基于2015-2019年加州CURES数据报告评估儿科和年轻人阿片类药物配药率

Journal of Contemporary Pharmacy Practice Pub Date : 2021-01-01 Epub Date: 2021-03-03 DOI:10.37901/jcphp20-00012
Michael T Phan, Courtney Wong, Daniel M Tomaszewski, Zeev N Kain, Brooke Jenkins, Candice Donaldson, Michelle Fortier, Sun Yang
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引用次数: 1

摘要

背景:儿科和年轻成人患者接受阿片类药物处方可能是未来阿片类药物滥用的一个危险因素。来自处方药监测项目的数据提供了门诊阿片类药物使用的洞察力。在我们的研究中,我们分析了加利福尼亚州儿科和年轻人的阿片类药物配药率。方法:对2015-2019年的受控利用审查与评价系统数据进行二次分析。此数据库提供加州管制物质的配药数据。按县对25岁以下服用阿片类药物的患者进行分析。我们进一步将其分为两组(儿童:≤14岁;青少年和青年:15-24岁)。描述性统计数据和热图用于说明不同年龄组阿片类药物使用的趋势。结果:25岁以下患者使用阿片类药物的比例为2.9%;2019年,这一数字降至零。与年轻人群相比,25岁及以上的患者接受阿片类药物的比例更高;2019年,45.91%的阿片类药物分配给了45-64岁的患者,8.92%分配给了25岁以下的患者。结论:儿童阿片类药物处方近年来有所下降。但是,注意到人口县之间处方率的高度差异。为了了解小儿和年轻成人患者阿片类药物处方的差异,需要进行更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating Opioid Dispensing Rates among Pediatrics and Young Adults based on CURES Data Reporting in California from 2015-2019.

Background: Receipt of opioid prescriptions in pediatric and young adult patients may be a risk factor for future opioid misuse. Data from prescription drug monitoring programs provide insight on outpatient opioid use. In our study, we analyzed the opioid dispensing rates for pediatrics and young adults in California.

Methods: A secondary analysis was performed from 2015-2019 using Controlled Utilization Review and Evaluation System data. This database provides dispensing data of controlled substances in California. Patients younger than 25 years who were prescribed opiates were analyzed by county. We further divided them into two groups (children: ≤14 years; adolescents and young adult: 15-24 years). Descriptive statistics and heat maps were used to illustrate the trends in opioid usage among different age groups.

Results: The overall percentages for the number of opioids being dispensed to patients aged <25 years have decreased over the past four years. In 2015, 6 out of 58 counties in California were considered "high-rate" with >2.9% of opioids dispensed to patients younger than 25 years old; in 2019, this number reduced to zero. Patients 25 and older received a higher proportion of opioids compared to younger populations; in 2019, 35.91% of opioids were dispensed to patients 45-64, and 8.92% to patients younger than 25.

Conclusion: Pediatric opioid prescriptions have declined over the recent years. However, a high degree of variability of prescription rates between demographic counties was noted. More studies are warranted in order to understand this discrepancy in opioid prescribing among pediatric and young adult patients.

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