Association of Opioid Use Disorder Diagnosis with Management of Acute Low Back Pain: A Medicare Retrospective Cohort Analysis.

ABSTRACT:

Background

Practice guidelines recommend nonpharmacologic and nonopioid therapies as first-line pain treatment for acute pain. However, little is known about their utilization generally and among individuals with opioid use disorder (OUD) for whom opioid and other pharmacologic therapies carry greater risk of harm.

Objective

To determine the association between a pre-existing OUD diagnosis and treatment of acute low back pain (aLBP).

Design

Retrospective cohort study using 2016-2019 Medicare data.

Participants

Fee-for-service Medicare beneficiaries with a new episode of aLBP.

Main measures

The main independent variable was OUD diagnosis measured prior to the first LBP claim (i.e., index date). Using multivariable logistic regressions, we assessed the fol

SUBMITTER: Moyo P 

PROVIDER: S-EPMC11306843 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature