文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

计算四种最常开处方的阿片类药物的处方率和成瘾概率,并使用隔间模型评估它们对成瘾的影响。

Calculating prescription rates and addiction probabilities for the four most commonly prescribed opioids and evaluating their impact on addiction using compartment modelling.

机构信息

Department of Mathematics, University of Portland, 5000 N Willamette Blvd, Portland, OR 97203, USA.

出版信息

Math Med Biol. 2021 Jun 15;38(2):202-217. doi: 10.1093/imammb/dqab001.


DOI:10.1093/imammb/dqab001
PMID:33585941
Abstract

In 2016, more than 11 million Americans abused prescription opioids. The National Institute on Drug Abuse considers the opioid crisis a national addiction epidemic, as an increasing number of people are affected each year. Using the framework developed in mathematical modelling of infectious diseases, we create and analyse a compartmental opioid-abuse model consisting of a system of ordinary differential equations. Since $40%$ of opioid overdoses are caused by prescription opioids, our model includes prescription compartments for the four most commonly prescribed opioids, as well as for the susceptible, addicted and recovered populations. While existing research has focused on drug abuse models in general and opioid models with one prescription compartment, no previous work has been done comparing the roles that the most commonly prescribed opioids have had on the crisis. By combining data from the Substance Abuse and Mental Health Services Administration (which tracked the proportion of people who used or misused one of the four individual opioids) with data from the Centers of Disease Control and Prevention (which counted the total number of prescriptions), we estimate prescription rates and probabilities of addiction for the four most commonly prescribed opioids. Additionally, we perform a sensitivity analysis and reallocate prescriptions to determine which opioid has the largest impact on the epidemic. Our results indicate that oxycodone prescriptions are both the most likely to lead to addiction and have the largest impact on the size of the epidemic, while hydrocodone prescriptions had the smallest impact.

摘要

2016 年,超过 1100 万美国人滥用处方类阿片。美国国家药物滥用研究所认为,阿片类药物危机是一场全国性的毒瘾流行,因为每年受影响的人数都在增加。我们使用传染病数学建模中开发的框架,创建并分析了一个由常微分方程系统组成的阿片类药物滥用 compartmental 模型。由于 40%的阿片类药物过量是由处方类阿片类药物引起的,我们的模型包括四种最常开的处方类阿片类药物的处方类,以及易感人群、成瘾人群和康复人群的处方类。虽然现有研究集中在一般药物滥用模型和具有一个处方类的阿片类药物模型上,但没有以前的工作比较过最常开的阿片类药物在危机中所起的作用。我们将美国药物滥用与心理健康服务管理局(该机构跟踪了四种单独的阿片类药物中使用或误用其中一种的人群比例)的数据与疾病控制与预防中心(该机构统计了总处方数量)的数据结合起来,估计了四种最常开的阿片类药物的处方率和成瘾概率。此外,我们还进行了敏感性分析并重新分配了处方,以确定哪种阿片类药物对疫情的影响最大。我们的研究结果表明,羟考酮类药物的处方最有可能导致成瘾,对疫情的规模影响最大,而氢可酮类药物的处方影响最小。

相似文献

[1]
Calculating prescription rates and addiction probabilities for the four most commonly prescribed opioids and evaluating their impact on addiction using compartment modelling.

Math Med Biol. 2021-6-15

[2]
Comparing the effects of decreasing prescription opioid shipments and the release of an abuse deterrent OxyContin formulation on opioid overdose fatalities in WV: an interrupted time series study.

Subst Abuse Treat Prev Policy. 2024-1-4

[3]
Online Conversation Monitoring to Understand the Opioid Epidemic: Epidemiological Surveillance Study.

JMIR Public Health Surveill. 2020-6-29

[4]
The development of a comprehensive risk-management program for prescription opioid analgesics: researched abuse, diversion and addiction-related surveillance (RADARS).

Pain Med. 2007-3

[5]
Comparison of Opioids Prescribed for Patients at Risk for Opioid Misuse Before and After Publication of the Centers for Disease Control and Prevention's Opioid Prescribing Guidelines.

JAMA Netw Open. 2020-12-1

[6]
Patterns in opioid prescription in the United States by region and prescribers over a 4-year period.

J Opioid Manag. 2019

[7]
The effect of a more strict 2014 DEA schedule designation for hydrocodone products on opioid prescription rates in the United States.

Clin Toxicol (Phila). 2019-2-21

[8]
Active surveillance of abused and misused prescription opioids using poison center data: a pilot study and descriptive comparison.

Clin Toxicol (Phila). 2007

[9]
Dental opioid prescribing and multiple opioid prescriptions among dental patients: Administrative data from the South Carolina prescription drug monitoring program.

J Am Dent Assoc. 2016-7

[10]
Therapeutic opioids: a ten-year perspective on the complexities and complications of the escalating use, abuse, and nonmedical use of opioids.

Pain Physician. 2008-3

引用本文的文献

[1]
The challenge of pharmacotherapy for musculoskeletal pain: an overview of unmet needs.

Ther Adv Musculoskelet Dis. 2024-5-23

[2]
Effects of sex and estrous cycle on intravenous oxycodone self-administration and the reinstatement of oxycodone-seeking behavior in rats.

Front Behav Neurosci. 2023-7-3

[3]
Effects of sex and estrous cycle on intravenous oxycodone self-administration and the reinstatement of oxycodone-seeking behavior in rats.

bioRxiv. 2023-6-6

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索