Opioid prescription and usage disparities among Puerto Rican breast cancer survivors: findings from the Puerto Rico central cancer registry-health insurance linkage database (PRCCR-HILD).

Melody N Chavez, Karen Ortiz-Ortiz, Rolando Trejos, Gabriella Sanabria, Troy Quast, Dinorah Martinez Tyson

Abstract read

In one paragraph

Article in Cancer causes & control : CCC, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Melody N ChavezCollege of Public Health, University of South Florida, Tampa, FL, USA. mnchavez@usf.edu.

Karen Ortiz-OrtizCollege of Public Health, University of South Florida, Tampa, FL, USA.

Rolando TrejosCollege of Public Health, University of South Florida, Tampa, FL, USA.

Gabriella SanabriaCollege of Public Health, University of South Florida, Tampa, FL, USA.

Troy QuastCollege of Public Health, University of South Florida, Tampa, FL, USA.

Dinorah Martinez TysonCollege of Public Health, University of South Florida, Tampa, FL, USA.

Funding

National Program of Cancer Registries (NPCR) of the Centers for Disease Control and Prevention (CDC) NU58DP007164

6 · The paper itself

Abstract

purposeHispanic/Latina breast cancer patients receive fewer opioid prescriptions for cancer-related pain. The primary aim of this study was to explore opioid prescription rates among Hispanic/Latina breast cancer survivors living in Puerto Rico.

methodsThis cross-sectional study analyzed opioid prescription use in a retrospective cohort of Puerto Rican breast cancer women using the Puerto Rico Central Cancer Registry-Health Insurance Linkage Database. Adjusted odds ratios and incidence rate ratios with 95% confidence intervals were estimated using logistic and negative binomial regression analyses to assess factors associated with the use and frequency of opioids use.

resultsPuerto Rican breast cancer survivors, mostly 40-64 years old were included (n = 1,733). Opioid prescription three years following their breast cancer diagnosis was 13.1%. Participants enrolled in Medicare (AOR = 9.77) and dually eligible for Medicare-Medicaid (AOR = 5.54), with a comorbidity index of 1 (AOR = 1.50), with a history of opioid use before their cancer diagnosis (AOR = 2.49), and that received chemotherapy (AOR = 1.47) were more likely to be prescribed opioids. Analyses in rates of opioid prescription revealed statistically significant increases among those enrolled in Medicare (IRR = 17.51) and dually eligible for Medicare-Medicaid (IRR = 11.74) and for those with a history of opioid prescription before diagnosis (IRR = 4.16).

conclusionFuture research should explore how factors such as structural racism and geographic isolation shape opioid prescription and usage among breast cancer survivors living in Puerto Rico.

Indexed as

Analgesics, OpioidBreast NeoplasmsCancer PainCancer SurvivorsDrug PrescriptionsHealthcare DisparitiesAdultAgedCross-Sectional StudiesDatabases, FactualFemaleHispanic or LatinoHumansInsurance, HealthMiddle AgedPuerto RicoAnalgesics, OpioidBreast cancerCancer-related painPrescription opioidsPuerto Rico central cancer registry

Identifiers

PMID40610680

DOI10.1200/OP.20.00541

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