Reducing the community-prescribed opioid load: A public health approach to the opioid epidemic

Authors

  • Julia Lew, MS1, BSc
  • Kieran Moore, MD, CCFP(EM), FCFP, MPH, DTM&H, FRCPC

DOI:

https://doi.org/10.5055/jom.2016.0337

Keywords:

opioid, opioid epidemic, public health

Abstract

No abstract

Author Biographies

Julia Lew, MS1, BSc

School of Medicine, Queen’s University, Kingston, Ontario, Canada

Kieran Moore, MD, CCFP(EM), FCFP, MPH, DTM&H, FRCPC

Public Health and Preventive Medicine, Queen’s University, Kingston, Ontario, Canada

References

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Gomes T, Muhammad M, Paterson J, et al.: Trends in highdose opiate prescribing in Canada: Can Fam Physician. 2014 Sept; 60(9): 826-832.

Kingston, Frontenac, Lennox & Addington Public Health Informatics: Ontario Coroner Opioid Death Slides. Available at: http://www.kflaphi.ca/presentations/. Accessed July 4, 2016.

Ballantyne JC, Sullivan MD: Intensity of Chronic Pain—The Wrong Metric? N Engl J Med. 2015; 272(22): 2098-2099.

Canadian Centre on Substance Abuse: Prescription Opioids. Available at: http://www.ccsa.ca/Resource%20Library/CCSACanadian-Drug-Summary-Prescription-Opioids-2015-en.pdf.

Accessed July 4, 2016.

Boscarino JA, Rukstalis MR, Hoffman SN, et al.: Prevalence of prescription opioid-use disorder among chronic pain patients: comparison of the DSM-5 vs. DSM-4 diagnostic criteria: J Addict Dis. 2011; 20(3): 185-94.

Boscarino JA, Rukstalis MR, Hoffman SN, et al.: Risk factors for drug dependence among out-patients on opioid therapy in a large US health-care system: Addiction. 2010; 105(10): 1776-1782.

Volkow N, McLellan T.: Curtailing diversion and abuse of opioid analgesics without jeopardizing pain treatment: J Am Med Assoc. 201; 305(13): 1346-1347.

Rudd RA, Aleshire N, Zibbell JE, et al.: Increases in Drug and Opioid Overdose Deaths—United States, 2000-2014: Morbidity and Mortality Weekly Report. 2016; 64(50): 1878-1882.

Dhalla IA, Mamdani MM, Sivilotti M, et al.: Prescribing of opioid analgesics and related mortality before and after the introduction of long-acting oxycodone: Can Med Assoc J. 2009; 181: 891-896.

Sproule B, Brands B, Li S, et al.: Changing patterns in opioid addiction: Can Fam Physician. 2009. Jan; 55: 68-69.e1-5.

Miller W, Powers K, Smith M, et al.: Community viral load as a measure for assessment of HIV treatment as prevention: Lancet Infect Dis. 2013 May; 13(5): 459-464.

Ministry of Health and Long Term Care. Ontario Health Insurance Plan. Available at: http://www.health.gov.on.ca/en/pro/programs/ohip/bulletins/4000/bul4675_questionsandanswers.aspx. Accessed: August 8, 2016.

College of Physicians and Surgeons of British Columbia. Professional Standards and Guidelines: Safe Prescribing of Drugs with Potential for Misuse/Abuse. Available from: https://www.cpsbc.ca/files/pdf/PSG-Safe-Prescribing.pdf. Accessed: August 8, 2016.

Kingston, Frontenac, Lennox & Addington Public Health Informatics: Ontario Consensus Guidelines on Opioid-Prescribing in Emergency Departments. Available from: http://www.kflaphi.ca/prescription-guidelines/. Accessed: August 8, 2016.

Ontario Association of Chiefs of Police. Patch4Patch Initiative: Fentanyl Abuse Prevention—A Shared Re sponsi bility. Available from: http://www.oacp.on.ca/Userfiles/Files/NewAndEvents/ PublicResourceDocuments/Master%20Patch%204%20Patch-FINAL%202014.pdf. Accessed: August 8, 2016.

Legislative Assembly of Ontario. Bill 33, Safeguarding our Communities Act (Patch for Patch Return Policy). Available from: http://www.ontla.on.ca/web/bills/bills_detail.do?locale=en&Intranet=&BillID=3059, Accessed: August 8, 2016.

Ontario Drug Policy Research Network. Opioid Prescribing and Opioid Related Hospital Visits in Ontairo. Available from: http://odprn.ca/research/research-reports/opioid-prescribingand-hospital-visits/. Accessed:August 8, 2016.

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Published

07/01/2016

How to Cite

Lew, MS1, BSc, J., and K. Moore, MD, CCFP(EM), FCFP, MPH, DTM&H, FRCPC. “Reducing the Community-Prescribed Opioid Load: A Public Health Approach to the Opioid Epidemic”. Journal of Opioid Management, vol. 12, no. 4, July 2016, pp. 281-8, doi:10.5055/jom.2016.0337.

Issue

Section

Letters to the Editor

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