SanteMusiqueV1, Main, Exploration, bibRecord, 000411

Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.

Identifieur interne : 000411 ( Main/Exploration ); précédent : 000410; suivant : 000412

Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.

Auteurs : Shirley Musich [États-Unis] ; Shaohung S. Wang [États-Unis] ; Luke Slindee [États-Unis] ; Sandra Kraemer [États-Unis] ; Charlotte S. Yeh [États-Unis]

Source :

Geriatric nursing (New York, N.Y.) [ 1528-3984 ]

RBID : pubmed:30401575

Descripteurs français

KwdFr :
- Analgésiques morphiniques (administration et posologie), Analgésiques morphiniques (effets indésirables), Douleur chronique (traitement médicamenteux), Douleur chronique (épidémiologie), Douleur chronique (étiologie), Facteurs temps (MeSH), Femelle (MeSH), Gestion de la douleur (méthodes), Humains (MeSH), Mâle (MeSH), Ordonnances médicamenteuses (statistiques et données numériques), Prévalence (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Troubles liés aux opiacés (épidémiologie), Types de pratiques des médecins (MeSH).
MESH :
- administration et posologie : Analgésiques morphiniques.
- effets indésirables : Analgésiques morphiniques.
- méthodes : Gestion de la douleur.
- statistiques et données numériques : Ordonnances médicamenteuses.
- traitement médicamenteux : Douleur chronique.
- épidémiologie : Douleur chronique, Troubles liés aux opiacés.
- étiologie : Douleur chronique.
- Facteurs temps, Femelle, Humains, Mâle, Prévalence, Sujet âgé, Sujet âgé de 80 ans ou plus, Types de pratiques des médecins.

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Analgesics, Opioid (administration & dosage), Analgesics, Opioid (adverse effects), Chronic Pain (drug therapy), Chronic Pain (epidemiology), Chronic Pain (etiology), Drug Prescriptions (statistics & numerical data), Female (MeSH), Humans (MeSH), Male (MeSH), Opioid-Related Disorders (epidemiology), Pain Management (methods), Practice Patterns, Physicians' (MeSH), Prevalence (MeSH), Time Factors (MeSH).
MESH :
- chemical , administration & dosage : Analgesics, Opioid.
- chemical , adverse effects : Analgesics, Opioid.
- drug therapy : Chronic Pain.
- epidemiology : Chronic Pain, Opioid-Related Disorders.
- etiology : Chronic Pain.
- methods : Pain Management.
- statistics & numerical data : Drug Prescriptions.
- Aged, Aged, 80 and over, Female, Humans, Male, Practice Patterns, Physicians', Prevalence, Time Factors.

Abstract

Our primary objective was to determine the prevalence and characteristics of opioid-naïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adults ≥ 65years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were determined using multivariate logistic regression. Among eligible insureds (N = 180,498), 70% used only the initial opioid prescription; 30% continued to use opioids requiring ≥ 2 prescriptions with ≥ 15 days' supply. Overall, 6% transitioned to chronic use > 90days. Characteristics associated with chronic use included: (1) Low income, older, females, in poor health, with new/chronic back pain; (2) opioid initiation with long-acting opioids or tramadol; (3) prescriptions for other pain, sleep or antipsychotic medications; and (4) indications of pre and/or post mental health issues. Careful screening, monitoring and/or alternative non-opioid pain management strategies may be warranted for those at risk for chronic opioid use.

DOI: 10.1016/j.gerinurse.2018.10.003
PubMed: 30401575

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000660
to stream Main, to step Curation: 000660

Le document en format XML

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<term>Aged, 80 and over (MeSH)</term>
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<term>Analgesics, Opioid (adverse effects)</term>
<term>Chronic Pain (drug therapy)</term>
<term>Chronic Pain (epidemiology)</term>
<term>Chronic Pain (etiology)</term>
<term>Drug Prescriptions (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Opioid-Related Disorders (epidemiology)</term>
<term>Pain Management (methods)</term>
<term>Practice Patterns, Physicians' (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Time Factors (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Analgésiques morphiniques (administration et posologie)</term>
<term>Analgésiques morphiniques (effets indésirables)</term>
<term>Douleur chronique (traitement médicamenteux)</term>
<term>Douleur chronique (épidémiologie)</term>
<term>Douleur chronique (étiologie)</term>
<term>Facteurs temps (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Gestion de la douleur (méthodes)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Ordonnances médicamenteuses (statistiques et données numériques)</term>
<term>Prévalence (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Troubles liés aux opiacés (épidémiologie)</term>
<term>Types de pratiques des médecins (MeSH)</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Analgesics, Opioid</term>
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<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Analgésiques morphiniques</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Chronic Pain</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Analgésiques morphiniques</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Chronic Pain</term>
<term>Opioid-Related Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Chronic Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Pain Management</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Gestion de la douleur</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Drug Prescriptions</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Ordonnances médicamenteuses</term>
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<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Douleur chronique</term>
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<term>Aged, 80 and over</term>
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<term>Mâle</term>
<term>Prévalence</term>
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<front><div type="abstract" xml:lang="en">Our primary objective was to determine the prevalence and characteristics of opioid-naïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adults ≥ 65years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were determined using multivariate logistic regression. Among eligible insureds (N = 180,498), 70% used only the initial opioid prescription; 30% continued to use opioids requiring ≥ 2 prescriptions with ≥ 15 days' supply. Overall, 6% transitioned to chronic use > 90days. Characteristics associated with chronic use included: (1) Low income, older, females, in poor health, with new/chronic back pain; (2) opioid initiation with long-acting opioids or tramadol; (3) prescriptions for other pain, sleep or antipsychotic medications; and (4) indications of pre and/or post mental health issues. Careful screening, monitoring and/or alternative non-opioid pain management strategies may be warranted for those at risk for chronic opioid use.</div>
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<DateCompleted><Year>2019</Year>
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<Title>Geriatric nursing (New York, N.Y.)</Title>
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<ArticleTitle>Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.</ArticleTitle>
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<Abstract><AbstractText>Our primary objective was to determine the prevalence and characteristics of opioid-naïve older adults who initiated opioids and transitioned to chronic use. Study populations included older adults ≥ 65years with continuous medical and drug plan enrollment one-year prior to opioid initiation (pre-period) through one-year after initiation (post-period). Characteristics were determined using multivariate logistic regression. Among eligible insureds (N = 180,498), 70% used only the initial opioid prescription; 30% continued to use opioids requiring ≥ 2 prescriptions with ≥ 15 days' supply. Overall, 6% transitioned to chronic use > 90days. Characteristics associated with chronic use included: (1) Low income, older, females, in poor health, with new/chronic back pain; (2) opioid initiation with long-acting opioids or tramadol; (3) prescriptions for other pain, sleep or antipsychotic medications; and (4) indications of pre and/or post mental health issues. Careful screening, monitoring and/or alternative non-opioid pain management strategies may be warranted for those at risk for chronic opioid use.</AbstractText>
<CopyrightInformation>Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Musich</LastName>
<ForeName>Shirley</ForeName>
<Initials>S</Initials>
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<Initials>SS</Initials>
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<ForeName>Luke</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Informatics & Data Science, Optum 12700 Whitewater Drive, Minnetonka, MN 55343, United States. Electronic address: luke.slindee@optum.com.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Kraemer</LastName>
<ForeName>Sandra</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Medicare & Retirement, UnitedHealthcare Alliances, PO Box 9472, Minneapolis, MN 55440, United States. Electronic address: sandra_kraemer@uhc.com.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Yeh</LastName>
<ForeName>Charlotte S</ForeName>
<Initials>CS</Initials>
<AffiliationInfo><Affiliation>AARP Services, Inc., 601 E. Street, N.W., Washington, D.C. 20049, United States. Electronic address: cyeh@aarp.org.</Affiliation>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName>
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<tree><country name="États-Unis"><region name="Michigan"><name sortKey="Musich, Shirley" sort="Musich, Shirley" uniqKey="Musich S" first="Shirley" last="Musich">Shirley Musich</name>
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<name sortKey="Kraemer, Sandra" sort="Kraemer, Sandra" uniqKey="Kraemer S" first="Sandra" last="Kraemer">Sandra Kraemer</name>
<name sortKey="Slindee, Luke" sort="Slindee, Luke" uniqKey="Slindee L" first="Luke" last="Slindee">Luke Slindee</name>
<name sortKey="Wang, Shaohung S" sort="Wang, Shaohung S" uniqKey="Wang S" first="Shaohung S" last="Wang">Shaohung S. Wang</name>
<name sortKey="Yeh, Charlotte S" sort="Yeh, Charlotte S" uniqKey="Yeh C" first="Charlotte S" last="Yeh">Charlotte S. Yeh</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/SanteMusiqueV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000411 | SxmlIndent | more

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Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    SanteMusiqueV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:30401575
   |texte=   Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.
}}

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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:30401575" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a SanteMusiqueV1

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	Serveur d'exploration Santé et pratique musicale
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Serveur d'exploration Santé et pratique musicale

Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.

Characteristics associated with transition from opioid initiation to chronic opioid use among opioid-naïve older adults.

Source :

Descripteurs français

English descriptors

Abstract

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Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki