Trends in long-term opioid therapy for noncancer pain among persons with a history of depression

作者: Jennifer Brennan Braden , Mark D. Sullivan , G. Thomas Ray , Kathleen Saunders , Joseph Merrill

DOI: 10.1016/J.GENHOSPPSYCH.2009.07.003

关键词:

摘要: Abstract Objective We report trends in long-term opioid use among patients with a history of depression from two large health plans. Methods Using claims data, age- and gender-adjusted rates for (>90 days) episodes were calculated 1997–2005, comparing those without diagnosis the prior 2 years. Opioid characteristics episode 2005. Results Incident prevalent three times higher depression. Prevalent per 1000 increased 69.8 to 125.9 at Group Health 84.3 117.5 Kaiser Permanente Northern California between 1997 Those more likely receive average daily dose, greater days supply, Schedule II opioids than nondepressed persons. Conclusion Persons are therapy noncancer pain suggest that is being prescribed different population clinical practice trial populations where efficacy has been established.

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