AI Article Synopsis
- - The study examined the prevalence and risk factors of high-risk opioid use among patients with alcohol use disorder (AUD) from 2005 to 2018, revealing concerning trends in opioid consumption patterns.
- - High-risk opioid use, defined by metrics like daily dosage and duration of treatment, increased significantly from 2005 to 2011 but showed a general decline after 2010, except for long-term opioid use for chronic pain, which steadily rose.
- - Higher rates of high-risk opioid use were found among white patients, females, and those aged 36-55 with pain conditions, highlighting the need for targeted interventions to improve treatment outcomes for this vulnerable population.
Article Abstract
Background: Patients with alcohol use disorder (AUD) and high-risk opioid use are at risk of serious complications. The purpose of this study was to estimate the prevalence of and factors associated with high-risk opioid use in patients with an alcohol use problem from 2005 to 2018.
Methods: This repeated cross-sectional study analyzed data from first admissions for alcohol treatment (2005-2018) to the NYS Office of Addiction Services and Supports merged with Medicaid Claims Data. High-risk opioid use was defined as opioid dose ≥50 morphine mg equivalents (MME) per day; opioid prescriptions overlapping ≥7 days; opioids for chronic pain >90 days or opioids for acute pain >7 days.
Results: Patients receiving ≥50 MME increased from 690 to 3226 from 2005 to 2010; then decreased to 2330 in 2018. From 2005-2011, patients with opioid prescriptions overlapping ≥7 days increased from 226 to 1594 then decreased to 892 in 2018. From 2005-2010, opioid use >7 days for acute pain increased from 133 to 970 and plateaued after 2010. From 2005-2018, patients who received opioids >90 days for chronic pain trended from 186 to 1655. White patients, females, age 36-55, patients with chronic and acute pain diagnoses had the highest rates of high-risk use.
Conclusions: The prevalence of high-risk opioid use in patients with alcohol use problems increased from 2005 to 2011, and generally decreased after 2010. However, prevalence of opioids >90 days for chronic pain trended up from 2005 to 2018. High-risk opioid use among patients with AUD emphasizes the need to develop interventional strategies to improve patient care.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403464 | PMC |
| http://dx.doi.org/10.1016/j.dadr.2024.100278 | DOI Listing |
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