Muhammad Ali Chaudhary1, Rebecca Scully1, Wei Jiang1, Ritam Chowdhury1, Cheryl K Zogg1, Meesha Sharma1, Anju Ranjit1, Tracey Koehlmoos2, Adil H Haider1, Andrew J Schoenfeld3. 1. Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA. 2. Uniformed Services University of the Health Sciences, Bethesda, MD, USA. 3. Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA; Department of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: ajschoenfeld@partners.org.
Abstract
BACKGROUND: Inappropriate use of prescription opioids is a growing public-health issue. We sought to estimate the proportion of traumatic injury patients using legal prescription opioids up to 1-year after hospitalization. METHODS: We used 2006-2014 claims data from TRICARE insurance to identify adults hospitalized secondary to trauma between 2007 and 2013. Prescription opioid use was evaluated for one-year post-discharge. Risk-adjusted Cox Proportional-hazards models were used to evaluate predictors of opioid discontinuation. RESULTS: Only 1% of patients sustained legal prescription opioid use at 1-year following trauma. Lower socioeconomic status (HR 0.92, 95% CI 0.87-0.98) and higher injury severity (HR 0.88, 95% CI 0.84-0.91) were associated with sustained use. Younger patients (HR 1.12, 95% CI 1.04-1.21) and Black patients (HR 1.09, 95% CI 1.04-1.15) were found to have a higher likelihood of opioid discontinuation. CONCLUSIONS: In this population, adult patients who sustained trauma were not at high risk of sustained legal prescription opioid use.
BACKGROUND: Inappropriate use of prescription opioids is a growing public-health issue. We sought to estimate the proportion of traumatic injurypatients using legal prescription opioids up to 1-year after hospitalization. METHODS: We used 2006-2014 claims data from TRICARE insurance to identify adults hospitalized secondary to trauma between 2007 and 2013. Prescription opioid use was evaluated for one-year post-discharge. Risk-adjusted Cox Proportional-hazards models were used to evaluate predictors of opioid discontinuation. RESULTS: Only 1% of patients sustained legal prescription opioid use at 1-year following trauma. Lower socioeconomic status (HR 0.92, 95% CI 0.87-0.98) and higher injury severity (HR 0.88, 95% CI 0.84-0.91) were associated with sustained use. Younger patients (HR 1.12, 95% CI 1.04-1.21) and Black patients (HR 1.09, 95% CI 1.04-1.15) were found to have a higher likelihood of opioid discontinuation. CONCLUSIONS: In this population, adult patients who sustained trauma were not at high risk of sustained legal prescription opioid use.
Authors: Marieke J Krimphove; Stephen W Reese; Xi Chen; Maya Marchese; Daniel Pucheril; Eugene Cone; Wesley Chou; Karl H Tully; Adam S Kibel; Richard D Urman; Steven L Chang; Luis A Kluth; Prokar Dasgupta; Quoc Dien Trinh Journal: Investig Clin Urol Date: 2020-11-13
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Authors: W Wynn-Jones; T P Koehlmoos; C Tompkins; A Navathe; S Lipsitz; N K Kwon; P A Learn; C Madsen; A Schoenfeld; J S Weissman Journal: BMC Health Serv Res Date: 2019-11-21 Impact factor: 2.655
Authors: Marieke J Krimphove; Xi Chen; Maya Marchese; David F Friedlander; Adam C Fields; Lina Roa; Daniel Pucheril; Adam S Kibel; Nelya Melnitchouk; Richard D Urman; Luis A Kluth; Prokar Dasgupta; Quoc-Dien Trinh Journal: BMC Surg Date: 2020-10-14 Impact factor: 2.102