Dissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseases
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Author/Creator ORCID
Date
2019-05-31
Type of Work
Department
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Citation of Original Publication
Kim, Pearl; Yamashita, Takashi; Shen, Jay J.; Park, Seong-Min; Chun, Sung-Youn; Kim, Sun Jung; Hwang, Jinwook; Lee, Se Won; Dounis, Georgia; Kang, Hee-Taik; Lee, Yong-Jae; Han, Dong-Hun; Kim, Ji Eun; Yeom, Hyeyoung; Byun, David; Bahta, Tsigab; Yoo, Ji Won; Dissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseases; https://journals.lww.com/md-journal/Fulltext/2019/07120/Dissociation_between_the_growing_opioid_demands.12.aspx; Medicine Journals 98,28;
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Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)
Subjects
Abstract
We aim to examine temporal trends of orthopedic operations and opioid-related hospital stays among seniors in the nation and states of Oregon and Washington where marijuana legalization was accepted earlier than any others.
As aging society advances in the United States (U.S.), orthopedic operations and opioid-related hospital stays among seniors
increase in the nation.
A serial cross-sectional cohort study using the healthcare cost and utilization project fast stats from 2006 through 2015 measured
annual rate per 100,000 populations of orthopedic operations by age groups (45–64 vs 65 and older) as well as annual rate per
100,000 populations of opioid-related hospital stays among 65 and older in the nation, Oregon and Washington states from 2008
through 2017. Orthopedic operations (knee arthroplasty, total or partial hip replacement, spinal fusion or laminectomy) and opioidrelated hospital stays were measured. The compound annual growth rate (CAGR) was used to quantify temporal trends of
orthopedic operations by age groups as well as opioid-related hospital stays and was tested by Rao–Scott correction of x2 for
categorical variables.
The CAGR (4.06%) of orthopedic operations among age 65 and older increased (P<.001) unlike the unchanged rate among age
45 to 64. The CAGRs of opioid-related hospital stays among age 65 and older were upward trends among seniors in general (6.79%) and in Oregon (10.32%) and Washington (15.48%) in particular (all P<.001).
Orthopedic operations and opioid-related hospital stays among seniors increased over time in the U.S. Marijuana legalization might have played a role of gateway drug to opioid among seniors.