To examine whether variation in prescribing at the level of the individual physician is associated with opioid-related mortality.
A population-based cross-sectional analysis linking prescription data with records from the Office of the Chief Coroner.
The province of Ontario. Participants Family physicians in Ontario and Ontarians aged 15 to 64 who were eligible for prescription drug coverage under the Ontario Public Drug Program.
Variation in family physicians' opioid prescribing and opioid-related mortality among their patients.
The 20% of family physicians (n = 1978) who prescribed opioids most frequently issued opioid prescriptions 55 times more often than the 20% who prescribed opioids least frequently. Family physicians in the uppermost quintile also wrote the final opioid prescription before death for 62.7% of public drug plan beneficiaries whose deaths were related to opioids. Physician characteristics associated with greater opioid prescribing were male sex (P = .003), older age (P
Notes
Cites: Ann Intern Med. 2010 Jan 19;152(2):85-9220083827
Cites: CMAJ. 2009 Dec 8;181(12):891-619969578
Cites: J Pain. 2010 Sep;11(9):807-2920430701
Cites: Open Med. 2011;5(1):e13-2222046214
Cites: CMAJ. 2010 Jun 15;182(9):923-3020439443
Cites: Am J Prev Med. 2006 Dec;31(6):506-1117169712
Cites: JAMA. 1990 Jan 26;263(4):549-562104640
Cites: N Engl J Med. 2003 Nov 13;349(20):1943-5314614170