Drug Misuse in America 2018, a Quest Diagnostics Health Trends™ report, presents findings from analysis of more than 3.9 million de-identified aggregated clinical drug monitoring tests performed by Quest Diagnostics on patients in all 50 states and the District of Columbia between 2011 and 2017. To our knowledge, this report is the largest of its kind to provide current insights into prescription and illicit drug use and misuse in the United States based on laboratory insights.
In this report, we reveal evolving patterns in drug misuse, specifically:
For clinicians, drug monitoring can provide insights into possible forms of misuse including: substance use disorders, dangerous drug combinations, incomplete treatment, and/or “diversion” – instances where the prescribed drug is not found in the patient’s sample, suggesting the patient is possibly filling the prescription but may be diverting the drug to others or opted not to take it.
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