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Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study

Matthew Jones, Matthew Jones, Ceri Bradshaw, Jenna Jones, Ann John, Helen Snooks Orcid Logo, Alan Watkins Orcid Logo

Journal of Primary Care & Community Health, Volume: 11, Start page: 215013272092595

Swansea University Authors: Matthew Jones, Matthew Jones, Ceri Bradshaw, Jenna Jones, Helen Snooks Orcid Logo, Alan Watkins Orcid Logo

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DOI (Published version): 10.1177/2150132720925957

Abstract

Objectives: We sought to explore the sociodemographics and primary care service utilization among people who died from opioid overdose and to assess the possibility of using this information to identify those at high risk of opioid overdose using routine linked data. Methods: Data related to deceden...

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Published in: Journal of Primary Care & Community Health
ISSN: 2150-1327 2150-1327
Published: SAGE Publications 2020
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Methods: Data related to decedents of opioid overdose between January 1, 2012 and December 31, 2015 were linked with general practitioner (GP) records over a period of 36 months prior to death. Results: Of n = 312 decedents of opioid overdose, 73% were male (n = 228). Average age at death was 40.72 (SD 11.92) years. A total of 63.8% of the decedents were living in the 2 most deprived quintiles according to the Welsh Index of Multiple Deprivation. Over 80% (n = 258) of the decedents were recorded as having at least 1 GP episode during the 36-month observation period prior to death. The median number of episodes per decedent was 75 [38-118]. Overall, 31.8% (n = 82) of decedents with at least 1 GP episode received a prescription for a proton pump inhibitor and 31% (n = 80) were prescribed a broad-spectrum antibiotic. According to their GP records, less than 10% were referred to or receiving specialist drug treatment (n = 24, 9.3%); or were known to be drug dependent (n = 21, 8.14%), or a drug user (n = 5, 1.94%). In all, 81% were recorded as smokers (n = 209) and 10.5% as ex-smokers (n = 27). Conclusions: The majority of decedents of opioid overdose were in contact with GP services prior to death. GPs are either often unaware of high-risk opioid use, or rarely record details of opioid use in patient notes. It is possible that GP awareness of high-risk opioid use could be increased. For example, awareness of the risks associated with opioid use, and the relationship between the sociodemographic and clinical characteristics of opioid overdose decedents could be raised using educational materials prominently displayed in waiting areas. Clinicians in primary care may be in an excellent position to intervene in problematic opioid use.</abstract><type>Journal Article</type><journal>Journal of Primary Care &amp; Community Health</journal><volume>11</volume><journalNumber/><paginationStart>215013272092595</paginationStart><paginationEnd/><publisher>SAGE Publications</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2150-1327</issnPrint><issnElectronic>2150-1327</issnElectronic><keywords>behavioral health, community health, health promotion, primary care, access to care</keywords><publishedDay>1</publishedDay><publishedMonth>1</publishedMonth><publishedYear>2020</publishedYear><publishedDate>2020-01-01</publishedDate><doi>10.1177/2150132720925957</doi><url/><notes/><college>COLLEGE NANME</college><department>Psychology</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HPS</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>This research was funded by the Wales Centre for Primary and Emergency (including Unscheduled) Care Research (PRIME)</funders><lastEdited>2021-09-20T15:58:30.2109793</lastEdited><Created>2021-08-19T16:38:38.9464013</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Medicine</level></path><authors><author><firstname>Matthew</firstname><surname>Jones</surname><order>1</order></author><author><firstname>Matthew</firstname><surname>Jones</surname><order>2</order></author><author><firstname>Ceri</firstname><surname>Bradshaw</surname><order>3</order></author><author><firstname>Jenna</firstname><surname>Jones</surname><order>4</order></author><author><firstname>Ann</firstname><surname>John</surname><order>5</order></author><author><firstname>Helen</firstname><surname>Snooks</surname><orcid>0000-0003-0173-8843</orcid><order>6</order></author><author><firstname>Alan</firstname><surname>Watkins</surname><orcid>0000-0003-3804-1943</orcid><order>7</order></author></authors><documents><document><filename>57665__20943__57cc603fa5764852806f2cead0e5aa55.pdf</filename><originalFilename>57665.pdf</originalFilename><uploaded>2021-09-20T15:56:21.1920766</uploaded><type>Output</type><contentLength>104905</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by-nc/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling 2021-09-20T15:58:30.2109793 v2 57665 2021-08-19 Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study e3595273bb063f8694ce43326f4bd298 Matthew Jones Matthew Jones true false d063b18627093a02f325955f76eeeb76 Matthew Jones Matthew Jones true false 8b96f170df39ac5f5af2f9354946a630 Ceri Bradshaw Ceri Bradshaw true false e662b6c5aba239a9cd0f115d16df0a82 Jenna Jones Jenna Jones true false ab23c5e0111b88427a155a1f495861d9 0000-0003-0173-8843 Helen Snooks Helen Snooks true false 81fc05c9333d9df41b041157437bcc2f 0000-0003-3804-1943 Alan Watkins Alan Watkins true false 2021-08-19 HPS Objectives: We sought to explore the sociodemographics and primary care service utilization among people who died from opioid overdose and to assess the possibility of using this information to identify those at high risk of opioid overdose using routine linked data. Methods: Data related to decedents of opioid overdose between January 1, 2012 and December 31, 2015 were linked with general practitioner (GP) records over a period of 36 months prior to death. Results: Of n = 312 decedents of opioid overdose, 73% were male (n = 228). Average age at death was 40.72 (SD 11.92) years. A total of 63.8% of the