Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use Susan L. Calcaterra, MD MPH1,2, Traci E. Yamashita, MS3, Sung-Joon Min, PhD4, Angela Keniston, MSPH2, Joseph W. Frank, MD MPH1,5, and Ingrid A. Binswanger, MD MPH1,6 1

Division of General Internal Medicine, Department of Medicine, University of Colorado Denver School of Medicine, Aurora, CO, USA; 2Division of Hospital Medicine, Department of Medicine, Denver Health Medical Center, Denver, Colorado, USA; 3School of Medicine, Undergraduate Medical Education, University of Colorado Denver School of Medicine, Aurora, CO, USA; 4Division of Health Care Policy and Research, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA; 5VA Eastern Colorado Health Care System, Denver, CO, USA; 6Institute for Health Research, Kaiser Permanente Colorado, Denver, CO, USA.

BACKGROUND: Chronic opioid therapy for chronic pain treatment has increased. Hospital physicians, including hospitalists and medical/surgical resident physicians, care for many hospitalized patients, yet little is known about opioid prescribing at hospital discharge and future chronic opioid use. OBJECTIVE: We aimed to characterize opioid prescribing at hospital discharge among ‘opioid naïve’ patients. Opioid naïve patients had not filled an opioid prescription at an affiliated pharmacy 1 year preceding their hospital discharge. We also set out to quantify the risk of chronic opioid use and opioid refills 1 year post discharge among opioid naïve patients with and without opioid receipt at discharge. DESIGN: This was a retrospective cohort study. PARTICIPANTS: From 1 January 2011 to 31 December 2011, 6,689 opioid naïve patients were discharged from a safety-net hospital. MAIN MEASURE: Chronic opioid use 1 year post discharge. KEY RESULTS: Twenty-five percent of opioid naïve patients (n=1,688) had opioid receipt within 72 hours of discharge. Patients with opioid receipt were more likely to have diagnoses including neoplasm (6.3 % versus 3.5 %, p

Opioid Prescribing at Hospital Discharge Contributes to Chronic Opioid Use.

Chronic opioid therapy for chronic pain treatment has increased. Hospital physicians, including hospitalists and medical/surgical resident physicians,...
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