Pediatric rheumatology

Opioid use in children with inflammatory bowel disease-related arthritis

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

Chronic opioid use in adolescents with IBD-related arthritis was higher than that of total IBD cohort but stable over the years of study.

Study context

Population
Adolescents <18 years with IBD (incl. IBD-related arthritis), ≥1 year continuous enrolment and ≥1 pharmacy claim, Truven Health MarketScan database
Participants
480 vs 14,943
Exposure
IBD-related arthritis vs total IBD cohort
  • IBD-related arthritisn = 480
  • Total IBDn = 14,943reference
Outcome
Chronic opioid exposure
Methodological detailsclaims database (Truven Health MarketScan), multivariable logistic regression
  • Claims database (Truven Health MarketScan)
  • Multivariable logistic regression

Main finding

As reported in the abstract

Chronic opioid use

Observational data: associations, not effects.

Further findings

Factors associated with chronic opioid exposure in IBD

Joint pain and arthritis significantly associated with chronic opioid exposure (multivariable regression)

Factors associated with chronic opioid use in IBD-related arthritis

Older age, public insurance, gastrointestinal surgery, hospitalisation and psychiatric comorbidities significantly associated with chronic opioid use

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Opioid use in children with inflammatory bowel disease-related arthritis. Clin Exp Rheumatol. Published 10 November 2022. doi:10.55563/clinexprheumatol/3bu1sf

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