By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    benefits of using protein powder to build muscles
    Protein Powder for Muscle Mass: Everything You Need to Know
    December 12, 2021
    changes brought on by blockchain in healthcare
    Technology In The Healthcare Industry
    March 28, 2022
    What Does Core Body Temperature Say About Health?
    August 17, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    FDA Approves Diabetes Pill
    May 2, 2011
    Patient Gets Drunk on Hand Sanitizer
    June 20, 2011
    Cultivating Health Improvement
    July 20, 2011
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Are Prescription Painkillers Over-Prescribed to Non-Surgical Patients?
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Public Health > Are Prescription Painkillers Over-Prescribed to Non-Surgical Patients?
Policy & LawPublic HealthSpecialties

Are Prescription Painkillers Over-Prescribed to Non-Surgical Patients?

Susan Scutti
Last updated: November 18, 2013 9:00 am
Susan Scutti
Share
6 Min Read
opioid meds overprescribed
SHARE

opioid meds overprescribedAlthough many types of prescription drugs are abused, the most frequent and deadliest candidates for misuse are prescription painkillers, also known as opioid pain relievers.

opioid meds overprescribedAlthough many types of prescription drugs are abused, the most frequent and deadliest candidates for misuse are prescription painkillers, also known as opioid pain relievers. After examining data from 286 hospitals around the U.S., researchers from Beth Israel Deaconess Medical Center found that over half of all non-surgical patients were prescribed opioids during their hospitalizations. “The majority of hospitalized nonsurgical patients were exposed to opioids, often at high doses,” wrote the authors of a new study.

Prescription Drug Abuse Rising Dramatically

The rate of fatal overdoses from opioids nearly quadrupled over the last decade, according to the Centers for Disease Control and Prevention. Derived from natural or synthetic versions of the opium poppy, opioids are commonly used for pain relief. Examples include codeine, hydrocodone, oxycodone, and fentanyl, which are often prescribed under various trade names such as Percocet, Vicodin, OxyContin, Duragesic, and Fentora.

Of all prescription drug overdoses, nearly three out of four are caused by prescription painkillers. Annually, these drugs are estimated to cause more than 14,000 overdose deaths — this is more than the total number of cocaine and heroin deaths combined. Misuse and abuse of prescription painkillers also prompts many emergency room visits — more than 475,000 in 2009 alone, for example. In fact, the rising trend in overdose deaths parallels a 300 percent increase in the prescription and sale of these painkillers since 1999.

Very few prescription drugs that are involved in overdoses come from pharmacy theft — almost all come from prescriptions. Once a prescription is filled, these drugs may be given or sold to people who use them without prescriptions. In 2010, at least 12 million people used prescription painkillers non-medically. If more than three out of four people who misuse painkillers are taking drugs that are prescribed by a doctor for someone else, who is it that’s receiving the original prescription for opioid painkillers?

In-Hospital Use Offers Window into the Problem

“Realizing that inpatient use might provide a portal to outpatient use, we were interested in looking at how opioids were being used in the hospital setting,” Shoshana J. Herzig, MD, MPH, instructor in medicine at Harvard Medical School, said in a press release. “Because patients who are undergoing surgery have a clear indication for and virtually always receive these pain medications, we did not include surgical patients in our study.” Instead, the team of researchers focused on hospital patients who may not have needed such a powerful painkiller.

What did they discover? Opioids were used in 51 percent of 1.14 million total non-surgical admissions. The researchers also found very distinct regional differences in prescribing rates. “If you took very similar patients and admitted them to hospitals in the West and in the Northeast, the patient in the West would be 37 percent more likely to be prescribed an opioid pain medicine than the patient in the Northeast,” Herzig stated.

Worse, the hospitals — and doctors — who are more inclined to use these drugs with non-surgical patients do so less safely as well. A full 43 percent of all patients were exposed to multiple opioids during their hospitalization. The team also found that patients receiving opioids at higher-use hospitals are at greater risk for developing serious, opioid-related complications than similar patients receiving opioids at lower-use hospitals. The researchers felt even greater concern in the area of dosage.

“Prior studies have found that higher opioid doses are associated with a heightened risk of adverse events,” Herzig stated. Yet, the average dose among these non-surgical patients was about 68 mg of oral morphine equivalents per day — considered to be a high dose. Crunching the numbers, the researchers also discovered that just under a quarter of all patients received a dose equal to or greater than 100 mg on at least one day of their hospitalization. “Patients receiving doses of 100 mg per day or more are at substantially greater risk for serious problems, including severe breathing problems,” Herzig added. Over a quarter of all patients also received opioids on the day they were discharged from the hospital.

“Given that opioids are often tapered off rather than abruptly discontinued, this finding suggests that up to half of these patients were sent home with a prescription for opioid medication,” Herzig stated. Considering the high and rising rates of abuse, many of these very same prescriptions may have ended up in another’s hands.

Source: Herzig SJ, Rothberg MB, Cheung M, et al. Opioid utilization and opioid-related adverse events in nonsurgical patients in US hospitals. Journal of Hospital Medicine. 2013. 

(photo: shutterstock)

TAGGED:opioids
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Do You Grind Your Teeth at Night? Here’s How Night Guards and TMJ Treatments Can Help
Do You Grind Your Teeth at Night? Here’s How Night Guards and TMJ Treatments Can Help
Dental health
May 21, 2025
The Secret To A Confident Smile: Top Tips For Better Teeth
The Secret To A Confident Smile: Top Tips For Better Teeth
Dental health
May 21, 2025
Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025

You Might also Like

doctors should be flexible
Medical Education

Flexibility: A Necessary Skill of the 21st Century Doctor

September 12, 2013
dental practice construction tips
Dental health

Budgeting and Financing Tips for Constructing a New Dental Office

July 15, 2024

Supreme Court to Rule Thursday on Reform Law

June 25, 2012

They Call This Research?

April 26, 2011
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?