Racial and Ethnic Underserved Populations Prescription Analgesic Use Before and After Lower Extremity Amputation in US Medicare
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
| Outcome | aOR (95% CI) | |
|---|---|---|
| Prescription opioid use · 6 months after amputationHispanic vs White | 0.78 (0.71–0.84) | |
| Prescription opioid use · 6 months after amputationOther vs White | 0.63 (0.51–0.78) | |
| 0.512Adjusted odds ratio (log scale) |
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
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