Evidence map›Paper›PMID 41042172›Full record

ArticlePain management2025

Factors associated with nonpharmacological treatment use among older adults with chronic low back pain tapering opioids.

Liang-Yuan Lin, Omkar Ghodke, Cynthia Siddiqua, Sonia Eden, Yi Yang, Kaustuv Bhattacharya

Abstract read
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In one paragraph

Article in Pain management, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Liang-Yuan LinDepartment of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS, USA.ORCID 0000-0003-3679-2209
Omkar GhodkeDepartment of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS, USA.ORCID 0009-0002-5495-9762
Cynthia SiddiquaDepartment of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS, USA.
Sonia EdenDepartment of Neurological Surgery, Semmes-Murphey Clinic, Memphis, TN, USA.
Yi YangDepartment of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS, USA.
Kaustuv BhattacharyaDepartment of Pharmacy Administration, School of Pharmacy, University of Mississippi, University, MS, USA.ORCID 0000-0001-8857-1817

Funding

Safety and Effectiveness of Opioid Tapering among Older AdultsR15DA046036 · NIDA · UNIVERSITY OF MISSISSIPPI · PI YANG, YI · 2018 to 2022
$875k
NIDA NIH HHS R15 DA046036
6 · The paper itself

Abstract

aimsTo examine multilevel factors associated with nonpharmacological treatment (NPT) use during opioid tapering among older adults with chronic low back pain (cLBP).

methodsA cohort study was conducted using 2012-2020 5% national Medicare data. Older adults ≥65 with cLBP who initiated long-term opioid therapy and experienced subsequent tapering were included. The primary outcome was the receipt of NPT within 90 days of tapering. Guided by the social ecological model, predictors were assessed across individual, interpersonal, community, and organizational levels. Multivariable logistic regression was used to evaluate associations with NPT use.

resultsA total of 10,811 eligible beneficiaries were identified. NPT use was more likely among Asian and female individuals, while those receiving partial low-income subsidies had lower odds. Residing in counties with more mental health providers and social associations was linked to higher NPT use. Prior NPT use, higher baseline opioid dose, rapid tapering, mental health conditions, substance use disorders, additional pain diagnoses, and higher comorbidity burden were associated with increased odds of NPT use.

conclusionThis study identified key factors affecting NPT use during opioid tapering among older adults with cLBP. Findings underscore the importance of targeted clinical and policy strategies to reduce disparities in NPT access.

Indexed as

Analgesics, OpioidChronic PainDrug TaperingLow Back PainAgedFemaleHumansMaleManipulation, SpinalSocial Determinants of HealthAnalgesics, Opioidchronic low back painNonpharmacological treatment useopioid taperingsocial determinants of healthSocial Ecological Model

Identifiers

PMID41042172
PMCPMC12674393

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.