Chronic Opioid Use After Implementation of Oregon's Medicaid Back Pain Policy.

ABSTRACT:

Introduction

In 2016, Oregon developed an innovative policy to improve care for Medicaid patients with back pain. The objective of this study was to identify the factors associated with dose reduction and discontinuation among Medicaid patients using chronic opioid therapy after implementation of this policy.

Methods

Using Medicaid administrative claims data, this was a retrospective cohort of patients on chronic stable opioid therapy between July and December 2016. Outcomes assessed were (1) 30% reduction in opioid dose and (2) an absolute discontinuation between January and December 2017. Multivariable logistic regressions evaluated the association between dose reduction outcomes and clinical and demographic factors.

Results

Of 4,643 Medicaid patients on chronic opi

SUBMITTER: Hartung DM 

PROVIDER: S-EPMC11757081 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature