{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:08:13Z","timestamp":1792786093267,"version":"4.5.0"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,3,27]],"date-time":"2020-03-27T00:00:00Z","timestamp":1585267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R18HS023459"],"award-info":[{"award-number":["R18HS023459"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008357","name":"FSM","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008357","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Northwestern University Clinical and Translational Science Institute"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001422"],"award-info":[{"award-number":["UL1TR001422"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,2,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Recent guidelines advise limiting opioid prescriptions for acute pain to a three-day supply; however, scant literature quantifies opioid use patterns after an emergency department (ED) visit. We sought to describe opioid consumption patterns after an ED visit for acute pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Descriptive study with data derived from a larger interventional study promoting safe opioid use after ED discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Urban academic emergency department (&amp;gt;88,000 annual visits).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>Patients were eligible if age &amp;gt;17\u2009years, not chronically using opioids, and newly prescribed hydrocodone-acetaminophen and were included in the analysis if they returned the completed 10-day medication diary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patient demographics and opioid consumption are reported. Opioid use is described in daily number of pills and daily morphine milligram equivalents (MME) both for the sample overall and by diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two hundred sixty patients returned completed medication diaries (45 [17%] back pain, 52 [20%] renal colic, 54 [21%] fracture\/dislocation, 40 [15%] musculoskeletal injury [nonfracture], and 69 [27%] \u201cother\u201d). The mean age (SD) was 45 (15) years, and 59% of the sample was female. A median of 12 pills were prescribed. Patients with renal colic used the least opioids (total pills: median [interquartile range {IQR}] = 3 [1\u20137]; total MME: median [IQR] = 20 [10\u201350]); patients with back pain used the most (total pills: median [IQR] = 12 [7\u201316]; total MME: median [IQR] = 65 [47.5\u2013100]); 92.5% of patients had leftover pills.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this sample, pill consumption varied by illness category; however, overall, patients were consuming low quantities of pills, and the majority had unused pills 10 days after their ED visit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pm\/pnaa048","type":"journal-article","created":{"date-parts":[[2020,2,5]],"date-time":"2020-02-05T15:10:58Z","timestamp":1580915458000},"page":"292-302","source":"Crossref","is-referenced-by-count":11,"title":["Patient-Reported Opioid Pill Consumption After an ED Visit: How Many Pills Are People Using?"],"prefix":"10.1093","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9038-2852","authenticated-orcid":false,"given":"Danielle M","family":"McCarthy","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard S","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott I","family":"Hur","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics, Department of, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick M","family":"Lank","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, 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Department of, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S","family":"Wolf","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics, Department of, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D Mark","family":"Courtney","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of Texas Southwestern, Dallas, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,3,27]]},"reference":[{"issue":"6","key":"2021111805341358400_pnaa048-B1","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1056\/NEJMp1803661","article-title":"Opioid prescribing limits for acute pain-striking the right balance","volume":"379","author":"Lowenstein","year":"2018","journal-title":"N Engl J 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