Observational studyJournal of general internal medicine2015
Trends in prevalent and incident opioid receipt: an observational study in Veterans Health Administration 2004-2012.
Observational study in Journal of general internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04170803 (Feasibility of Near-infrared Spectroscopy to Measure Cortical Pain Pathway), which is not on this map. Cited by 36 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Feasibility of Near-infrared Spectroscopy to Measure Cortical Pain Pathway (Brain) Activation During Dry Needling
Who cites it
36 citing papers in PubMed.
- Mindfulness-Oriented Recovery Enhancement for Veterans and Military Personnel on Long-Term Opioid Therapy for Chronic Pain: A Randomized Clinical Trial.The American journal of psychiatry · 2024Trial
- The Use of Complementary Health Approaches Among U.S. Veterans from 2002 to 2022: a Prevalence and Sex-Stratified Analysis.Journal of general internal medicine · 2025Article
- Multi-ancestry Genome-wide Association Study of Inpatient Opioid Dosing Following Knee or Hip Arthroplasty.Research square · 2025Article
- Multi-ancestry Genome-wide Association Study of Inpatient Opioid Dosing Following Knee or Hip Arthroplasty.medRxiv : the preprint server for health sciences · 2025Article
- Factors Associated with Initiation of Opioid Use in a US Department of Veterans Affairs Pain Clinic: A Retrospective Study.Brain sciences · 2025Article
- Trends in prescription opioid use in Europe: A DARWIN EUFrontiers in pharmacology · 2025Article
- The Problem of Pain in Rheumatology: Variations in Case Definitions Derived From Chronic Pain Phenotyping Algorithms Using Electronic Health Records.The Journal of rheumatology · 2024Article
- Prevention, Practice, and Policy: Older US Veterans' Perspectives on Cannabis Use.Drugs & aging · 2023Article
- Accuracy and validity of reported opioid prescription days' supply.Pharmacoepidemiology and drug safety · 2022Article
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- Patterns of pain medication use associated with reported pain interference in older adults with and without cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Article
- Utility of accumulated opioid supply days and individual patient factors in predicting probability of transitioning to long-term opioid use: An observational study in the Veterans Health Administration.Pharmacology research & perspectives · 2020Observational
- Menopausal Symptoms and Higher Risk Opioid Prescribing in a National Sample of Women Veterans with Chronic Pain.Journal of general internal medicine · 2019Article
- Analgesic prescribing trends in a national sample of older veterans with osteoarthritis: 2012-2017.Pain · 2019Article
- Association between postoperative opioid use and outpatient surgical adverse events.American journal of surgery · 2019Article
- Nonopioid Alternatives to Addressing Pain Intensity: A Retrospective Look at 2 Noninvasive Pain Treatment Devices.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019Article
- Treatment of Low Back Pain With Opioids and Nonpharmacologic Treatment Modalities for Army Veterans.Medical care · 2018Article
- Alcohol and Opioid Use in Chronic Pain: A Cross-Sectional Examination of Differences in Functioning Based on Misuse Status.The journal of pain · 2018Article
- Chronic Pain, TBI, and PTSD in Military Veterans: A Link to Suicidal Ideation and Violent Impulses?The journal of pain · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImproved understanding of temporal and regional trends may support safe and effective prescribing of opioids.
objectiveWe describe national, regional, and facility-level trends and variations in opioid receipt between fiscal years (FY) 2004 and 2012.
designObservational cohort study using Veterans Health Administration (VHA) administrative databases.
participantsAll patients receiving primary care within 137 VHA healthcare systems during a given study year and receiving medications from VHA one year before and during a given study year. MAIN MEASURES: Prevalent and incident opioid receipt during each year of the study period. KEY
resultsThe overall prevalence of opioid receipt increased from 18.9% of all veteran outpatients in FY2004 to 33.4% in FY2012, a 76.7% relative increase. In FY2012, women had higher rates of prevalent opioid receipt than men (42.4% vs. 32.9%), and the youngest veterans (18-34 years) had higher prevalent opioid receipt compared to the oldest veterans (≥ 80 years) (47.6% vs. 17.9%). All regions in the United States saw increased rates of prevalent opioid receipt during this time period. Prevalence rates varied widely by facility: in FY2012, the lowest-prescribing facility had a rate of 13.5%, and the highest of 50.8%. Annual incident opioid receipt increased from 8.8% in FY2004 to 10.2% in FY2011, with a decline to 9.8% in FY2012. Incident prescribing increased at some facilities and decreased at others. Facilities with high prevalent prescribing tended to have flat or decreasing incident prescribing rates during the study time frame.
conclusionsRates of opioid receipt increased throughout the study time frame, with wide variation in prevalent and incident rates across geographical region, sex, and age groups. Prevalence and incidence rates reflect distinct prescribing practices. Areas with the highest prevalence tended to have lower increases in incident opioid receipt over the study period. This likely reflects facility-level variations in prescribing practices as well as baseline rates of prevalent use. Future work assessing opioid prescribing should employ methodologies to account for and interpret both prevalent and incident opioid receipt.
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