{"id":"https://openalex.org/W2744529221","doi":"https://doi.org/10.17294/2330-0698.1554","title":"Opioid Prescribing During Pregnancy: Eight-Year Secular Trends at HealthPartners Medical Group","display_name":"Opioid Prescribing During Pregnancy: Eight-Year Secular Trends at HealthPartners Medical Group","publication_year":2017,"publication_date":"2017-08-10","ids":{"openalex":"https://openalex.org/W2744529221","doi":"https://doi.org/10.17294/2330-0698.1554","mag":"2744529221"},"language":"en","primary_location":{"id":"doi:10.17294/2330-0698.1554","doi":"https://doi.org/10.17294/2330-0698.1554","is_oa":true,"landing_page_url":"https://doi.org/10.17294/2330-0698.1554","pdf_url":null,"source":{"id":"https://openalex.org/S2737601338","display_name":"Journal of patient-centered research and reviews","issn_l":"2330-068X","issn":["2330-068X","2330-0698"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315584","host_organization_name":"Advocate Aurora Health","host_organization_lineage":["https://openalex.org/P4310315584"],"host_organization_lineage_names":["Advocate Aurora Health"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Patient-Centered Research and Reviews","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.17294/2330-0698.1554","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008255442","display_name":"Thomas E. Elliott","orcid":"https://orcid.org/0000-0002-8570-4933","observed_orcids":["https://orcid.org/0000-0002-8570-4933"]},"institutions":[{"id":"https://openalex.org/I52792670","display_name":"HealthPartners","ror":"https://ror.org/03s9ada67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I52792670"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thomas E. Elliott","raw_affiliation_strings":["HealthPartners Institute, Bloomington, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HealthPartners Institute, Bloomington, MN","institution_ids":["https://openalex.org/I52792670"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009521175","display_name":"Caitlin K. Frail","orcid":"https://orcid.org/0000-0003-1722-1064","observed_orcids":["https://orcid.org/0000-0003-1722-1064"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Caitlin K. Frail","raw_affiliation_strings":["College of Pharmacy, University of Minnesota, Minneapolis, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Pharmacy, University of Minnesota, Minneapolis, MN","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062043780","display_name":"Pamala A. Pawloski","orcid":"https://orcid.org/0000-0002-1005-5764","observed_orcids":["https://orcid.org/0000-0002-1005-5764"]},"institutions":[{"id":"https://openalex.org/I52792670","display_name":"HealthPartners","ror":"https://ror.org/03s9ada67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I52792670"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pamala A. Pawloski","raw_affiliation_strings":["HealthPartners Institute, Bloomington, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HealthPartners Institute, Bloomington, MN","institution_ids":["https://openalex.org/I52792670"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103442253","display_name":"Avis J. Thomas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I52792670","display_name":"HealthPartners","ror":"https://ror.org/03s9ada67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I52792670"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Avis J. Thomas","raw_affiliation_strings":["HealthPartners Institute, Bloomington, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HealthPartners Institute, Bloomington, MN","institution_ids":["https://openalex.org/I52792670"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028223095","display_name":"Ann M. Werner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I52792670","display_name":"HealthPartners","ror":"https://ror.org/03s9ada67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I52792670"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ann M. Werner","raw_affiliation_strings":["HealthPartners Institute, Bloomington, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HealthPartners Institute, Bloomington, MN","institution_ids":["https://openalex.org/I52792670"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5007625847","display_name":"Rebecca