Osteoarthritis

Opioid Use Among Medicare Beneficiaries With Knee Osteoarthritis: Prevalence and Correlates of Chronic Use

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

A total of 9% of persons with knee OA use opioids chronically.

Study context

Population
Medicare beneficiaries with knee osteoarthritis (OA) (mean ± SD age 78 ± 7 years; 68% female)
Participants
3,549 beneficiaries
Exposure
Nonusers vs Occasional users vs Chronic users
Outcome
Prevalence of chronic and occasional opioid use; correlates of chronic opioid use
Methodological detailsMedicare Current Beneficiary Survey linked to Medicare claims, multivariable logistic regression with generalized estimating equation
  • Medicare Current Beneficiary Survey linked to Medicare claims
  • Multivariable logistic regression with generalized estimating equation

Main finding

As reported in the abstract

Prevalence of opioid use

Observational data: associations, not effects.

Further findings

Independent correlates of chronic opioid use (multivariable)

OR (95% CI)
Non-Hispanic ethnicity4.8 (2.2–10.2)
Medicaid eligibility1.9 (1.3–2.7)
Depression1.9 (1.5–2.5)
Chronic obstructive pulmonary disease1.9 (1.4–2.5)
OutcomeOR (95% CI)
Independent correlates of chronic opioid use (multivariable)Divorcedvs Married2.3 (1.5–3.5)
Independent correlates of chronic opioid use (multivariable)Inability to walk without assistive devicesvs No difficulty walking2.4 (1.5–3.7)

Original publication

Opioid Use Among Medicare Beneficiaries With Knee Osteoarthritis: Prevalence and Correlates of Chronic Use. Arthritis Care Res (Hoboken). Published 8 November 2022. doi:10.1002/acr.24844

Composed by AI from the published abstract and checked against it. How Briefs are made →

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