Examining the initial prescription leading to long-term opioid use at a military medical treatment facility.

Autor:	Massoud CMA; Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Wright-Patterson Air Force Base, Wright-Patterson Medical Center, Dayton, Ohio., Markert RJ; Internal Medicine & Surgery, Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Dayton, Ohio., Dizmang CJD; Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Wright-Patterson Air Force Base, Wright-Patterson Medical Center, Dayton, Ohio., Scott JN; Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Wright-Patterson Air Force Base, Wright-Patterson Medical Center, Dayton, Ohio., Burtson KM; Department of Internal Medicine, Wright State University Boonshoft School of Medicine, Wright-Patterson Air Force Base, Wright-Patterson Medical Center, Dayton, Ohio. ORCID: https://orcid.org/0000-0003-1259-833X.
Jazyk:	angličtina
Zdroj:	Journal of opioid management [J Opioid Manag] 2022 Jan-Feb; Vol. 18 (1), pp. 27-31.
DOI:	10.5055/jom.2022.0691
Abstrakt:	Objective: Chronic pain is common in the military, and over a quarter of active-duty military members have received a prescription for opioids. This study reviewed the initial opioid prescription among those who became future long-term users at an Air Force base in the United States and reports the characteristics of the provider and patient. Methods: Our single-center retrospective study evaluated initial opioid prescriptions leading to long-term use within the military's electronic medical record at a large military medical treatment facility including active-duty patients and veterans. Of the 3,701 charts reviewed, 348 patients met the inclusion criteria for the long-term opioid use. Results: Older patient groups received a higher initial amount of opioids than younger groups (p = 0.007). Primary care outpatient clinics started 43 percent of initial long-term opioid users, while surgical specialties contributed to 34 percent of the sample. In our study, 35.9 percent of the long-term opioid users were given their first opioid prescription within 30 days of an operation. Veterans or those separated from the military were less likely to have a behavioral disorder than active duty or family members. Conclusions: Our sample mirrored the civilian population in terms of age, gender, and most common pain diagnosis. We found that older patients initially received a higher dispensed amount compared to our younger patients. There was a concerning trend for surgical patients to develop into chronic opioid users.
Databáze:	MEDLINE
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