Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Dose and Duration of Opioid Use in Propensity ScoreMatched, Privately Insured Opioid Users With and Without Spinal Cord Injury (2018) |
Auteurs : | Brittany N. Hand ; James S. Krause ; Kit N. Simpson |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 5, 2018) |
Article en page(s) : | p. 855-861 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Analgésiques morphiniques ; Gestion de la douleur ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Analgesics ; opioid ; Pain management ; Spinal cord injuries |
Résumé : |
Objectives To (1) compare the opioid utilization patterns in opioid users with spinal cord injury (SCI) to a propensity scorematched general population of opioid users without SCI; and (2) identify characteristics of persons with SCI associated with long-term and/or high-dose use of opioids. Design Quasi-experimental analysis of archival data. Setting Data used for the analysis were derived from Thompson Reuters MarketScan Commercial Claims and Encounters Databases for the years 2012 to 2013. Participants Participants (N=2908; aged 1864y) included opioid users with SCI (n=1454) and propensity scorematched opioid users without SCI (n=1454). The cohorts were matched using demographics including comorbidities, hospital admissions, age, sex, and geographic region. Interventions Not applicable. Main Outcome Measures Medical and pharmacy claims from 2012 to 2013 MarketScan data were analyzed to characterize whether persons were short-term ( Results Persons with SCI were significantly more likely to be long-term users of low-dose, short-acting opioids (P<.0001 and more likely to be taking high morphine-equivalent doses of long-acting opioids than matched controls. among persons with sci those lumbar injuries had days supply high-dose did thoracic or cervical injuries.> Conclusions Persons with SCI are prescribed opioids for longer durations and at higher morphine-equivalent doses than controls, which may increase the risk of opioid dependence or adverse drug events. Findings should be considered in the development of practice guidelines for alternate pain management options or opioid dependence interventions for persons with SCI. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |