High-risk use of prescription opioids among patients treated for alcohol problems in New York State. A repeated cross-sectional study, 2005-2018

被引:0
作者
Kuo, Tzu-Yin [1 ]
Lu, Chi-Hua [1 ]
Falls, Zackary [2 ]
Jette, Gail [3 ]
Gibson, Walter [1 ]
Elkin, Peter L. [2 ]
Leonard, Kenneth E. [2 ]
Bednarczyk, Edward M. [1 ]
Jacobs, David M. [1 ]
机构
[1] Univ Buffalo, Sch Pharm & Pharmaceut Sci, Buffalo, NY USA
[2] Univ Buffalo, Jacobs Sch Med & Biomed Sci, Buffalo, NY USA
[3] New York State Off Addict Serv & Supports, Albany, NY USA
来源
DRUG AND ALCOHOL DEPENDENCE REPORTS | 2024年 / 12卷
基金
美国国家卫生研究院;
关键词
Alcohol use disorder; Opioids; High-risk use; Pain; CHRONIC PAIN; EMERGENCY-DEPARTMENTS; UNITED-STATES; POPULATION; PREVALENCE; DEPENDENCE;
D O I
10.1016/j.dadr.2024.100278
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Patients with alcohol use disorder (AUD) and high-risk opioid use are at risk of serious complications. The purpose of this study was to estimate the prevalence of and factors associated with high-risk opioid use in patients with an alcohol use problem from 2005 to 2018. Methods: This repeated cross-sectional study analyzed data from first admissions for alcohol treatment (2005-2018) to the NYS Office of Addiction Services and Supports merged with Medicaid Claims Data. High-risk opioid use was defined as opioid dose >50 morphine mg equivalents (MME) per day; opioid prescriptions overlapping >7 days; opioids for chronic pain >90 days or opioids for acute pain >7 days. Results: Patients receiving >50 MME increased from 690 to 3226 from 2005 to 2010; then decreased to 2330 in 2018. From 2005-2011, patients with opioid prescriptions overlapping >7 days increased from 226 to 1594 then decreased to 892 in 2018. From 2005-2010, opioid use >7 days for acute pain increased from 133 to 970 and plateaued after 2010. From 2005-2018, patients who received opioids >90 days for chronic pain trended from 186 to 1655. White patients, females, age 36-55, patients with chronic and acute pain diagnoses had the highest rates of high-risk use. Conclusions: The prevalence of high-risk opioid use in patients with alcohol use problems increased from 2005 to 2011, and generally decreased after 2010. However, prevalence of opioids >90 days for chronic pain trended up from 2005 to 2018. High-risk opioid use among patients with AUD emphasizes the need to develop interventional strategies to improve patient care.
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页数:8
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