Trends in office visits during which opioids were prescribed for adults with arthritis: United States, 2006-2015

Details

• Alternative Title:
  Arthritis Care Res (Hoboken)
• Personal Author:
  Santo, Loredana ; Schappert, Susan M. ; Hootman, Jennifer M. ; Helmick, Charles G.
• Description:
  Objective
  
  To analyze trends in opioid prescriptions during visits to office-based physicians made by adults with arthritis in the US from 2006 to 2015.
  
  Methods
  
  We analyzed nationally representative data on patient visits to office-based physicians from the National Ambulatory Medical Care Survey (NAMCS) 2006–2015. Visit percentages for first- and any-listed diagnosis of arthritis by age groups and sex are reported. Time points were grouped into 2-year intervals to increase the reliability of estimates. Annual percentage point change and 95% CI were reported from linear regression models.
  
  Results
  
  During 2006–2015, the percentage of visits to office-based physicians by adults with a first-listed diagnosis of arthritis increased from 4.1% (95%CI: 3.5%−4.7%) in 2006–2007 to 5.1% (95% CI: 3.9%−6.6%) in 2014–2015 (p=.033). Among these visits, the percentage of visits with opioids prescribed increased from 16.5% (95%CI: 13.1%−20.5%) in 2006–2007 to 25.6% (95%CI: 17.9%−34.6%) in 2014–2015 (p=.017). The percentage of visits with any-listed diagnosis of arthritis increased from 6.6% (95%CI: 5.9%−7.4%) in 2006–2007 to 8.4% (95%CI: 7.0%−10.0%) in 2014–2015 (p=.001). Among these visits the percentage of visits with opioids prescribed increased from 17.4% (95%CI: 14.6%−20.4%) in 2006–2007 to 25.0% (95%CI: 19.7%−30.8%) in 2014–2015 (p=.004).
  
  Conclusion
  
  During 2006–2015, the percentage of arthritis visits by adults to office-based physicians increased and the percentage of opioids prescribed at these visits increased as well. NAMCS data will allow continued monitoring of these trends after guidelines were implemented.
  
  
• Subjects:
  Adolescent Adult Aged Analgesics, Opioid Arthritis Article Drug Prescriptions Drug Utilization Female Humans Male Middle Aged Office Visits Practice Patterns, Physicians' Prescription Drug Monitoring Programs Time Factors United States Young Adult

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• Source:
  Arthritis Care Res (Hoboken). 73(10):1430-1435
• Pubmed ID:
  32937030
• Pubmed Central ID:
  PMC8112389
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  United States
• Volume:
  73
• Issue:
  10
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:15b2b4e2bff5b9e3cf5c07eb06058e2bb2f1f2ecd13e4ec8e58f66ca520307e1
• Download URL:
  https://stacks.cdc.gov/view/cdc/106204/cdc_106204_DS1.pdf
• File Type:
  [PDF - 743.31 KB ]