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Trends in office visits during which opioids were prescribed for adults with arthritis: United States, 2006-2015
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10 2021
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Source: Arthritis Care Res (Hoboken). 73(10):1430-1435
Details:
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Alternative Title:Arthritis Care Res (Hoboken)
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Personal Author:
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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.
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Pubmed ID:32937030
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Pubmed Central ID:PMC8112389
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Volume:73
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Issue:10
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