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

作者:Campbell Cynthia I*; Weisner Constance; LeResche Linda; Ray G Thomas; Saunders Kathleen; Sullivan Mark D; Green Caleb J Banta; Merrill Joseph O; Silverberg Michael J; Boudreau Denise; Satre Derek D; Von Korff Michael
来源:American Journal of Public Health, 2010, 100(12): 2541-2547.
DOI:10.2105/AJPH.2009.180646

摘要

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 plaid 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 under s ood particularly among older adults Increased surveillance of the safety of long term opioid use is needed in community practice settings (Am J Public Health 2010 100 2541-2547 doi 10 2105/AJPH 2009 180646)

  • 出版日期2010-12