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Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.
- Source :
-
Pain medicine (Malden, Mass.) [Pain Med] 2018 Sep 01; Vol. 19 (suppl_1), pp. S54-S60. - Publication Year :
- 2018
-
Abstract
- Objective: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription.<br />Methods: Cross-sectional analysis of administrative data on OEF/OIF/OND veterans who had at least one visit to a Veterans Affairs (VA) chiropractic clinic between 2004 and 2014. Opioid receipt was defined as at least one prescription within a window of 90 days before to 90 days after the index chiropractic clinic visit.<br />Results: We identified 14,025 OEF/OIF/OND veterans with at least one chiropractic visit, and 4,396 (31.3%) of them also received one or more opioid prescriptions. Moderate/severe pain (odds ratio [OR] = 1.87, 95% confidence interval [CI] = 1.72-2.03), PTSD (OR = 1.55, 95% CI = 1.41-1.69), depression (OR = 1.40, 95% CI = 1.29-1.53), and current smoking (OR = 1.39, 95% CI = 1.26-1.52) were associated with a higher likelihood of receiving an opioid prescription. The percentage of veterans receiving opioid prescriptions was lower in each of the three 30-day time frames assessed after the index chiropractic visit than before.<br />Conclusions: Nearly one-third of OEF/OIF/OND veterans receiving VA chiropractic services also received an opioid prescription, yet the frequency of opioid prescriptions was lower after the index chiropractic visit than before. Further study is warranted to assess the relationship between opioid use and chiropractic care.
- Subjects :
- Adult
Analgesics, Opioid adverse effects
Cross-Sectional Studies
Drug Prescriptions standards
Female
Humans
Male
Manipulation, Chiropractic psychology
Manipulation, Chiropractic standards
Middle Aged
Opioid-Related Disorders diagnosis
Opioid-Related Disorders epidemiology
Opioid-Related Disorders psychology
United States epidemiology
United States Department of Veterans Affairs standards
Afghan Campaign 2001-
Analgesics, Opioid administration & dosage
Iraq War, 2003-2011
Manipulation, Chiropractic trends
United States Department of Veterans Affairs trends
Veterans psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1526-4637
- Volume :
- 19
- Issue :
- suppl_1
- Database :
- MEDLINE
- Journal :
- Pain medicine (Malden, Mass.)
- Publication Type :
- Academic Journal
- Accession number :
- 30203014
- Full Text :
- https://doi.org/10.1093/pm/pny114