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High opioid users more satisfied with care

12 Jan 2018
The opioid epidemic in the US has presented a complicated moral dilemma to doctors when treating potential drug abusers.

In patients with musculoskeletal conditions, opioid prescriptions result in better patient satisfaction, a recent cross-sectional study has found.

The researchers evaluated satisfaction with care of 19,566 adult patients with musculoskeletal problems and found that opioid use resulted in a 32-percent increase in the odds of high care satisfaction (adjusted odds ratio [OR], 1.32; 95 percent CI, 1.18–1.49). The rate of opioid prescription was 13.1 percent, with 2,564 users reported.

Compared with nonusers, opioid users tended to have poorer overall health. Scores in the physical (33.3 vs 46.0) and mental (44.4 vs 49.9) component summaries of the 12-item Short Form health survey were significantly lower in users than in nonusers (p<0.001 for both). There was also a significantly greater proportion of users that rated their health as fair or poor (p<0.001).

When the participants were stratified according to levels of opioid use, the unadjusted models showed that moderate users (28.9 percent) reported significantly better satisfaction.

However, after complete adjustments for covariates, both moderate (adjusted OR, 1.55; 1.29–1.86) and heavy (41.9 percent; adjusted OR, 1.43; 1.20–1.70) users reported significantly higher satisfaction.

Moreover, each increase in the categories of opioid use level (none, low, moderate and heavy) resulted in a significant 15-percent increase in the likelihood of being in the highest quartile of satisfaction scores (p<0.001 for trend).

To measure satisfaction, the researchers accessed the participants’ responses in the Consumer Assessment of Health Plans Survey, which the participants accomplished once a year. Logistic regression analyses were performed to assess the relationship between satisfaction with care and opioid use.

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Most Read Articles
4 days ago
The types of bariatric surgery differentially affect the risk of developing acute pancreatitis postoperatively, such that the risk is greater in patients who undergo vertical sleeve gastrectomy vs Roux-en-Y gastric bypass surgery, according to a study. Risk factors include younger age and presence of gallstones.
Yesterday
Concomitant use of psyllium fibres, taken before meals, appears to enhance the cholesterol-lowering effects of statins, according to a recent meta-analysis.
5 days ago
Smoking appears to increase the risk of abdominal aortic aneurysm, particularly among current smokers, reports a recent meta-analysis. The risk appears to taper with a lower number of cigarette sticks smoked per day.
6 days ago
Para-aortic irradiation appears to increase the risk of diabetes among testicular cancer (TC) survivors compared to surgery only, suggests a recent study.