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dc.contributor.authorAxon, David R
dc.contributor.authorSlack, Marion
dc.contributor.authorBarraza, Leila
dc.contributor.authorLee, Jeannie K
dc.contributor.authorWarholak, Terri
dc.date.accessioned2021-03-26T21:44:09Z
dc.date.available2021-03-26T21:44:09Z
dc.date.issued2020-05-01
dc.identifier.citationAxon, D. R., Slack, M., Barraza, L., Lee, J. K., & Warholak, T. (2021). Nationally representative health care expenditures of community-based older adults with pain in the United States prescribed opioids vs those not prescribed opioids. Pain Medicine, 22(2), 282-291.en_US
dc.identifier.issn1526-4637
dc.identifier.pmid32358611
dc.identifier.doi10.1093/pm/pnaa114
dc.identifier.urihttp://hdl.handle.net/10150/657230
dc.description.abstractOBJECTIVE: To compare health care expenditures between older US adults (≥50 years) with pain who were prescribed opioid medications and those who were not. DESIGN: Cross-sectional. SETTING: Community-based adults in the 2015 Medical Expenditure Panel Survey (MEPS). SUBJECTS: Nationally representative sample of US adults alive for the calendar year, aged 50 years or older, who reported having pain in the past four weeks. METHODS: Older US adults (≥50 years) with pain in the 2015 MEPS data were identified. The key independent variable was opioid prescription status (prescribed opioid vs not prescribed opioid). Hierarchical linear regression models assessed health care expenditures (inpatient, outpatient, office-based, emergency room, prescription medications, other, and total) in US dollars for opioid prescription status from a community-dwelling US population perspective, adjusting for covariates. RESULTS: The 2015 study cohort provided a national estimate of 50,898,592 noninstitutionalized US adults aged ≥50 years with pain in the past four weeks (prescribed opioid N = 16,757,516 [32.9%], not prescribed opioid N = 34,141,076 [67.1%]). After adjusting for covariates, individuals prescribed an opioid had 61% greater outpatient (β = 0.477, P < 0.0001), 69% greater office-based (β = 0.524, P < 0.0001), 14% greater emergency room (β = 0.131, P = 0.0045), 63% greater prescription medication (β = 0.486, P < 0.0001), 29% greater other (β = 0.251, P = 0.0002), and 105% greater total (β = 0.718, P < 0.0001) health care expenditures. There was no difference in opioid prescription status for inpatient expenditures (P > 0.05). CONCLUSIONS: This study raises awareness of the economic impact associated with opioid use among US older adults with pain. Future research should investigate these variables in greater depth, over longer time periods, and in additional populations. © The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.en_US
dc.language.isoenen_US
dc.publisherOxford University Pressen_US
dc.rights© The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.en_US
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectAnalgesicsen_US
dc.subjectCost of Illnessen_US
dc.subjectMedical Expenditure Panel Surveyen_US
dc.subjectOlder Adultsen_US
dc.subjectopioiden_US
dc.subjectPainen_US
dc.subjecthealth care expenditureen_US
dc.titleNationally Representative Health Care Expenditures of Community-Based Older Adults with Pain in the United States Prescribed Opioids vs Those Not Prescribed Opioidsen_US
dc.typeArticleen_US
dc.identifier.eissn1526-4637
dc.contributor.departmentDepartment of Pharmacy Practice and Science, College of Pharmacy, University of Arizonaen_US
dc.contributor.departmentCommunity, Environment, Policy Department, College of Public Health, University of Arizonaen_US
dc.identifier.journalPain medicine (Malden, Mass.)en_US
dc.description.note12 month embargo; first published online 1 May 2020en_US
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.en_US
dc.eprint.versionFinal accepted manuscripten_US
dc.source.journaltitlePain medicine (Malden, Mass.)
dc.source.volume22
dc.source.issue2
dc.source.beginpage282
dc.source.endpage291
dc.source.countryEngland


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