Publications by authors named "Allen M Smith"

Article Synopsis
  • This study examines the relationship between long-term opioid use (LTOU) and factors such as prescription dose, type of opioid, and duration of the initial prescription in patients who have never used opioids before.
  • Using a large database of commercial insurance records, researchers found that only 5.05% of opioid-naïve patients continued using opioids for at least a year after their initial prescription.
  • The findings indicate that longer days' supply of opioids significantly reduces the likelihood of discontinuation, suggesting that extended prescriptions may contribute to increased long-term opioid use.
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Background: The role of prescribed opioids and benzodiazepines as risk factors for opioid overdose are well established, however, their role as potential 'triggers' of opioid overdose has not been formally investigated.

Objective: The objective of this study was to evaluate the temporal relationship between controlled substance acquisition and opioid overdose utilizing a case-crossover design.

Methods: This study utilized Arkansas statewide data between 2014 and 2020.

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Background: Previous studies have explored psychosocial effects as possible triggers of opioid overdose (OOD). However, little is known about the temporal association between OOD and prescribed controlled substance (CS) acquisition.

Objective: The objective of this study was to evaluate the temporal relationship between OOD and acquiring prescribed CSs prior to OOD.

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Objective: The objective of this study was to estimate the association between early use of physical therapy (PT) or chiropractic care and incident opioid use and long-term opioid use in individuals with a low back pain (LBP) diagnosis.

Methods: A retrospective cohort study was conducted using data from Arkansas All Payers' Claims Database. Adults with incident LBP diagnosed in primary care or emergency departments between July 1, 2013, and June 30, 2017, were identified.

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