Physicians and other medical providers modestly reduced the volume of opioids they prescribed after being told one of their patients had died of an overdose, according to research published Thursday.
鈥淵ou can hear a lot of statistics about the crisis,鈥 said Jason Doctor, lead author of the study, published Thursday in the journal Science. 鈥淏ut it always feels like it is happening elsewhere if you are not aware of any deaths in your own practice.鈥
The research included more than 800 clinicians 鈥 doctors, nurse practitioners, physician assistants and dentists 鈥 comparing those who received a from the medical examiner about a patient鈥檚 death and those who didn鈥檛. The ones who knew about the overdose death cut the overall volume of opioids they prescribed by almost 10 percent over three months, while those who didn鈥檛 know prescribed roughly the same amount as before.
The study shows that awareness and education can change prescribing behavior, said Doctor, a director at University of Southern California鈥檚 Schaeffer Center for Health Policy & Economics. The modest size of the reduction among those who were notified of a death suggests 鈥渢hat clinicians exercised greater caution with opioids rather than abandoning use,鈥 according to the study.
The providers in the study who were informed about patients鈥 deaths were also 7 percent less likely to start new patients on opioids.
The letter did not blame providers for the deaths but showed that authorities were paying attention, according to the study.
鈥淲e were providing them with important information and also giving them a way to make things better by changing prescribing,鈥 Doctor said. 鈥淎nyone who got the letter could continue to prescribe as much as they wanted, but we found that they didn鈥檛. They became more judicious prescribers.鈥
roughly double the number 14 years earlier, according to the National Institute on Drug Abuse. Most of that increase occurred from 2002 to 2011, and the numbers have been relatively stable since then, according to the NIDA.
Meanwhile, of opioids are declining, and health officials are seeking ways to accelerate the trend.
The study did not measure whether the letters from the medical examiner or the changes in prescribing patterns had any effect on patient deaths.
Across the country, have been accused of overprescribing opioids and have even faced charges related to patient overdose deaths. In an effort to better track prescribing patterns, states have started prescription drug monitoring databases.
The CDC recommends that providers avoid opioids if possible, but if they are necessary, they should start with the lowest effective dose.
麻豆女优 Health News' coverage in California is supported in part by .