C. Rossom","orcid":"https://orcid.org/0000-0002-9531-914X","observed_orcids":["https://orcid.org/0000-0002-9531-914X"]},"institutions":[{"id":"https://openalex.org/I52792670","display_name":"HealthPartners","ror":"https://ror.org/03s9ada67","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I52792670"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rebecca C. Rossom","raw_affiliation_strings":["HealthPartners Institute, Bloomington, MN"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"HealthPartners Institute, Bloomington, MN","institution_ids":["https://openalex.org/I52792670"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.13385365,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":"3","first_page":"190","last_page":"190"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.9794999957084656,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10576","display_name":"Opioid Use Disorder Treatment","score":0.9794999957084656,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11633","display_name":"Prenatal Substance Exposure Effects","score":0.01080000028014183,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11964","display_name":"Pregnancy and Medication Impact","score":0.004399999976158142,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/opioid-prescribing","display_name":"opioid prescribing","score":0.9470000267028809},{"id":"https://openalex.org/keywords/pregnancy","display_name":"pregnancy","score":0.9909999966621399},{"id":"https://openalex.org/keywords/chronic-non-cancer-pain","display_name":"chronic non-cancer pain","score":0.8730000257492065},{"id":"https://openalex.org/keywords/secular-trends","display_name":"secular trends","score":0.5799999833106995},{"id":"https://openalex.org/keywords/prenatal-care","display_name":"prenatal care","score":0.47999998927116394},{"id":"https://openalex.org/keywords/postpartum-period","display_name":"postpartum period","score":0.8479999899864197},{"id":"https://openalex.org/keywords/opioid-use-in-pregnancy","display_name":"opioid use in pregnancy","score":0.5419999957084656},{"id":"https://openalex.org/keywords/maternal-fetal-risk","display_name":"maternal and fetal risk","score":0.527999997138977},{"id":"https://openalex.org/keywords/pharmacy-benefits","display_name":"pharmacy benefits","score":0.38499999046325684}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8230173587799072},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.7909203767776489},{"id":"https://openalex.org/C23131810","wikidata":"https://www.wikidata.org/wiki/Q818574","display_name":"Observational study","level":2,"score":0.6726937890052795},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.6681454181671143},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6439708471298218},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5303906798362732},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.49563705921173096},{"id":"https://openalex.org/C3018745865","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postpartum period","level":3,"score":0.4429461658000946},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.22905439138412476},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.0724560022354126},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C170493617","wikidata":"https://www.wikidata.org/wiki/Q208467","display_name":"Receptor","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.17294/2330-0698.1554","doi":"https://doi.org/10.17294/2330-0698.1554","is_oa":true,"landing_page_url":"https://doi.org/10.17294/2330-0698.1554","pdf_url":null,"source":{"id":"https://openalex.org/S2737601338","display_name":"Journal of patient-centered research and reviews","issn_l":"2330-068X","issn":["2330-068X","2330-0698"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315584","host_organization_name":"Advocate Aurora Health","host_organization_lineage":["https://openalex.org/P4310315584"],"host_organization_lineage_names":["Advocate Aurora Health"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Patient-Centered Research and Reviews","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.17294/2330-0698.1554","doi":"https://doi.org/10.17294/2330-0698.1554","is_oa":true,"landing_page_url":"https://doi.org/10.17294/2330-0698.1554","pdf_url":null,"source":{"id":"https://openalex.org/S2737601338","display_name":"Journal