Format

Send to

Choose Destination
J Am Geriatr Soc. 2016 Sep;64(9):1772-8. doi: 10.1111/jgs.14306. Epub 2016 Aug 3.

New Initiation of Long-Acting Opioids in Long-Stay Nursing Home Residents.

Author information

1
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts.
2
Meyers Primary Care Institute, Worcester, Massachusetts.
3
Department of Family Medicine, Alpert Medical School, Brown University, Memorial Hospital of Rhode Island, Providence, Rhode Island.
4
Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, Rhode Island.
5
Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts. kate.lapane@umassmed.edu.

Abstract

OBJECTIVES:

To estimate the prevalence of new initiation of long-acting opioids since introduction of national efforts to increase prescriber and public awareness on safe use of transdermal fentanyl patches.

DESIGN:

Cross-sectional.

SETTING:

U.S. nursing homes (NHs).

PARTICIPANTS:

Medicare-enrolled long-stay NH residents (N = 22,253).

MEASUREMENTS:

Minimum Data Set 3.0 was linked with Medicare enrollment, hospital claims, and prescription drug transaction data (January-December 2011) and used to determine the prevalence of new initiation of a long-acting opioid prescribed to residents in NHs.

RESULTS:

Of NH residents prescribed a long-acting opioid within 30 days of NH admission (n = 12,278), 9.4% (95% confidence interval = 8.9-9.9%) lacked a prescription drug claim for a short-acting opioid in the previous 60 days. The most common initial prescriptions of long-acting opioids were fentanyl patch (51.9% of opioid-naïve NH residents), morphine sulfate (28.1%), and oxycodone (17.2%).

CONCLUSION:

New initiation of long-acting opioids-especially fentanyl patches, which have been the subject of safety communications-persists in NHs.

KEYWORDS:

analgesics; long-acting opioid; nursing home

PMID:
27487158
PMCID:
PMC5040602
DOI:
10.1111/jgs.14306
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center