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Age and Gender Trends in Long-Term Opioid Analgesic Use for Noncancer Pain

by Campbell, Cynthia I. , Weisner, Constance , Saunders, Kathleen , Banta-Green, Caleb J. , Von Korff, Michael , Sullivan, Mark D. , LeResche, Linda , Boudreau, Denise , Merrill, Joseph O. , Satre, Derek D. , Ray, G. Thomas , Silverberg, Michael J.

in Adults / Age / Age Factors / Age groups / Analgesics / Analgesics - therapeutic use / Analgesics, Opioid - therapeutic use / Anesthesia / Automation / Biological and medical sciences / California / Carpal tunnel syndrome / Chronic Disease / Chronic pain / Drug dosages / Drug Utilization - trends / Drugs / Female / Gender / General aspects / Health care / Health insurance / Health services / Humans / Income distribution / Irritable bowel syndrome / Long term / Long-Term Care - trends / Male / Medical sciences / Mens health / Middle Aged / Miscellaneous / Morphine / Narcotics / Nonsteroidal anti-inflammatory drugs / Older people / Older women / Opioids / Pain / Pain - drug therapy / Pain management / Pharmacy / Population / Prescription drugs / Public health / Public health. Hygiene / Public health. Hygiene-occupational medicine / Research and Practice / Sex Factors / State Health Plans / Studies / Surveillance / Trends / Washington / Women / Womens health

2010

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Age and Gender Trends in Long-Term Opioid Analgesic Use for Noncancer Pain

2010

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Age and Gender Trends in Long-Term Opioid Analgesic Use for Noncancer Pain

2010

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Journal Article

Age and Gender Trends in Long-Term Opioid Analgesic Use for Noncancer Pain

Campbell, Cynthia I.,

Weisner, Constance,

Saunders, Kathleen,

Banta-Green, Caleb J.,

Von Korff, Michael,

Sullivan, Mark D.,

LeResche, Linda,

Boudreau, Denise,

Merrill, Joseph O.,

Satre, Derek D.,

Ray, G. Thomas,

Silverberg, Michael J.

2010

Overview

Objectives. We describe age and gender trends in long-term use of prescribed opioids for chronic noncancer pain in 2 large health plans. Methods. Age- and gender-standardized incident (beginning in each year) and prevalent (ongoing) opioid use episodes were estimated with automated health care data from 1997 to 2005. Profiles of opioid use in 2005 by age and gender were also compared. Results. From 1997 to 2005, age–gender groups exhibited a total percentage increase ranging from 16% to 87% for incident long-term opioid use and from 61% to 135% for prevalent long-term opioid use. Women had higher opioid use than did men. Older women had the highest prevalence of long-term opioid use (8%–9% in 2005). Concurrent use of sedative-hypnotic drugs and opioids was common, particularly among women. Conclusions. Risks and benefits of long-term opioid use are poorly understood, particularly among older adults. Increased surveillance of the safety of long-term opioid use is needed in community practice settings.

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Publisher

American Public Health Association

Subject

/ Age

/ Analgesics - therapeutic use

/ Analgesics, Opioid - therapeutic use