Pain medicine

Racial and Ethnic Underserved Populations Prescription Analgesic Use Before and After Lower Extremity Amputation in US Medicare

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Among fee-for-service Medicare beneficiaries, Hispanic and other (eg, Asian) fee-for-service Medicare beneficiaries had lower odds of prescription opioid use than their White counterparts before and after nontraumatic, lower extremity amputations.

Study context

Population
US Medicare beneficiaries undergoing nontraumatic lower extremity amputation, 2011–2018major and minor amputations
Participants
16,068 beneficiaries
Exposure
Black, Hispanic, Native American and other vs White Medicare beneficiaries
  • Whiten = 10,107reference
  • Blackn = 3,462
  • Hispanicn = 1,959
  • Native Americann = 247
  • Othern = 151
Outcome
Prescription opioid use
Follow-up
6 months before and after amputation
Methodological detailsnational Medicare sample, multivariable generalized estimating equations
  • National Medicare sample
  • Multivariable generalized estimating equations

Main finding

As reported in the abstract

6 months before amputation
Each group vs whiteAdjusted odds ratio (95% CI)
Hispanic
0.71(0.65–0.78)
Other
0.60(0.47–0.76)

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Prescription opioid use · 6 months after amputationHispanic vs White0.78 (0.71–0.84)
Prescription opioid use · 6 months after amputationOther vs White0.63 (0.51–0.78)

Original publication

Racial and Ethnic Underserved Populations Prescription Analgesic Use Before and After Lower Extremity Amputation in US Medicare. Anesth Analg. Published 1 May 2025. doi:10.1213/ane.0000000000007160

Composed by AI from the published abstract and checked against it. How Briefs are made →

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