Avoiding high opioid doses may reduce chronic opioid therapy (COT) risks, but the feasibility of reducing opioid doses in community practice is unknown. Washington State and a health plan’s group practice implemented initiatives to reduce high dose COT prescribing. The group practice physicians were exposed to both initiatives, while its contracted physicians were exposed only to statewide changes. Using interrupted time series analyses, we assessed whether these initiatives reduced opioid doses among COT patients in group practice (N=16,653) and contracted care settings (N=5,552).
from The Journal of Pain http://ift.tt/1G6IgeW
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