{"id":2697,"date":"2011-03-01T00:00:00","date_gmt":"2011-03-01T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/clustering-of-opioid-prescribing-and-opioid-related-mortality-among-family-physicians-in-ontario\/"},"modified":"2023-06-14T19:28:52","modified_gmt":"2023-06-14T23:28:52","slug":"clustering-of-opioid-prescribing-and-opioid-related-mortality-among-family-physicians-in-ontario","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/clustering-of-opioid-prescribing-and-opioid-related-mortality-among-family-physicians-in-ontario\/","title":{"rendered":"Clustering of opioid prescribing and opioid-related mortality among family physicians in Ontario"},"content":{"rendered":"<p><strong>Objective<\/strong> &#x2014; To examine whether variation in prescribing at the level of the individual physician is associated with opioid-related mortality.<\/p>\n<p><strong>Design<\/strong> &#x2014; A population-based cross-sectional analysis linking prescription data with records from the Office of the Chief Coroner.<\/p>\n<p><strong>Setting<\/strong> &#x2014; The province of Ontario.<\/p>\n<p><strong>Participants<\/strong> &#x2014; Family physicians in Ontario and Ontarians aged 15 to 64 who were eligible for prescription drug coverage under the Ontario Public Drug Program.<\/p>\n<p><strong>Main Outcome Measures<\/strong> &#x2014; Variation in family physicians&#x2019; opioid prescribing and opioid-related mortality among their patients.<\/p>\n<p><strong>Results<\/strong> &#x2014; 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 = 0.003), older age (P &lt; 0.001), and a greater number of years in practice (P &lt; 0.001).<\/p>\n<p><strong>Conclusion<\/strong> &#x2014; Opioid prescribing varies remarkably among family physicians, and opioid-related deaths are concentrated among patients treated by physicians who prescribe opioids frequently. Strategies to reduce opioid-related harm should include efforts focusing on family physicians who prescribe opioids frequently.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective &#x2014; To examine whether variation in prescribing at the level of the individual physician is associated with opioid-related mortality. Design &#x2014; A population-based cross-sectional analysis linking prescription data with records from the Office of the Chief Coroner. Setting &#x2014; The province of Ontario. Participants &#x2014; Family physicians in Ontario and Ontarians aged 15 to [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[56],"migration-helper-qa-sample-set":[],"class_list":["post-2697","journal_article","type-journal_article","status-publish","hentry","topic-pharmacoepidemiology-and-drug-safety"],"acf":{"citation":"Dhalla IA, Mamdani MM, Gomes T, Juurlink DN. <em>Can Fam Physician.<\/em> 2011; 57(3):e92-6.","source_url":"http:\/\/www.cfp.ca\/content\/57\/3\/e92.long","ices_scientist":[1213,1325,1252,1282],"site":[6733,6735],"research_program":[6746],"news_release":[7378],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"B1DF21C7-2C5F-4AB8-B71D-3170788DD72E","sitecore_item_name":"Clustering-of-opioid-prescribing-and-opioid-related-mortality-among-family-physicians-in-Ontario","sitecore_field_values":"{\n  \"Title\": \"Clustering of opioid prescribing and opioid-related mortality among family physicians in Ontario\",\n  \"Short title\": \"Clustering of opioid prescribing and\",\n  \"Citation\": \"<p>Dhalla IA, Mamdani MM, Gomes T, Juurlink DN. <em>Can Fam Physician.<\/em> 2011; 57(3):e92-6.<\/p>\",\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To examine whether variation in prescribing at the level of the individual physician is associated with opioid-related mortality.<\/p>n<p><strong>Design<\/strong> &mdash; A population-based cross-sectional analysis linking prescription data with records from the Office of the Chief Coroner.<\/p>n<p><strong>Setting<\/strong> &mdash; The province of Ontario.<\/p>n<p><strong>Participants<\/strong> &mdash; Family physicians in Ontario and Ontarians aged 15 to 64 who were eligible for prescription drug coverage under the Ontario Public Drug Program.<\/p>n<p><strong>Main Outcome Measures<\/strong> &mdash; Variation in family physicians&rsquo; opioid prescribing and opioid-related mortality among their patients.<\/p>n<p><strong>Results<\/strong> &mdash; 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 = 0.003), older age (P &lt; 0.001), and a greater number of years in practice (P &lt; 0.001).<\/p>n<p><strong>Conclusion<\/strong> &mdash; Opioid prescribing varies remarkably among family physicians, and opioid-related deaths are concentrated among patients treated by physicians who prescribe opioids frequently. Strategies to reduce opioid-related harm should include efforts focusing on family physicians who prescribe opioids frequently.<\/p>n<p><a href=\"http:\/\/www.cfp.ca\/content\/57\/3\/e92.long\" title=\"Opens full text\">View full text<\/a><\/p>\",\n  \"Keywords\": \"{84FE2CDF-5B86-4CD1-A954-9886D022974F}\",\n  \"Related Products\": \"<h2>News Release<\/h2>rn<h3><a href=\"~\/link.aspx?_id=971E559E5A6F48E8A36A98F9F7DFCEA4&amp;_z=z\">Painkiller prescribing varies dramatically among family physicians: study<\/a><\/h3>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{C3A1DE68-838D-4F81-AA49-35368583A9A8}|{F2F916BC-2EE9-4C65-BCAB-086ED6BB971A}|{1FA4634A-81DF-4A25-8739-98ABF3872B45}|{5268F1B0-EB3E-4577-93DF-3C70C9399847}\",\n  \"Posted Date\": \"20110301T000000\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2011\/January\/Clustering-of-opioid-prescribing-and-opioid-related-mortality-among-family-physicians-in-Ontario"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Clustering of opioid prescribing and opioid-related mortality among family physicians in Ontario<\/title>\n<meta name=\"description\" content=\"Objective &#x2014; 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