Difference between revisions of "Reduce Substance Misuse"
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| − | <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] <div id="toc"> | + | <div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__Return to [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]] <div id="toc"> |
= Table of Contents = | = Table of Contents = | ||
<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Tools_.2B_Resources|Tools + Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div> | <div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Tools_.2B_Resources|Tools + Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div> | ||
= Background = | = Background = | ||
| − | The misuse of opioids has reached epidemic levels in the United States. The Center for Disease Control and Prevention (CDC) reports that between 1999 and 2014, prescription opioid sales in the U.S. have nearly quadrupled. They also estimate that 1 in 5 patients with non-cancer pain are prescribed opioids. < | + | The misuse of opioids has reached epidemic levels in the United States. The Center for Disease Control and Prevention (CDC) reports that between 1999 and 2014, prescription opioid sales in the U.S. have nearly quadrupled. They also estimate that 1 in 5 patients with non-cancer pain are prescribed opioids. <ref>https://www.cdc.gov/drugoverdose/data/prescribing.html</ref> In 2015, there were about 300 million pain prescriptions written. <ref>http://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html</ref> The prevalence of opioid use is so great that in 2015, 97.5 million (36.4%) Americans used prescription pain relievers.<ref>https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm</ref> Americans, who make up about 5% of the worlds population, consume about 80% of the global opioid supply. <ref>http://www.painphysicianjournal.com/current/pdf?article=OTgz&journal=42</ref> High prescription and use rates lead to frightening statistics on the epidemic problem of misuse: |
| | ||
| − | *Approximately 21% - 29% of prescription opioid users misuse < | + | *Approximately 21% - 29% of prescription opioid users misuse <ref>https://www.ncbi.nlm.nih.gov/pubmed/25785523</ref> |
| − | *In 2012, over 5% of the U.S. population aged 12 and above misused opioid pain relievers < | + | *In 2012, over 5% of the U.S. population aged 12 and above misused opioid pain relievers <ref>https://archives.drugabuse.gov/testimonies/2014/americas-addiction-to-opioids-heroin-prescription-drug-abuse</ref> |
| − | *In 2012, there were 16,007 deaths involving prescription opioid misuse and 5,925 involving heroin < | + | *In 2012, there were 16,007 deaths involving prescription opioid misuse and 5,925 involving heroin <ref>https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref> |
| − | *Between 1999 and 2012, the rate of drug-poisoning deaths due to prescription opioids more than tripled, from<br/> 1.4 deaths per 100,000 in 1999 to 5.1 in 2012 < | + | *Between 1999 and 2012, the rate of drug-poisoning deaths due to prescription opioids more than tripled, from<br/> 1.4 deaths per 100,000 in 1999 to 5.1 in 2012 <ref>https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref> |
| − | *From 2005 to 2012, the number of past-year heroin users in the U.S. nearly doubled from 380,000 to 670,000 < | + | *From 2005 to 2012, the number of past-year heroin users in the U.S. nearly doubled from 380,000 to 670,000 <ref>https://archives.drugabuse.gov/testimonies/2014/americas-addiction-to-opioids-heroin-prescription-drug-abuse</ref> |
| − | *Between 1999 and 2012, the rate of drug-poisoning deaths due to heroin nearly tripled, from 0.7 deaths per 100,000 in 1999 to 1.9 in 2012 < | + | *Between 1999 and 2012, the rate of drug-poisoning deaths due to heroin nearly tripled, from 0.7 deaths per 100,000 in 1999 to 1.9 in 2012 <ref>https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref> |
| − | *From 2004 to 2008, the number of emergency department visits related to prescribed opioids increased by 111%. This rate continues to rise < | + | *From 2004 to 2008, the number of emergency department visits related to prescribed opioids increased by 111%. This rate continues to rise <ref>http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf</ref> |
