The prevalence of problem opioid use in patients receiving chronic opioid therapy: Computer-assisted review of electronic health record clinical notes

Pain

Volumn 156, Issue 7, 2015, Pages 1208-1214

  Palmer, Roy E ^a   Carrell, David S ^b   Cronkite, David ^b   Saunders, Kathleen ^b   Gross, David E ^a   Masters, Elizabeth ^a   Donevan, Sean ^a   Hylan, Timothy R ^a   Von Kroff, Michael ^b  

^a PFIZER INC   (United States)

^b GROUP HEALTH RESEARCH INSTITUTE   (United States)

Author keywords

Abuse; EHR; EMR; Medical records; NLP methods; Opioid

Indexed keywords

OPIATE; NARCOTIC ANALGESIC AGENT;

ADULT; AGED; ALCOHOL ABUSE; ARTHRITIS; ARTICLE; BACKACHE; DRUG ABUSE; DRUG MISUSE; ELECTRONIC MEDICAL RECORD; FEMALE; HEPATITIS C; HUMAN; ICD-9; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MENTAL HEALTH; MIDDLE AGED; MIGRAINE; NATURAL LANGUAGE PROCESSING; NECK PAIN; NEUROPATHY; OPIATE ADDICTION; PRESCRIPTION; PRIORITY JOURNAL; SEX DIFFERENCE; SMOKING; TENSION HEADACHE; YOUNG ADULT; ADOLESCENT; INTERNATIONAL CLASSIFICATION OF DISEASES; OPIOID-RELATED DISORDERS; PREVALENCE; TRENDS;

ADOLESCENT; ADULT; AGED; ANALGESICS, OPIOID; ELECTRONIC HEALTH RECORDS; FEMALE; HUMANS; INTERNATIONAL CLASSIFICATION OF DISEASES; MALE; MIDDLE AGED; NATURAL LANGUAGE PROCESSING; OPIOID-RELATED DISORDERS; PREVALENCE; YOUNG ADULT;

EID: 84944174742     PISSN: 03043959     EISSN: 18726623     Source Type: Journal    
DOI: 10.1097/j.pain.0000000000000145     Document Type: Article

References (23)

1. IMS's source prescription audit (SPA) & vector one: national (VONA).
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Fifth edition. Arlington, VA: American Psychiatric Publishing, 2013.
3. Substance Abuse and Mental Health Services Administration, Drug Abuse Warning Network, 2011. National estimates of drug-related emergency department visits. HHS publication no. (SMA) 13-4760, DAWN series D-39. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2013.
4. National Center for Health Statistics. Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Health, United States, 2013: with special feature on prescription drugs. DHHS Publication No. 2014-1232, MD, 2014.
5. Bohnert AS, Valenstein M, Bair MJ, Ganoczy D, McCarthy JF, Ilgen MA, Blow FC. Association between opioid prescribing patterns and opioid overdose-related deaths. JAMA 2011;305:1315-21.
6. Boscarino JA, Rukstalis M, Hoffman SN, Han JJ, Erlich PM, Gerhard GS, Stewart WF. Risk factors for drug dependence among out-patients on opioid therapy in a large US health-care system. Addiction 2010;105: 1776-82.
7. Carrell DS, Cronkite D, Palmer RE, Saunders K, Gross DE, Masters E, Hylan TR, Von Korff M. Using natural language processing to identify problem usage of prescription opioids. Under Rev 2015.
8. Chou R, Fanciullo GJ, Fine PG, Miaskowski C, Passik SD, Portenoy RK. Opioids for chronic noncancer pain: prediction and identification of aberrant drug-related behaviors: a review of the evidence for an American Pain Society and American Academy of Pain Medicine clinical practice guideline. J Pain 2009;10:131-46.
9. Chute CG. Invited commentary: observational research in the age of the electronic health record. Am J Epidemiol 2014;179:759-61.
10. Dunn KM, Saunders KW, Rutter CM, Banta-Green CJ, Merrill JO, Sullivan MD, Weisner CM, Silverberg MJ, Campbell CI, Psaty BM, Von Korff M. Opioid prescriptions for chronic pain and overdose: a cohort study. Ann Intern Med 2010;152:85-92.
11. Edlund MJ, Martin BC, Fan MY, Devries A, Braden JB, Sullivan MD. Risks for opioid abuse and dependence among recipients of chronic opioid therapy: results from the TROUP study. Drug Alcohol Depend 2010;112:90-8.
12. Fleming MF, Balousek SL, Klessig CL, Mundt MP, Brown DD. Substance use disorders in a primary care sample receiving daily opioid therapy. J Pain 2007;8:573-82.
13. Fleming MF, Davis J, Passik SD. Reported lifetime aberrant drug-taking behaviors are predictive of current substance use and mental health problems in primary care patients. Pain Med 2008;9:1098-106.
14. Gomes T, Mamdani MM, Dhalla IA, Paterson JM, Juurlink DN. Opioid dose and drug-related mortality in patients with nonmalignant pain. Arch Intern Med 2011;171:686-91.
15. Højsted J, Nielsen PR, Guldstrand SK, Frich L, Sjogren P. Classification and identification of opioid addiction in chronic pain patients. Eur J Pain 2010;14:1014-20.
16. Kamerow DB, Pincus HA, Macdonald DI. Alcohol abuse, other drug abuse, and mental disorders in medical practice. Prevalence, costs, recognition, and treatment. JAMA 1986;255:2054-7.
17. Nadkarni PM, Ohno-Machado L, Chapman WW. Natural language processing: an introduction. J Am Med Inform Assoc 2011;18: 544-51.
18. Washington State Agency Medical Directors' Group. Interagency guideline on opioid dosing for chronic non-cancer pain: an educational aid to improve care and safety with opioid treatment. Olympia (WA): Washington State Department of Labor and Industries; 2010.
19. Savova GK, Deleger L, Solti I, Pestian J, Dexheimer JW. Natural language processing: applications in pediatric research. In: Hutton JJ, editor. Pediatric biomedical informatics: computer applications in pediatric research. New York: Springer, 2012. pp. 173-92.
20. SullivanMD, EdlundMJ, FanMY, Devries A, Brennan Braden J, Martin BC. Risks for possible and probable opioidmisuse among recipients of chronic opioid therapy in commercial and Medicaid insurance plans: the TROUP Study. PAIN 2010;150:332-9.
21. Trescott CE, Beck RM, Seelig MD, Von Korff MR. Group Health's initiative to avert opioid misuse and overdose among patients with chronic noncancer pain. Health Aff (Millwood) 2011;30:1420-4.
22. Turk DC, Swanson KS, Gatchel RJ. Predicting opioid misuse by chronic pain patients: a systematic review and literature synthesis. Clin J Pain 2008;24:497-508.
23. Von Korff M, Saunders K, Thomas Ray G, Boudreau D, Campbell C, Merrill J, Sullivan MD, Rutter CM, Silverberg MJ, Banta-Green C, Weisner C. De facto long-termopioid therapy for noncancer pain. Clin J Pain 2008;24:521-7.