ArticleAmerican journal of preventive medicine2019
Opioid Prescriptions for Acute and Chronic Pain Management Among Medicaid Beneficiaries.
Article in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04771741 (Opiate Free Multimodal Pain Pathway in Elective Foot and Ankle Surgery), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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.
Opiate Free Multimodal Pain Pathway in Elective Foot and Ankle Surgery: A Prospective Study
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- CDC Guideline For Opioid Prescribing Associated With Reduced Dispensing To Certain Patients With Chronic Pain.Health affairs (Project Hope) · 2021Guideline
- Opioid dose, duration, and risk of use disorder in Medicaid patients with musculoskeletal pain.Pain medicine (Malden, Mass.) · 2026Article
- Article
- Pharmacologic Management of Non-Traumatic Dental Conditions in US Emergency Departments, 2018-2022.Journal of public health dentistry · 2025Article
- Regional anesthesia as an alternative to general anesthesia for managing polytrauma surgically.Anaesthesiology intensive therapy · 2025Article
- Emergency department use for nontraumatic dental conditions for children with special health care needs enrolled in Oregon Medicaid.Journal of the American Dental Association (1939) · 2024Article
- High-Dose Opioid Prescribing in Individuals with Acute Pain: Assessing the Effects of US State Opioid Policies.Journal of general internal medicine · 2024Article
- High-risk use of prescription opioids among patients treated for alcohol problems in New York State. A repeated cross-sectional study, 2005-2018.Drug and alcohol dependence reports · 2024Article
- The association between primary care appointment lengths and opioid prescribing for common pain conditions.BMC health services research · 2024Article
- Precision Opioid Prescription in ICU Surgery: Insights from an Interpretable Deep Learning Framework.Journal of surgery (Lisle, IL) · 2024Article
- Is outpatient spine surgery associated with new, persistent opioid use in opioid-naïve patients? A retrospective national claims database analysis.The spine journal : official journal of the North American Spine Society · 2023Article
- REV-ERB activation as a novel pharmacological approach for treating inflammatory pain.Frontiers in pharmacology · 2023Article
- Advocacy for Migraine Relief: Strategic Planning to Eliminate the Burden.Current pain and headache reports · 2022Review
- Risk for opioid misuse in chronic pain patients is associated with endogenous opioid system dysregulation.Translational psychiatry · 2022Article
- Obesity and the Risk of Incident Chronic Opioid Use in Rheumatoid Arthritis.Arthritis care & research · 2021Article
- Trends and risk factors for opioid administration for non-emergent lower back pain.World journal of orthopedics · 2021Article
- Changes in Schedule II oral opioid volume dispensed in a private health plan following Florida's Acute Pain Opioid Restriction Law.Journal of managed care & specialty pharmacy · 2021Article
- Opioid dispensing among adult Medicaid enrollees by diabetes status.Current medical research and opinion · 2020Article
- Temporal Factors Associated With Opioid Prescriptions for Patients With Pain Conditions in an Urban Emergency Department.JAMA network open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
introductionMillions of Americans are affected by acute or chronic pain every year. This study investigates opioid prescription patterns for acute and chronic pain management among U.S. Medicaid patients.
methodsThe study used medical and pharmacy claims data obtained from the multistate Truven MarketScan Medicaid Database from 2013 to 2015 for Medicaid patients receiving health care. Medicaid beneficiaries who utilized an outpatient healthcare facility for back pain, neck pain (cervicalgia), joint pain (osteoarthritis and rheumatoid arthritis), orthopedics (simple/closed fractures and muscle strains/sprains), headache (cluster headaches and migraines), dental conditions, or otorhinolaryngologic (otalgia) diagnoses, based on the International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes, and received an opioid prescription within 14 days of diagnosis were included in this study.
resultsThere were 5,051,288 patients with 1 of the 7 diagnostic groupings; 18.8% had an opioid prescription filled within 14 days of diagnosis. Orthopedic pain (34.8%) was the primary reason for an opioid prescription, followed by dental conditions (17.3%), back pain (14.0%), and headache (12.9%). Patients receiving an opioid for conditions associated with acute pain management, such as otorhinolaryngologic (OR=1.93, 95% CI=1.85, 2.0), dental (OR=1.50, 95% CI=1.48, 1.53), or orthopedic conditions (OR=1.31, 95% CI=1.29, 1.32), were more likely to receive the prescription from an emergency department provider versus a general practitioner. However, compared with general practitioners, other providers were more likely to prescribe opioids for conditions associated with chronic pain management.
conclusionsMore than half of Medicaid beneficiaries receiving an opioid for pain management do so for orthopedic- and dental-related reasons, with emergency department providers more likely to prescribe opioids. Modifications to the guidelines addressing temporary acute pain management practices with opioids would be likely to benefit emergency department providers the most.
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