Predictors of chronic opioid therapy in Medicaid beneficiaries with HIV who initiated antiretroviral therapy.
Adult
Analgesics, Opioid
/ therapeutic use
Anti-Retroviral Agents
/ therapeutic use
Chronic Pain
/ drug therapy
Databases, Factual
Dementia
/ complications
Diabetes Complications
Female
Follow-Up Studies
HIV Infections
/ complications
Humans
Male
Medicaid
Middle Aged
Neuralgia
/ complications
Pain Management
/ methods
Polypharmacy
Retrospective Studies
Risk Factors
Sex Factors
United States
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
29 07 2021
29 07 2021
Historique:
received:
12
04
2021
accepted:
15
07
2021
entrez:
30
7
2021
pubmed:
31
7
2021
medline:
15
12
2021
Statut:
epublish
Résumé
The factors associated with chronic opioid therapy (COT) in patients with HIV is understudied. Using Medicaid data (2002-2009), this retrospective cohort study examines COT in beneficiaries with HIV who initiated standard combination anti-retroviral therapy (cART). We used generalized estimating equations on logistic regression models with backward selection to identify significant predictors of COT initiation. COT was initiated among 1014 out of 9615 beneficiaries with HIV (male: 10.4%; female: 10.7%). Those with older age, any malignancy, Hepatitis C infection, back pain, arthritis, neuropathy pain, substance use disorder, polypharmacy, (use of) benzodiazepines, gabapentinoids, antidepressants, and prior opioid therapies were positively associated with COT. In sex-stratified analyses, multiple predictors were shared between male and female beneficiaries; however, chronic obstructive pulmonary disease, liver disease, any malignancy, and antipsychotic therapy were unique to female beneficiaries. Comorbidities and polypharmacy were important predictors of COT in Medicaid beneficiaries with HIV who initiated cART.
Identifiants
pubmed: 34326369
doi: 10.1038/s41598-021-94690-8
pii: 10.1038/s41598-021-94690-8
pmc: PMC8322087
doi:
Substances chimiques
Analgesics, Opioid
0
Anti-Retroviral Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
15503Informations de copyright
© 2021. The Author(s).
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