Short-Term and Long-Term Opioid Prescribing by Specialty, 2010 to 2024 - Report - MDSpire

Short-Term and Long-Term Opioid Prescribing by Specialty, 2010 to 2024

  • By

  • Michele J. Buonora

  • Rebekah Heckmann

  • Joanna L. Starrels

  • Mitra Ahadpour

  • Sara A. Hevesi

  • Joseph S. Ross

  • Molly M. Jeffery

  • July 7, 2026

  • 0 min

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Clinical Report: Opioid Prescription Trends by Medical Specialty: 2010-2024

Background

Opioid prescribing has decreased significantly in the US over the past decade, largely as a response to the opioid overdose epidemic and increasing substance use disorders. The 2016 CDC Guideline for Prescribing Opioids for Chronic Pain catalyzed widespread changes in prescribing practices across various medical specialties. Understanding these trends is crucial for addressing the ongoing challenges of opioid misuse and ensuring effective pain management.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • Opioid prescribing has decreased across nearly all medical specialties since 2016.
  • Short-term and long-term opioid prescribing practices differ significantly in terms of indications and potential harms.
  • Long-term opioid prescriptions have seen a larger reduction compared to short-term prescriptions.
  • Prescribing patterns vary among different insurer cohorts, including commercially insured and Medicare Advantage enrollees.
  • Changes in prescribing practices are influenced by state laws and clinical guidelines aimed at reducing opioid misuse.

Clinical Implications

Clinicians should remain aware of the evolving landscape of opioid prescribing and the importance of distinguishing between short-term and long-term use. Adhering to updated guidelines can help mitigate risks associated with opioid therapy while ensuring adequate pain management.

Conclusion

The study highlights significant shifts in opioid prescribing trends across medical specialties, emphasizing the need for continued monitoring and adherence to clinical guidelines to address the opioid crisis effectively.

Related Resources & Content

  1. Drugs - Real World Outcomes, 2021 -- An Extensive Observational Analysis of Trends and Risk Factors Associated with Opioid Overdose
  2. Pain Medicine, 2023 -- Association of opioid tapering with pain-related emergency department visits, hospitalizations, and primary care visits
  3. ADA News, 2024 -- January JADA looks at changes in opioid prescribing by dentists
  4. CDC Clinical Practice Guideline for Prescribing Opioids for Pain, 2022
  5. conexiant — Tracking Opioid Refills After Surgery
  6. Short-Term and Long-Term Opioid Prescribing by Specialty
  7. US Trends in Long-Term Opioid Therapy
  8. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022
  9. Full article: Acute Dental Pain Management and Opioids – An Executive Summary of the Clinical Practice Guideline
  10. United States Dispensing Rate Maps | Overdose Prevention | CDC
  11. Post-discharge opioid prescribing after surgery in the United States: a population-based analysis of specialty variation and prescribing intensity - PubMed
  12. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial - PMC
  13. Opioid analgesia for acute low back pain and neck pain (the OPAL trial): a randomised placebo-controlled trial - PubMed

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