of patient-centered research and reviews","issn_l":"2330-068X","issn":["2330-068X","2330-0698"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","ki-jl-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310315584","host_organization_name":"Advocate Aurora Health","host_organization_lineage":["https://openalex.org/P4310315584"],"host_organization_lineage_names":["Advocate Aurora Health"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Patient-Centered Research and Reviews","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"score":0.7900000214576721,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3168058699","https://openalex.org/W2789793143","https://openalex.org/W2781696682","https://openalex.org/W6927144531","https://openalex.org/W1989910955","https://openalex.org/W2329766643","https://openalex.org/W3120186071","https://openalex.org/W2725842902","https://openalex.org/W3175927112","https://openalex.org/W2080994807"],"abstract_inverted_index":{"Background:":[0],"Nationally,":[1],"opioid":[2,27,60,140,180,210,228,248,291],"prescribing":[3,61,141,181,229,249,292],"for":[4,164,265,307],"chronic":[5],"noncancer":[6],"pain":[7],"has":[8],"increased":[9,39],"significantly":[10,270],"over":[11,81,284,297],"the":[12,57,77,158,176,224,251,281,285],"last":[13,286],"20":[14],"years.":[15,288],"Recently":[16],"published":[17],"evidence":[18],"suggests":[19],"that":[20],"20%":[21],"to":[22,43,55,105,116,222],"40%":[23],"of":[24,29,41,49,59,68,96,133,203,217,226,233,254,267],"women":[25,207],"received":[26,208],"prescriptions":[28,211],"varying":[30],"doses":[31],"and":[32,45,70,107,130,137,235,239,262,278],"durations":[33],"during":[34,142,175,182,212,230,250],"pregnancy,":[35,65,186],"which":[36],"may":[37],"cause":[38],"risks":[40],"harm":[42],"mother":[44],"fetus.":[46],"The":[47],"purpose":[48],"this":[50],"retrospective":[51],"observational":[52],"study":[53,177],"was":[54,144,269,293],"determine":[56],"prevalence":[58],"3":[62,71,113,122,183,189,236,259],"months":[63,72,114,123,184,190,237,260],"before":[64,185,238,261],"each":[66,231],"trimester":[67,232],"pregnancy":[69,119,143,187,234,241,255,264],"postpartum,":[73],"as":[74,76,146,256,258,302],"well":[75,257],"secular":[78],"utilization":[79],"trend":[80],"an":[82],"8-year":[83],"period,":[84,156,178],"among":[85],"member-patients":[86,95,266],"at":[87],"HealthPartners":[88],"Medical":[89],"Group":[90],"(HPMG).":[91],"Methods:":[92],"All":[93],"pregnant":[94,206],"HPMG":[97,268],"who":[98],"delivered":[99],"a":[100],"live":[101],"birth":[102],"from":[103,275],"2006":[104,221],"2014":[106],"had":[108],"continuous":[109],"pharmacy":[110],"benefits":[111],"beginning":[112],"prior":[115],"their":[117,218],"estimated":[118],"start":[120],"through":[121],"postpartum":[124,160,191],"were":[125,135,166,192],"included.":[126],"Demographic,":[127],"clinical,":[128],"pharmaceutical":[129],"provider":[131],"variables":[132],"interest":[134],"identified":[136],"described.":[138],"Significant":[139,247],"defined":[145],"more":[147,215],"than":[148,272,300],"5":[149],"days\u2019":[150],"supply":[151],"prescribed":[152],"in":[153,194],"any":[154],"3-month":[155],"excluding":[157],"2-week":[159],"period.":[161],"Time":[162],"trends":[163],"2006\u20132014":[165],"examined":[167],"using":[168],"linear":[169],"regression.":[170],"Results:":[171],"Of":[172],"11,565":[173],"pregnancies":[174,197],"significant":[179,209,227,290],"or":[188,214],"observed":[193],"862":[195],"(7.5%)":[196],"(816":[198],"unique":[199],"women).":[200],"A":[201],"total":[202],"454":[204],"(3.9%)":[205],"one":[213],"trimesters":[216,253],"pregnancy.":[219],"From":[220],"2014,":[223],"rate":[225],"after":[240,263],"decreased":[242],"-0.2%":[243],"per":[244],"year.":[245],"Conclusion:":[246],"three":[252],"lower":[271],"reported":[273,303],"studies":[274],"other":[276],"populations":[277],"locations":[279],"across":[280],"United":[282],"States":[283],"15":[287],"Furthermore,":[289],"trending":[294],"downward":[295],"slightly":[296],"time,":[298],"rather":[299],"rising":[301],"elsewhere.":[304],"Explanatory":[305],"factors":[306],"these":[308],"findings":[309],"should":[310],"be":[311],"explored.":[312]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2017-08-17T00:00:00"}