Effect of a Veterans Health Administration Mandate to Case Review Patients with Opioid Prescriptions on Mortality among Patients with Opioid Use Disorder: A Secondary Analysis of the STORM Randomized Control Trial

Original research
par
Auty, Samantha G. et al

Date de publication

2022

Géographie

USA

Langue de la ressource

English

Texte disponible en version intégrale

Non

Open Access / OK to Reproduce

Non

Évalué par des pairs

Yes

L’objectif

The Veterans Health Administration (VHA) implemented the Stratification Tool for Opioid Risk Mitigation (STORM) to reduce the risk of serious adverse events (SAE) among patients with opioid analgesic prescriptions. VHA facilities were mandated to case review patients identified as high-risk by STORM. The aim of this study was to measure the effect of this mandate on all-cause mortality and SAEs among VHA patients newly-diagnosed with opioid use disorder (OUD).

Constatations/points à retenir

Veterans Health Administration patients newly-diagnosed with opioid use disorder experienced increased all-cause mortality following expansion of a case-review mandate for high-risk patients prescribed opioids.

La conception ou méthodologie de recherche

Secondary analysis of a stepped-wedged cluster randomized controlled trial

Mots clés

Outcomes
Mortality
Policy/Regulatory
About PWUD
About prescribers