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Effects of state opioid prescribing cap laws on opioid prescribing after surgery
dc.contributor.authorSchmid, Ian
dc.contributor.authorStuart, Elizabeth A.
dc.contributor.authorMcCourt, Alexander D.
dc.contributor.authorTormohlen, Kayla N.
dc.contributor.authorStone, Elizabeth M.
dc.contributor.authorDavis, Corey S.
dc.contributor.authorBicket, Mark C.
dc.contributor.authorMcGinty, Emma E.
dc.date.accessioned2022-09-26T16:03:22Z
dc.date.available2023-11-26 12:03:21en
dc.date.available2022-09-26T16:03:22Z
dc.date.issued2022-10
dc.identifier.citationSchmid, Ian; Stuart, Elizabeth A.; McCourt, Alexander D.; Tormohlen, Kayla N.; Stone, Elizabeth M.; Davis, Corey S.; Bicket, Mark C.; McGinty, Emma E. (2022). "Effects of state opioid prescribing cap laws on opioid prescribing after surgery." Health Services Research 57(5): 1154-1164.
dc.identifier.issn0017-9124
dc.identifier.issn1475-6773
dc.identifier.urihttps://hdl.handle.net/2027.42/174807
dc.description.abstractObjectiveTo evaluate the effects of state opioid prescribing cap laws on opioid prescribing after surgery.Data SourcesOptumLabs Data Warehouse administrative claims data covering all 50 states from July 2012 through June 2019.Study DesignWe included individuals from 20 states that had implemented prescribing cap laws without exemptions for postsurgical pain by June 2019 and individuals from 16 control states plus the District of Columbia. We used a difference‐in‐differences approach accounting for differential timing in law implementation across states to estimate the effects of state prescribing cap laws on postsurgical prescribing of opioids. Outcome measures included filling an opioid prescription within 30 days after surgery; filling opioid prescriptions of specific doses or durations; and the number, days’ supply, daily dose, and pill quantity of opioid prescriptions. To assess the validity of the parallel counterfactual trends assumption, we examined differences in outcome trends between law‐implementing and control states in the years preceding law implementation using an equivalence testing framework.Data Collection/Extraction MethodsWe included the first surgery in the study period for opioid‐naïve individuals undergoing one of eight common surgical procedures.Principal FindingsState prescribing cap laws were associated with 0.109 lower days’ supply of postsurgical opioids on the log scale (95% Confidence Interval [CI]: −0.139, −0.080) but were not associated with the number (Average treatment effect on the treated [ATT]: −0.011; 95% CI: −0.043, 0.021) or daily dose of postsurgical opioid prescriptions (ATT: −0.013; 95% CI: −0.030, 0.005). The negative association observed between prescribing cap laws and the probability of filling a postsurgical opioid prescription (ATT: −0.041; 95% CI: −0.054, −0.028) was likely spurious, given differences between law‐implementing and control states in the pre‐law period.ConclusionsPrescribing cap laws appear to have minimal effects on postsurgical opioid prescribing.
dc.publisherWiley Periodicals, Inc.
dc.publisherBlackwell Publishing Ltd
dc.subject.othercausal inference
dc.subject.otherdifference‐in‐differences
dc.subject.otherlaw
dc.subject.otheropioid
dc.subject.otherpostsurgical pain
dc.titleEffects of state opioid prescribing cap laws on opioid prescribing after surgery
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174807/1/hesr14023.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/174807/2/hesr14023_am.pdf
dc.identifier.doi10.1111/1475-6773.14023
dc.identifier.sourceHealth Services Research
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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