Kingdom] : BMJ Original Publication: Secaucus, NJ : Churchill Livingstone, c1998- |
| مواضيع طبية MeSH: | Military Personnel* , Analgesics, Opioid*/administration & dosage , Analgesics, Opioid*/therapeutic use , Drug Prescriptions* , Practice Patterns, Physicians'*/trends, Humans ; Female ; Male ; Adult ; United States/epidemiology ; Cross-Sectional Studies ; Administration, Oral ; Young Adult ; Middle Aged |
| مستخلص: | Introduction: While civilian opioid prescriptions have seen a dramatic decline in recent years, there are few studies investigating trends in opioid prescription in the active duty military population. We evaluated oral opioid prescribing patterns to active duty military personnel in the Military Health System (MHS) from 2017 to 2020 to determine the incidence of opioid prescriptions as well as demographic and military-specific risk factors for receiving an oral opioid prescription. Methods: The MHS Data Repository was queried from 2017 to 2020 to identify all outpatient oral opioid prescriptions to active duty military personnel in August of each year as well as demographic information on the study population. Data were evaluated in a logistic regression model, and ORs of receiving an oral opioid prescription were calculated for each factor. Results: The proportion of active duty military personnel receiving an oral opioid prescription declined from 2.71% to 1.26% (53% relative reduction) over the study period. Within the logistic regression model, female military personnel were significantly more likely to receive opioid prescriptions compared with men, and there was a stepwise increase in likelihood of an opioid prescription with increasing age. Army and Marine personnel, personnel without a history of military deployment and those stationed within the continental USA were significantly more likely to receive an opioid prescription. Discussion: The substantial decrease in oral opioid prescriptions to active duty military personnel mirrors data published in the civilian community. The identified risk factors for receiving an opioid prescription may be potential targets for future interventions to further decrease prescribing. Competing Interests: Competing interests: None declared. ("I am a military service member. This work was prepared as part of my official duties. Title 17 U.S.C. 105 provides that “Copyright protection under this title is not available for any work of the United States Government.” Title 17 U.S.C. 101 defines a United States Government work as a work prepared by a military service member or employee of the United States Government as part of that person’s official duties.") |
| فهرسة مساهمة: | Keywords: Analgesics, Opioid; Epidemiology; Opioid-Related Disorders |
| المشرفين على المادة: | 0 (Analgesics, Opioid) |
| تواريخ الأحداث: | Date Created: 20230728 Date Completed: 20240508 Latest Revision: 20240508 |
| رمز التحديث: | 20240509 |
| DOI: | 10.1136/rapm-2023-104495 |
| PMID: | 37507224 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1532-8651 |
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| DOI: | 10.1136/rapm-2023-104495 |