decedents were living in the 2 most deprived quintiles according to the Welsh Index of Multiple Deprivation. Over 80% (n = 258) of the decedents were recorded as having at least 1 GP episode during the 36-month observation period prior to death. The median number of episodes per decedent was 75 [38-118]. Overall, 31.8% (n = 82) of decedents with at least 1 GP episode received a prescription for a proton pump inhibitor and 31% (n = 80) were prescribed a broad-spectrum antibiotic. According to their GP records, less than 10% were referred to or receiving specialist drug treatment (n = 24, 9.3%); or were known to be drug dependent (n = 21, 8.14%), or a drug user (n = 5, 1.94%). In all, 81% were recorded as smokers (n = 209) and 10.5% as ex-smokers (n = 27). Conclusions: The majority of decedents of opioid overdose were in contact with GP services prior to death. GPs are either often unaware of high-risk opioid use, or rarely record details of opioid use in patient notes. It is possible that GP awareness of high-risk opioid use could be increased. For example, awareness of the risks associated with opioid use, and the relationship between the sociodemographic and clinical characteristics of opioid overdose decedents could be raised using educational materials prominently displayed in waiting areas. Clinicians in primary care may be in an excellent position to intervene in problematic opioid use. Journal Article Journal of Primary Care & Community Health 11 215013272092595 SAGE Publications 2150-1327 2150-1327 behavioral health, community health, health promotion, primary care, access to care 1 1 2020 2020-01-01 10.1177/2150132720925957 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University This research was funded by the Wales Centre for Primary and Emergency (including Unscheduled) Care Research (PRIME) 2021-09-20T15:58:30.2109793 2021-08-19T16:38:38.9464013 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Matthew Jones 1 Matthew Jones 2 Ceri Bradshaw 3 Jenna Jones 4 Ann John 5 Helen Snooks 0000-0003-0173-8843 6 Alan Watkins 0000-0003-3804-1943 7 57665__20943__57cc603fa5764852806f2cead0e5aa55.pdf 57665.pdf 2021-09-20T15:56:21.1920766 Output 104905 application/pdf Version of Record true © The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License true eng https://creativecommons.org/licenses/by-nc/4.0/
title Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
spellingShingle Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
Matthew Jones
Matthew Jones
Ceri Bradshaw
Jenna Jones
Helen Snooks
Alan Watkins
title_short Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
title_full Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
title_fullStr Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
title_full_unstemmed Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
title_sort Primary Care Service Utilization Among People at High Risk of Fatal Opioid Overdose: A Short Communication on an Autopsy Study
author_id_str_mv e3595273bb063f8694ce43326f4bd298
d063b18627093a02f325955f76eeeb76
8b96f170df39ac5f5af2f9354946a630
e662b6c5aba239a9cd0f115d16df0a82
ab23c5e0111b88427a155a1f495861d9
81fc05c9333d9df41b041157437bcc2f
author_id_fullname_str_mv e3595273bb063f8694ce43326f4bd298_***_Matthew Jones
d063b18627093a02f325955f76eeeb76_***_Matthew Jones
8b96f170df39ac5f5af2f9354946a630_***_Ceri Bradshaw
e662b6c5aba239a9cd0f115d16df0a82_***_Jenna Jones
ab23c5e0111b88427a155a1f495861d9_***_Helen Snooks
81fc05c9333d9df41b041157437bcc2f_***_Alan Watkins
author Matthew Jones
Matthew Jones
Ceri Bradshaw
Jenna Jones
Helen Snooks
Alan Watkins
author2 Matthew Jones
Matthew Jones
Ceri Bradshaw
Jenna Jones
Ann John
Helen Snooks
Alan Watkins
format Journal article
container_title Journal of Primary Care & Community Health
container_volume 11
container_start_page 215013272092595
publishDate 2020
institution Swansea University
issn 2150-1327
2150-1327
doi_str_mv 10.1177/2150132720925957
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
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description Objectives: We sought to explore the sociodemographics and primary care service utilization among people who died from opioid overdose and to assess the possibility of using this information to identify those at high risk of opioid overdose using routine linked data. Methods: Data related to decedents of opioid overdose between January 1, 2012 and December 31, 2015 were linked with general practitioner (GP) records over a period of 36 months prior to death. Results: Of n = 312 decedents of opioid overdose, 73% were male (n = 228). Average age at death was 40.72 (SD 11.92) years. A total of 63.8% of the decedents were living in the 2 most deprived quintiles according to the Welsh Index of Multiple Deprivation. Over 80% (n = 258) of the decedents were recorded as having at least 1 GP episode during the 36-month observation period prior to death. The median number of episodes per decedent was 75 [38-118]. Overall, 31.8% (n = 82) of decedents with at least 1 GP episode received a prescription for a proton pump inhibitor and 31% (n = 80) were prescribed a broad-spectrum antibiotic. According to their GP records, less than 10% were referred to or receiving specialist drug treatment (n = 24, 9.3%); or were known to be drug dependent (n = 21, 8.14%), or a drug user (n = 5, 1.94%). In all, 81% were recorded as smokers (n = 209) and 10.5% as ex-smokers (n = 27). Conclusions: The majority of decedents of opioid overdose were in contact with GP services prior to death. GPs are either often unaware of high-risk opioid use, or rarely record details of opioid use in patient notes. It is possible that GP awareness of high-risk opioid use could be increased. For example, awareness of the risks associated with opioid use, and the relationship between the sociodemographic and clinical characteristics of opioid overdose decedents could be raised using educational materials prominently displayed in waiting areas. Clinicians in primary care may be in an excellent position to intervene in problematic opioid use.
published_date 2020-01-01T04:13:35Z
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