Increase in Fatal Poisonings Involving Opioid Analgesics in the United States, 1999-2006

Warner, Margaret; Chen, Lee-hwa; Makuc, Diane M.

doi:10.1037/e665272010-001

Cited by 302 publications

(330 citation statements)

References 6 publications

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“…We expanded our sample to include any opioid users, to reflect a recent upward trend of overdose among users of prescription-type opioids. 2,3,36,37 Though prescription-type opioid use was not independently associated with nonfatal overdose in our sample, it would be worthwhile to explore this association in future studies.…”

Section: G001mentioning

confidence: 77%

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Risk Factors for Nonfatal Overdose at Seattle-Area Syringe Exchanges

et al. 2011

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Opioid-involved overdose deaths are on the rise, both nationwide and in the state of Washington. In a survey of 443 participants at syringe exchanges in Seattle, Washington, 16% had overdosed in the last year. Several factors were significantly associated in bivariate analysis: lack of permanent housing; incarceration of five or more days in the past year; gender of sex partners; sharing of syringes and other injection paraphernalia; use of speedballs (cocaine and heroin together), goofballs (methamphetamine and heroin together), buprenorphine; injection use of crack cocaine and sedatives; and use of opioids with sedatives. Adjusting for other variables in multivariate logistic regression analyses, only recent incarceration and sharing of injection materials were still significantly associated with overdose. Correctional facilities, syringe exchange programs, and other agencies serving opioid injectors should include overdose prevention components in release planning and services.

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Section: G001mentioning

confidence: 77%

“…[1][2][3] In 2005, the state of Washington had the 13th highest rate of unintentional and "undetermined intent" drug overdose deaths in the country. 4 As the most populous county in Washington, King County is home to Seattle and more overdoses than any other county in the state.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors for Nonfatal Overdose at Seattle-Area Syringe Exchanges

et al. 2011

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“…Analysis of data on opioid-related overdose deaths suggests that the majority of opioid-related overdoses involve coingestion of other drugs, most commonly sedative medications [21]. Combining opioid and sedative medications may also increase risk of accidents [22].…”

Section: Risky Sedative Coprescriptionmentioning

confidence: 99%

Measurement of adherence to clinical practice guidelines for opioid therapy for chronic pain

Midboe

Lewis

Paik

et al. 2011

Behav. Med. Pract. Policy Res.

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The safe and effective prescribing of opioid therapy for chronic pain has become a significant health care priority over the last several years. Substantial research has focused on patient-oriented interventions toward preventing problematic use, but provider and system level factors may be more amenable to quality improvement approaches. Here, we outline administrative data-based metrics that are intended to assess adherence to key practices outlined in the 2010 Department of Veterans Affairs/Department of Defense Clinical Practice Guideline for management of opioid therapy for chronic pain. In addition to the metrics, we discuss their development process, which was done in consultation with experts on chronic opioid therapy.

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“…Misuse or abuse of prescription drugs, including opioid-analgesic pain relievers, is responsible for much of the recent increase in drug-poisoning deaths (2). This report highlights trends in drug-poisoning deaths involving opioid analgesics (referred to as opioid-analgesic poisoning deaths) and updates previous Data Briefs on this topic (1,3).…”

mentioning

confidence: 99%