A large-scale retrospective study of opioid poisoning in New York State with implications for targeted interventions
Open Access
- 4 March 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Scientific Reports
- Vol. 11 (1), 1-10
- https://doi.org/10.1038/s41598-021-84148-2
Abstract
Opioid overdose related deaths have increased dramatically in recent years. Combating the opioid epidemic requires better understanding of the epidemiology of opioid poisoning (OP). To discover trends and patterns of opioid poisoning and the demographic and regional disparities, we analyzed large scale patient visits data in New York State (NYS). Demographic, spatial, temporal and correlation analyses were performed for all OP patients extracted from the claims data in the New York Statewide Planning and Research Cooperative System (SPARCS) from 2010 to 2016, along with Decennial US Census and American Community Survey zip code level data. 58,481 patients with at least one OP diagnosis and a valid NYS zip code address were included. Main outcome and measures include OP patient counts and rates per 100,000 population, patient level factors (gender, age, race and ethnicity, residential zip code), and zip code level social demographic factors. The results showed that the OP rate increased by 364.6%, and by 741.5% for the age group > 65 years. There were wide disparities among groups by race and ethnicity on rates and age distributions of OP. Heroin and non-heroin based OP rates demonstrated distinct temporal trends as well as major geospatial variation. The findings highlighted strong demographic disparity of OP patients, evolving patterns and substantial geospatial variation.This publication has 21 references indexed in Scilit:
- Safer and more appropriate opioid prescribing: a large healthcare system's comprehensive approachJournal of Evaluation in Clinical Practice, 2017
- Vermont Hub-and-Spoke Model of Care for Opioid Use Disorder: Development, Implementation, and ImpactJournal of Addiction Medicine, 2017
- Increases in Drug and Opioid-Involved Overdose Deaths — United States, 2010–2015Morbidity and Mortality Weekly Report (MMWR), 2016
- Prescription opioid poisoning across urban and rural areas: identifying vulnerable groups and geographic areasAddiction, 2016
- Treatment of Opioid-Use DisordersThe New England Journal of Medicine, 2016
- CDC Guideline for Prescribing Opioids for Chronic Pain—United States, 2016JAMA, 2016
- Buprenorphine Maintenance for Opioid Dependence in Public Sector Healthcare: Benefits and BarriersJournal of Addiction Medicine and Therapeutic Science, 2015
- National and State Treatment Need and Capacity for Opioid Agonist Medication-Assisted TreatmentAmerican Journal of Public Health, 2015
- Prescription opioid mortality trends in New York City, 1990–2006: Examining the emergence of an epidemicDrug and Alcohol Dependence, 2013
- Characteristics of Opioid Prescriptions in 2009JAMA, 2011