ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2020
Both Race and Insurance Type Independently Predict the Selection of Oral Opioids Prescribed to Cancer Outpatients.
Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 24 citations in OpenAlex.
- Associations between neighborhood disadvantage, cannabis use, and patient-reported outcomes among patients with cancer.Drug and alcohol dependence reports · 2026Article
- Cannabis and opioid perceptions, co-use, and substitution among patients across 4 NCI-Designated Cancer Centers.Journal of the National Cancer Institute. Monographs · 2024Article
- Trajectories and predictors of high-occurrence pain flares in ambulatory cancer patients on opioids.JNCI cancer spectrum · 2024Article
- Racial Disparities in Opioid Prescribing in the United States from 2011 to 2021: A Systematic Review and Meta-Analysis.Journal of pain research · 2024Review
- Article
- The Stigma Surrounding Opioid Use as a Barrier to Cancer-Pain Management: An Overview of Experiences with Fear, Shame, and Poorly Controlled Pain in the Context of Advanced Cancer.Current oncology (Toronto, Ont.) · 2023Review
- Psychological Evaluation of Patients With Cancer Presenting to the Emergency Department With Pain: Independent Predictors of Worse Pain Severity, Interference, and Higher Hourly Opioid Administration.JCO oncology practice · 2022Article
- Top Ten Tips Palliative Care Clinicians Should Know About Delivering Antiracist Care to Black Americans.Journal of palliative medicine · 2022Review
- Impact of Pain on Employment and Financial Outcomes Among Cancer Survivors.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022Article
- Editorial: Chronic Pain and Health Disparities in Older Adults With Complex Needs.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- When treatment algorithms fail: A response to the development of a nomogram to determine the frequency of elevated risk for non-medical opioid use in cancer patients.Palliative & supportive care · 2021Article
- Voices of African American Older Adults on the Implications of Social and Healthcare-Related Policies for Osteoarthritis Pain Care.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2021Article
- Impact of Cannabis Use on Least Pain Scores Among African American and White Patients with Cancer Pain: A Moderation Analysis.Journal of pain research · 2021Article
- Opportunities for Nursing Science to Advance Patient Care in the Time of COVID-19: A Palliative Care Perspective.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2020Article
- A Narrative Review of the Current Research in Cancer-Related Pain Inequities: The Necessity of Applying Intersectionality to Advance Cancer Pain Research.Cancer control : journal of the Moffitt Cancer CenterReview
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPrevious research suggests that racial disparities in patients' reported analgesic adverse effects are partially mediated by the type of opioid prescribed to African Americans despite the presence of certain comorbidities, such as renal disease.
aimsWe aimed to identify independent predictors of the type of opioid prescribed to cancer outpatients and determine if race and chronic kidney disease independently predict prescription type, adjusting for relevant sociodemographic and clinical confounders.
designWe conducted a secondary analysis of a 3-month observational study.
settingOutpatient oncology clinics of an academic medical center. PARTICIPANTS/SUBJECTS: Patients were older than 18 years of age, self-identified as African American or White, and had an analgesic prescription for cancer pain.
methodsCancer patients (N = 241) were recruited from outpatient oncology clinics within a large mid-Atlantic healthcare system.
resultsConsistent with published literature, most patients (75.5%) were prescribed either morphine or oxycodone preparations as oral opioid therapy for cancer pain. When compared with Whites, African Americans were significantly more likely to be prescribed morphine (33% vs 14%) and less likely to be prescribed oxycodone (38% vs 64%) (p < .001). The estimated odds for African Americans to receive morphine were 2.573 times that for Whites (95% confidence interval 1.077-6.134) after controlling for insurance type, income, and pain levels. In addition, the presence of private health insurance was negatively associated with the prescription of morphine and positively associated with prescription of oxycodone in separate multivariable models. The presence of chronic kidney disease did not predict type of analgesic prescribed.
conclusionsBoth race and insurance type independently predict type of opioid selection for cancer outpatients. Larger clinical studies are needed to fully understand the sources and clinical consequences of racial differences in opioid selection for cancer pain.
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