Back to Search Start Over

Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System.

Authors :
Bahorik, Amber L
Bahorik, Amber L
Satre, Derek D
Kline-Simon, Andrea H
Weisner, Constance M
Campbell, Cynthia I
Bahorik, Amber L
Bahorik, Amber L
Satre, Derek D
Kline-Simon, Andrea H
Weisner, Constance M
Campbell, Cynthia I
Source :
Journal of addiction medicine; vol 11, iss 1, 3-9; 1932-0620
Publication Year :
2017

Abstract

ObjectivesWe examined prevalence of major medical conditions and extent of disease burden among patients with and without substance use disorders (SUDs) in an integrated health care system serving 3.8 million members.MethodsMedical conditions and SUDs were extracted from electronic health records in 2010. Patients with SUDs (n = 45,461; alcohol, amphetamine, barbiturate, cocaine, hallucinogen, and opioid) and demographically matched patients without SUDs (n = 45,461) were compared on the prevalence of 19 major medical conditions. Disease burden was measured as a function of 10-year mortality risk using the Charlson Comorbidity Index. P-values were adjusted using Hochberg's correction for multiple-inference testing within each medical condition category.ResultsThe most frequently diagnosed SUDs in 2010 were alcohol (57.6%), cannabis (14.9%), and opioid (12.9%). Patients with these SUDs had higher prevalence of major medical conditions than non-SUD patients (alcohol use disorders, 85.3% vs 55.3%; cannabis use disorders, 41.9% vs 23.0%; and opioid use disorders, 44.9% vs 26.1%; all P < 0.001). Patients with these SUDs also had higher disease burden than non-SUD patients; patients with opioid use disorders (M = 0.48; SE = 1.46) had particularly high disease burden (M = 0.23; SE = 0.09; P < 0.001).ConclusionsCommon SUDs, particularly opioid use disorders, are associated with substantial disease burden for privately insured individuals without significant impediments to care. This signals the need to explore the full impact SUDs have on the course and outcome of prevalent conditions and initiate enhanced service engagement strategies to improve disease burden.

Details

Database :
OAIster
Journal :
Journal of addiction medicine; vol 11, iss 1, 3-9; 1932-0620
Notes :
Journal of addiction medicine vol 11, iss 1, 3-9 1932-0620
Publication Type :
Electronic Resource
Accession number :
edsoai.on1287355555
Document Type :
Electronic Resource