| − | *Estimates show that misuse of opioid pain relievers costs insurance companies $72.5 billion annually for health-care costs <sup class="reference">[ | + | *Estimates show that misuse of opioid pain relievers costs insurance companies $72.5 billion annually for health-care costs <sup class="reference"><ref>[https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm</ref></sup> |
= = | = = | ||
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#[http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf] [11] | #[http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf] [11] | ||
#[https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse [12]] | #[https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse [12]] | ||
| − | </div> </div> </div> </div> </div> </div> </div> </div> | + | </div> </div> </div> </div> </div> </div> </div> </div> </div> |
Revision as of 14:39, 24 October 2019
Return to Opioid Top-Level Strategy Map
Background
The misuse of opioids has reached epidemic levels in the United States. The Center for Disease Control and Prevention (CDC) reports that between 1999 and 2014, prescription opioid sales in the U.S. have nearly quadrupled. They also estimate that 1 in 5 patients with non-cancer pain are prescribed opioids. [1] In 2015, there were about 300 million pain prescriptions written. [2] The prevalence of opioid use is so great that in 2015, 97.5 million (36.4%) Americans used prescription pain relievers.[3] Americans, who make up about 5% of the worlds population, consume about 80% of the global opioid supply. [4] High prescription and use rates lead to frightening statistics on the epidemic problem of misuse:
- Approximately 21% - 29% of prescription opioid users misuse [5]
- In 2012, over 5% of the U.S. population aged 12 and above misused opioid pain relievers [6]
- In 2012, there were 16,007 deaths involving prescription opioid misuse and 5,925 involving heroin [7]
- Between 1999 and 2012, the rate of drug-poisoning deaths due to prescription opioids more than tripled, from
1.4 deaths per 100,000 in 1999 to 5.1 in 2012 [8] - From 2005 to 2012, the number of past-year heroin users in the U.S. nearly doubled from 380,000 to 670,000 [9]
- Between 1999 and 2012, the rate of drug-poisoning deaths due to heroin nearly tripled, from 0.7 deaths per 100,000 in 1999 to 1.9 in 2012 [10]
- From 2004 to 2008, the number of emergency department visits related to prescribed opioids increased by 111%. This rate continues to rise [11]
- Estimates show that misuse of opioid pain relievers costs insurance companies $72.5 billion annually for health-care costs [12]
Scorecard Building
Potential Objective Details
Potential Measures and Data Sources
PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]
| Reviewer | Date | Comments | ||
Sources
- https://www.cdc.gov/drugoverdose/data/prescribing.html [1]
- http://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html [2]
- https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm [3]
- http://www.painphysicianjournal.com/current/pdf?article=OTgz&journal=42 [4]
- https://www.ncbi.nlm.nih.gov/pubmed/25785523 [5]
- https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse  [6]
- https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [7]
- https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [8]
- https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse [9]
- https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm [10]
- http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf [11]
- https://www.drugabuse.gov/about-nida/legislative-activities/testimony-to-congress/2016/americas-addiction-to-opioids-heroin-prescription-drug-abuse [12]
- ^ https://www.cdc.gov/drugoverdose/data/prescribing.html
- ^ http://www.cnbc.com/2016/04/27/americans-consume-almost-all-of-the-global-opioid-supply.html
- ^ https://www.samhsa.gov/data/sites/default/files/NSDUH-FFR2-2015/NSDUH-FFR2-2015.htm
- ^ http://www.painphysicianjournal.com/current/pdf?article=OTgz&journal=42
- ^ https://www.ncbi.nlm.nih.gov/pubmed/25785523
- ^ https://archives.drugabuse.gov/testimonies/2014/americas-addiction-to-opioids-heroin-prescription-drug-abuse
- ^ https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm
- ^ https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm
- ^ https://archives.drugabuse.gov/testimonies/2014/americas-addiction-to-opioids-heroin-prescription-drug-abuse
- ^ https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm
- ^ http://www.ashp.org/DocLibrary/AJHP/Opioid-abuse-and-misuse.pdf
- ^ [https://www.cdc.gov/nchs/data/hestat/drug_poisoning/drug_poisoning.htm
