Advanced Search
Select up to three search categories and corresponding keywords using the fields to the right. Refer to the Help section for more detailed instructions.

Search our Collections & Repository

All these words:

For very narrow results

This exact word or phrase:

When looking for a specific result

Any of these words:

Best used for discovery & interchangable words

None of these words:

Recommended to be used in conjunction with other fields

Language:

Dates

Publication Date Range:

to

Document Data

Title:

Document Type:

Library

Collection:

Series:

People

Author:

Help
Clear All

Query Builder

Query box

Help
Clear All

For additional assistance using the Custom Query please check out our Help Page

i

Prevalence of Nonopioid and Opioid Prescriptions among Commercially-Insured Patients with Chronic Pain

Filetype[PDF-318.91 KB]


  • English
    • Details Supporting Files You May Also Like

    Details:

    • Alternative Title:
      Pain Med
    • Personal Author:
    • Description:
      Objective

      The increased use of opioids to treat chronic pain in the past 20 years has led to a drastic increase in opioid prescribing in the United States. The CDC Guideline for Prescribing Opioids for Chronic Pain recommends the use of nonopioid therapy as the preferred treatment for chronic pain. This study analyzes the prevalence of nonopioid prescribing among commercially-insured patients with chronic pain.

      Design

      Data from the 2014 MarketScan database representing claims for commercially-insured patients were used. International Classification of Diseases, Ninth Revision (ICD-9-CM) codes were used to identify patients with chronic pain. Nonopioid prescriptions included nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics/antipyretics (e.g. acetaminophen), anticonvulsants, and antidepressant medications. The prevalence of nonopioid and opioid prescriptions were calculated by age, sex, insurance plan type, presence of a depressive or seizure disorder, and region.

      Results

      In 2014, among patients with chronic pain, 16% filled only an opioid, 17% filled only a nonopioid prescription, and 28% filled both a nonopioid and an opioid. NSAIDs and antidepressants were the most commonly prescribed nonopioids among patients with chronic pain. Having prescriptions for only nonopioids was more common among patients aged 50–64 years and female patients.

      Conclusions

      This study provides a baseline snapshot of nonopioid prescriptions prior to the release of the CDC Guideline and can be used to examine the impact of the CDC Guideline and other evidence-based guidelines on nonopioid use among commercially-insured patients with chronic pain.

    • Subjects:
    • Source:
      Pain Med.
    • Pubmed ID:
      30481359
    • Pubmed Central ID:
      PMC6536362
    • Document Type:
      Journal Article
    • Funding:
      CC999999/ImCDC/Intramural CDC HHS/United States
    • Collection(s):
    • Main Document Checksum:
    • Download URL:
    • File Type:

    You May Also Like

    Checkout today's featured content at stacks.cdc.gov