Prescription Opioid Use in Patients with and Without Systemic Lupus Erythematosus – Michigan Lupus Epidemiology and Surveillance Program, 2014–2015

Details

• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR)
• Personal Author:
  Barbour, Kamil E. ; Brummett, Chad M. ; Gordon, Caroline ; Harlow, Sioban D. ; Hassett, Afton L. ; Helmick, Charles G. ; Lee, Jiha ; Marder, Wendy ; McCune, W. Joseph ; Minhas, Deeba ; Padda, Amrita ; Somers, Emily C. ; Wang, Lu ; Zick, Suzanna M.
• Description:
  What is already known about this topic? Opioids are generally not indicated for pain in systemic lupus erythematosus (SLE) and other rheumatic diseases because of limited efficacy and risks for addiction and adverse health effects. What is added by this report? Nearly one third of patients with SLE in an established Michigan cohort used prescription opioids, with approximately two thirds of those using for >1 year. Emergency department use was associated with increased prescription opioid use. What are the implications for public health practice? Risks for long-term opioid therapy, including osteoporosis and cardiovascular disease, are concerning in SLE patients given their increased underlying risks for these comorbidities. Strategies for reducing opioid use are needed in rheumatic disease populations. Clinicians managing SLE, including providers in emergency departments, need to be aware of these risks and consider nonopioid pain management strategies. [Description provided by NIOSH]
• Subjects:
  Analgesics, Opioid Biopharmaceutics Delivery Of Health Care Epidemiology Occupational Health Safety
• Keywords:
  Lupus Medical Care Pharmaceuticals Prescription Drugs Rheumatoid Disorders
• Series:
  Weekly Report: Morbidity and Mortality Weekly Report (MMWR)
• ISSN:
  0149-2195 (print) ; 1545-861X (digital)
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  6 pdf pages
• Volume:
  68
• Issue:
  38
• NIOSHTIC Number:
  nn:20059322
• Citation:
  MMWR 2019 Sep; 68(38):819-824
• Email:
  emsomers@umich.edu
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of Michigan, Ann Arbor
• Peer Reviewed:
  False
• Start Date:
  20050701
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:3799bf2ece65ba5ea9c171f0cef3c00a6cfd64e9cb78f7f189ea64505cb7c8cfe6c9b3b862bc2116fe855e11bda0e9769f75860edbe74c0bf6401b942403c639
• Download URL:
  https://stacks.cdc.gov/view/cdc/183260/cdc_183260_DS1.pdf
• File Type:
  [PDF - 278.32 KB ]