Evidence map›Paper›PMID 39812938›Full record

ArticleDrugs & aging2025

Opioid Prescriptions for Low Back Pain among Military-Connected Older Adults Across Multiple Care Systems.

Janiece L Taylor, Patricia K Carreño, Shannon Alsobrooks, Alexander G Velosky, Germaine F Herrera, Maxwell Amoako, Megan O'Connell, Ryan C Costantino, Krista B Highland

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Drugs & aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Janiece L TaylorSchool of Nursing, Johns Hopkins University, 525 N. Wolfe St. #N401, Baltimore, MD, 21205, USA. jwalke90@jhu.edu.ORCID 0000-0001-7431-6591
Patricia K CarreñoDepartment of Psychology, George Mason University, Fairfax, VA, USA.
Shannon AlsobrooksCollege of Medicine, University of Arizona, Phoenix, AZ, USA.
Alexander G VeloskyDefense and Veterans Center for Integrative Pain Management, Department of Anesthesiology, Uniformed Services University, Bethesda, MD, USA.
Germaine F HerreraDefense and Veterans Center for Integrative Pain Management, Department of Anesthesiology, Uniformed Services University, Bethesda, MD, USA.
Maxwell AmoakoDefense and Veterans Center for Integrative Pain Management, Department of Anesthesiology, Uniformed Services University, Bethesda, MD, USA.
Megan O'ConnellDefense and Veterans Center for Integrative Pain Management, Department of Anesthesiology, Uniformed Services University, Bethesda, MD, USA.
Ryan C CostantinoEnterprise Intelligence and Data Solutions (EIDS) Program Office, Program Executive Office, Defense Healthcare Management Systems (PEO DHMS), San Antonio, TX, USA.
Krista B HighlandDepartment of Military and Emergency Medicine, Uniformed Services University, Bethesda, MD, USA.

Funding

Pilot CoreP30AG022845 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Manney Carrington Reid · 2003 to 2026
$15.2M
NIA NIH HHS P30 AG022845Uniformed Services University of the Health Sciences HU00012220065
6 · The paper itself

Abstract

backgroundUntreated low back pain (LBP) in older adults can lead to disability and development of chronicity. Due to the potential development of medical comorbidities and negative risks associated with pharmacological use, chronic LBP management for older adults requires a responsive approach.

methodsThe objective of this study is to evaluate the probability of (1) opioid prescription receipt and (2) opioid-sedative coprescription, in a sample of military-service-connected patients enrolled in the Veterans Health Administration (VHA) or TRICARE, ages 30-85 years, receiving care in three systems: VHA, Military Health System (MHS), and nonfederal (civilian) healthcare facilities. Generalized linear models evaluated inequities across intersections of age, race and ethnicity, and care system.

resultsAge was negatively associated with opioid-sedative coprescription receipt (p < 0.001) but was not significantly associated with opioid prescription receipt (p = 0.09). Across both models, Asian and Pacific Islander, Black, and Latine patients were less likely than white patients to receive either outcome (p < 0.001-0.002). Opioid-sedative coprescription probability decreased across age for Asian and Pacific Islander (p = 0.003) and Latine (p = 0.01) patients in the MHS but increased in white patients.

conclusionsIt is imperative that clinicians and healthcare systems provide effective and sustainable treatment for LBP in older adults, including programming, that enhances shared decision-making and whole-health approach championed by the VHA.

Indexed as

Analgesics, OpioidDrug PrescriptionsLow Back PainAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedMilitary PersonnelUnited StatesUnited States Department of Veterans AffairsAnalgesics, Opioid

Identifiers

PMID39812938
PMCPMC11799026

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.