Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions

Share this content:
Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions
Opioid Rx Frequently Issued for Nonspecific, Spinal Conditions

THURSDAY, Aug. 17, 2017 (HealthDay News) -- Within a cohort of patients insured through TRICARE, the most common diagnosis associated with initial opioid prescription is other ill-defined conditions, according to a research letter published online Aug. 16 in JAMA Surgery.

Andrew J. Schoenfeld, M.D., from Brigham and Women's Hospital in Boston, and colleagues queried the Military Health Data Repository to identify all patients insured through TRICARE who received a prescription for class II or III opioid analgesics and who were previously opioid naive. The authors assessed those who had received an opioid prescription for sustained opioid use.

The researchers identified 117,118 patients who met the criteria for sustained prescription opioid use. Only 0.7 percent received their initial opioid prescription following an inpatient encounter; 0.4 percent had undergone an inpatient procedure. For the entire cohort, other ill-defined conditions (30.6 percent) was the most common diagnosis associated with initial opioid prescription. Among patients treated in military facilities, lumbago was the most frequent diagnosis. In both military and civilian settings, spinal conditions were among the most frequent diagnoses. Spine and orthopedic disorders were the most prominent among specific categories of conditions associated with the initial opioid prescription.

"In this cohort, most of the diagnoses used to support the issue of an opioid prescription that led to sustained use were either nonspecific or associated with spinal or other conditions for which opioid administration is not considered standard of care," the authors write.

One author disclosed financial ties to Arbormetrix.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

Trending Activities

All Professions


Sign up for myCME e-newsletters


More in Home

Structural Findings of Acute Solar Retinopathy Described

Structural Findings of Acute Solar Retinopathy Described

Patient in case study presented three days after viewing solar eclipse

Telomere Fusions Predict Dysplasia, Invasive Pancreatic CA

Telomere Fusions Predict Dysplasia, Invasive Pancreatic CA

Telomere fusions are detected in later stages of intraductal papillary mucinous neoplasm progression

Prenatal Sugar Intake May Increase Asthma Risk in Offspring

Prenatal Sugar Intake May Increase Asthma Risk in ...

Higher intake during pregnancy, in early childhood associated with childhood asthma development

is free, fast, and customized just for you!

Already a member?

Sign In Now »