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Risk Factors for Long-term Opioid Use

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Stanford University

Status

Completed

Conditions

Pain Syndrome

Treatments

Other: No intervention - retrospective observational cohort study

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

Surgeons often see patients with pain to exclude organic pathology and consider surgical treatment. We examined factors associated with long-term opioid therapy among patients with foot/ankle, anorectal, and temporomandibular joint pain to aid clinical decision making.

Using the IBM MarketScan® Research Database, we conducted a retrospective cohort analysis of patients aged 18-64 with a clinical encounter for foot/ankle, anorectal, or temporomandibular joint pain (January 2007-September 2015). Multivariable logistic regression was used to estimate adjusted odds ratios for factors associated with long-term opioid therapy, including age, sex, geographic region, pain condition, psychiatric diagnoses, and surgical procedures in the previous year.

Enrollment

1,500,392 patients

Sex

All

Ages

18 to 64 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

  • 18-64 years old
  • at least one encounter for anorectal, foot/ankle, or TMJ pain
  • Marketscan continuous enrollment for 1 year prior and 1 year after the index pain encounter

Trial design

1,500,392 participants in 3 patient groups

Anorectal
Description:
Patients presenting with anorectal pain.
Treatment:
Other: No intervention - retrospective observational cohort study
TMJ
Description:
Patients presenting with temporomandibular joint pain.
Treatment:
Other: No intervention - retrospective observational cohort study
Foot/Ankle
Description:
Patients presenting with foot and ankle pain.
Treatment:
Other: No intervention - retrospective observational cohort study

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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