Strategies to Identify Patient Risks of Prescription Opioid Addiction When Initiating Opioids for Pain

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Abstract
Recently, prescription opioids have been detected in up to 77% of opioid-related overdose fatalities, and the health, social, and economic costs associated with opioid use disorder (OUD) continue to increase.1-3 Importantly, the quantities of opioids prescribed in different regions have been strongly associated with higher rates of subsequent opioid overdose.4 Nevertheless, despite the well-recognized harms of prescription opioids, recent data suggest that the number of opioid prescriptions is remaining stable, and while the United States has seen a decrease in the national opioid prescribing rate, in 2017, prescribing rates remained very high in most US jurisdictions.5,6

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