By LeeWEpstein

June 4, 2020

 

The misuse of opioids and the large number of prescriptions given remains a significant national problem, explains the study, published last month in the American Academy of Orthopedic Surgeons. The study focuses specifically on prescriptions given by orthopedic surgeons, who are among the top prescribers of opioids in the United States.

Orthopedic surgeons are among the largest prescribers of opioids, underscoring the importance of providing alternatives to non-opioid analgesics as part of efforts to reduce opioid use in the patient cohort. This study is the first to examine the association between the implementation of state cannabis laws and opioid prescribing patterns by orthopedic surgeons in Part D patients.

Cannabinoids offer a potentially attractive non-opioid analgesic option for orthopedic patients, and 32 U.S. states have passed medical cannabis laws, legalizing patient access to cannabinoids. We examine the association between the implementation of state cannabis laws and orthopedic surgeons’ opioid prescribing patterns in patients between 2013 and 2017.

Using the Medicare Part D Prescription Drug Event database, we measured the annual aggregate daily doses of all opioid drugs (excluding buprenorphine) prescribed by orthopedic surgeons in each U.S. state, in addition to total daily doses of opioid drugs by generic name (hydrocodone, oxycodone, fentanyl, morphine, methadone, and “other opioids”). Adjusted linear regression models were used to examine associations between state-specific cannabis regulations (dispensary, home cultivation, recreational legalization) and total annual daily doses of opioid drugs (all opioids and opioid types, separately).

The researchers not only examined each state’s cannabis laws on paper but also their actual enforcement. They found that in states that have approved legislation but have not yet opened shops, there has been no significant change in the number of opioid prescriptions. The decline in opioid prescriptions has been observed only in countries where patients could buy medical cannabis in shops, not just grow it themselves at home.

From 2013 to 2017, legalized States were associated with a statistically significant reduction in the overall opioid prescription of 144,000 daily doses (a reduction of 19.7 percent) per year. States that provide access to public health clinics experienced a statistically significant reduction in total opioid prescriptions of 96,000 daily doses (a reduction of 13.1 percent) per year. Specifically, there was a statistically significant reduction of 72,000 daily doses of hydrocodone per year. No significant association between recreational legalization and the opioid prescription was found. This compares to a reduction of only 1.7% in US states where medical cannabis was banned.

Similar results have already been obtained in a University of Alabama study published earlier this year in the Journal of Health Economics, as well as in studies published in the Journal of the American Medical Association (JAMA) in 2018.

Spread the love
What's your reaction?
13 CommentsClose Comments

13 Comments

  • Alpha Extracts CBD Pure Hemp Oil}
    Posted July 28, 2021 at 2:14 am 0Likes

    Appreciate the recommendation. Let me try it out.

  • Bio Slim Keto Reviews
    Posted July 28, 2021 at 11:06 pm 0Likes

    Spot on with this write-up, I actually feel this amazing site needs a great deal
    more attention. I’ll probably be back again to see more,
    thanks for the advice!

  • Live Well CBD Gummies Ingredients}
    Posted July 29, 2021 at 4:49 am 0Likes

    I need to to thank you for this good read!! I definitely loved every bit of it.
    I have got you book marked to check out new stuff you post…

  • https://fakenews.win/wiki/Debate_Is_Cannabis_Addictive
    Posted July 30, 2021 at 12:45 pm 0Likes

    Enjoyed reading this, very good stuff, regards.

  • Oracle Leaf CBD
    Posted July 30, 2021 at 12:48 pm 0Likes

    Hello! I just wish to offer you a big thumbs up for your excellent information you’ve got right here
    on this post. I’ll be coming back to your web site for more soon.

  • vuf.minagricultura.gov.co
    Posted July 30, 2021 at 8:49 pm 0Likes

    I enjoy you because of all of the effort on this web page.

    Betty really likes setting aside time for internet
    research and it is simple to grasp why. My spouse and i know all
    concerning the dynamic method you create very helpful
    information on this website and even welcome response from the
    others about this point so our own princess is undoubtedly discovering so much.
    Have fun with the rest of the new year. You are performing a brilliant job.

  • Oracle Leaf CBD
    Posted August 14, 2021 at 10:52 am 0Likes

    I intended to write you this tiny note to give many thanks
    again just for the wonderful information you have shown in this case.
    It is simply tremendously generous with you to give unreservedly
    all most people could have advertised for an electronic book in making some
    dough on their own, chiefly considering the fact that you could have tried it if
    you ever desired. The strategies likewise served to become great way to recognize that other individuals have the same
    dreams much like my very own to grasp more and more in respect of this problem.
    I’m sure there are several more pleasant times up front for many who look over your website.

  • Niva CBD Gummies
    Posted August 19, 2021 at 6:10 pm 0Likes

    Right here is the perfect website for anyone
    who wants to understand this topic. You know a whole lot its almost hard to argue with you (not that I personally will need to…HaHa).
    You definitely put a brand new spin on a subject that has been discussed for many years.
    Wonderful stuff, just great!

Leave a comment