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MPS-2.4.3 Data Details

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MPS-2.4.3 Reduce drug overdose deaths involving methadone

About the Data: National

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Bridged-race Population Estimates
National Vital Statistics System-Mortality
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
per 100,000
Baseline (Year): 
1.5 (2010)
Target: 
Not applicable
Target-Setting Method: 
This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Target-Setting Method Justification: 
This measure is being tracked for informational purposes to better understand the subtleties of the data source in identifying overdose deaths involving opioids. If warranted, a target will be set during the decade.
Numerator: 

Number of overdose deaths involving methadone

Comparable Healthy People 2010 Objective: 
Not applicable
Data Collection Frequency: 
Annual
Methodology Notes: 

    Opioids are drugs that are usually prescribed to relieve pain by acting on the central nervous system. They include: natural and semisynthetic opioids such as morphine, codeine, hydrocodone, and oxycodone; methadone, which is a synthetic opioid used to treat opioid dependence and pain; and other synthetic opioids (excluding methadone) such as fentanyl, tramadol and meperidine.

    For this objective, drug overdose deaths involving natural and semi-synthetic opioids excluding heroin are identified from mortality data by selecting deaths with an ICD-10 underlying cause code of:.

    X40-44 (unintentional poisoning),
    X60-64 (intentional self-poisoning),
    X85 (homicide by poisoning), or
    Y10-Y14 (poisoning of undetermined intent)
    AND a multiple cause code of:
    T40.3 (methadone)

Caveats and Limitations: 
NVSS-M data cannot distinguish between deaths from opioids that were acquired legally by prescription and deaths from opioids that were acquired illegally or were used by someone other than the person for whom they were prescribed. NVSS-M data cannot distinguish between a drug manufactured pharmaceutically and one manufactured illicitly. For example, illicitly manufactured fentanyl cannot be distinguished from prescription fentanyl using death certificate data.
Trend Issues: 
The NVSS-M is derived from information on death certificates. Some death certificates do not include detailed information on the specific drug(s) involved in a drug poisoning death. For example, in 2010, the specific drugs involved were not reported for approximately 25% of drug poisoning deaths. However, the quality and completeness of drug information on death certificates has improved. In 2014, the percent of drug poisoning deaths that lacked information on the specific drugs involved decreased to 19%. The impact of improvements in reporting should be considered when monitoring the mortality rates for specific drugs.

About the Data: State

Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

Data Source: 
Bridged-race Population Estimates
National Vital Statistics System-Mortality
Measure: 
per 100,000
Numerator: 

Number of overdose deaths involving methadone

Data Collection Frequency: 
Annual
Methodology Notes: 

      Opioids are drugs that are usually prescribed to relieve pain by acting on the central nervous system. They include: natural and semisynthetic opioids such as morphine, codeine, hydrocodone, and oxycodone; methadone, which is a synthetic opioid used to treat opioid dependence and pain; and other synthetic opioids (excluding methadone) such as fentanyl, tramadol and meperidine.

      For this objective, drug overdose deaths involving natural and semi-synthetic opioids excluding heroin are identified from mortality data by selecting deaths with an ICD-10 underlying cause code of:.

      X40-44 (unintentional poisoning),
      X60-64 (intentional self-poisoning),
      X85 (homicide by poisoning), or
      Y10-Y14 (poisoning of undetermined intent)
      AND a multiple cause code of:
      T40.3 (methadone)

Caveats and Limitations: 
NVSS-M data cannot distinguish between deaths from opioids that were acquired legally by prescription and deaths from opioids that were acquired illegally or were used by someone other than the person for whom they were prescribed. NVSS-M data cannot distinguish between a drug manufactured pharmaceutically and one manufactured illicitly. For example, illicitly manufactured fentanyl cannot be distinguished from prescription fentanyl using death certificate data.
Trend Issues: 
The NVSS-M is derived from information on death certificates. Some death certificates do not include detailed information on the specific drug(s) involved in a drug poisoning death. For example, in 2010, the specific drugs involved were not reported for approximately 25% of drug poisoning deaths. However, the quality and completeness of drug information on death certificates has improved. In 2014, the percent of drug poisoning deaths that lacked information on the specific drugs involved decreased to 19%. The impact of improvements in reporting should be considered when monitoring the mortality rates for specific drugs.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2016, the developmental objective MPS-2.4, "Reduce deaths from the use of pain medications," was split into 4 measurable objectives: MPS-2.4.1, "Reduce drug overdose deaths involving natural, semi-synthetic, and synthetic opioids excluding heroin;" MPS-2.4.2, "Reduce drug overdose deaths involving natural and semi-synthetic opioids excluding heroin;" MPS-2.4.3, "Reduce drug overdose deaths involving methadone;" and MPS-2.4.4, "Reduce drug overdose deaths involving synthetic opioids excluding methadone." These measures are being tracked for informational purposes; if warranted, targets will be set within the decade. In 2017, the estimates for geographic location were updated to reflect the 2013 urban/rural classification scheme.