Pain medicine

High-risk Prescribing Following Surgery Among Payer Types for Patients on Chronic Opioids

Ann SurgPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 1.067 95% CI 0.813–1.402

Authors' conclusion

Among patients on chronic opioids, new high-risk prescribing following surgery was high across payer types.

Study context

Population
Patients on chronic opioids undergoing surgery, 70 hospitals of the Michigan Surgical Quality Collaborative
Participants
1,435 patients
Exposure
Medicaid vs private insurance
Outcome
New postoperative high-risk prescribing (new overlapping opioids or benzodiazepines, multiple prescribers, high daily doses, or long-acting opioids)
Methodological detailsmulticentre registry, linked prescription drug monitoring program data
  • Multicentre registry
  • Linked prescription drug monitoring program data

Main finding

As reported in the abstract

Odds ratio

1.067

95% CI 0.813–1.402

By group

Medicaid vs Private insurance
OR 1.067 (95% CI 0.813–1.402)

Observational data: associations, not effects.

Original publication

High-risk Prescribing Following Surgery Among Payer Types for Patients on Chronic Opioids. Ann Surg. Published 16 June 2023. doi:10.1097/sla.0000000000005938

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