1. Dissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseases
- Author
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Hyeyoung Yeom, Hee-Taik Kang, Sun Jung Kim, Dong Hun Han, Pearl Kim, Seong-min Park, David Byun, Tsigab Bahta, Se Won Lee, Yongjae Lee, Sung Youn Chun, Takashi Yamashita, Ji Eun Kim, Georgia Dounis, Jay J. Shen, Ji Won Yoo, and Jinwook Hwang
- Subjects
Washington ,medicine.medical_specialty ,Cross-sectional study ,medicine.medical_treatment ,Observational Study ,orthopedic surgeries ,Oregon ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Orthopedic Procedures ,030212 general & internal medicine ,drug policy ,Healthcare Cost and Utilization Project ,Aged ,Retrospective Studies ,business.industry ,Retrospective cohort study ,Health Care Costs ,General Medicine ,Middle Aged ,Patient Acceptance of Health Care ,Compound annual growth rate ,Arthroplasty ,Analgesics, Opioid ,Hospitalization ,Cross-Sectional Studies ,030220 oncology & carcinogenesis ,Orthopedic surgery ,opioid ,Drug and Narcotic Control ,Marijuana Use ,Joint Diseases ,business ,marijuana ,Research Article ,Demography ,Cohort study - Abstract
We aim to examine temporal trends of orthopedic operations and opioid-related hospital stays among seniors in the nation and states of Oregon and Washington where marijuana legalization was accepted earlier than any others. As aging society advances in the United States (U.S.), orthopedic operations and opioid-related hospital stays among seniors increase in the nation. A serial cross-sectional cohort study using the healthcare cost and utilization project fast stats from 2006 through 2015 measured annual rate per 100,000 populations of orthopedic operations by age groups (45–64 vs 65 and older) as well as annual rate per 100,000 populations of opioid-related hospital stays among 65 and older in the nation, Oregon and Washington states from 2008 through 2017. Orthopedic operations (knee arthroplasty, total or partial hip replacement, spinal fusion or laminectomy) and opioid-related hospital stays were measured. The compound annual growth rate (CAGR) was used to quantify temporal trends of orthopedic operations by age groups as well as opioid-related hospital stays and was tested by Rao–Scott correction of χ2 for categorical variables. The CAGR (4.06%) of orthopedic operations among age 65 and older increased (P
- Published
- 2019
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