Dissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseases

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dc.contributor.authorKim, Pearl
dc.contributor.authorYamashita, Takashi
dc.contributor.authorShen, Jay J.
dc.contributor.authorPark, Seong-Min
dc.contributor.authorChun, Sung-Youn
dc.contributor.authorKim, Sun Jung
dc.contributor.authorHwang, Jinwook
dc.contributor.authorLee, Se Won
dc.contributor.authorDounis, Georgia
dc.contributor.authorKang, Hee-Taik
dc.contributor.authorLee, Yong-Jae
dc.contributor.authorHan, Dong-Hun
dc.contributor.authorKim, Ji Eun
dc.contributor.authorYeom, Hyeyoung
dc.contributor.authorByun, David
dc.contributor.authorBahta, Tsigab
dc.contributor.authorYoo, Ji Won
dc.date.accessioned2019-10-14T14:44:57Z
dc.date.available2019-10-14T14:44:57Z
dc.date.issued2019-05-31
dc.description.abstractWe 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.en_US
dc.description.urihttps://journals.lww.com/md-journal/Fulltext/2019/07120/Dissociation_between_the_growing_opioid_demands.12.aspxen_US
dc.format.extent4 pagesen_US
dc.genrejournal articlesen_US
dc.identifierdoi:10.13016/m26rt5-kxit
dc.identifier.citationKim, 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;en_US
dc.identifier.urihttp://dx.doi.org/10.1097/MD.0000000000016169
dc.identifier.urihttp://hdl.handle.net/11603/15862
dc.language.isoen_USen_US
dc.publisherCCSEen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofUMBC Sociology and Anthropology Department Collection
dc.relation.ispartofUMBC Faculty Collection
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)*
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectdrug policyen_US
dc.subjectmarijuanaen_US
dc.subjectopioiden_US
dc.subjectorthopedic surgeriesen_US
dc.titleDissociation between the growing opioid demands and drug policy directions among the U.S. older adults with degenerative joint diseasesen_US
dc.typeTexten_US

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