State Variation in Chronic Opioid Use in Long-Term Care Nursing Home Residents.

ABSTRACT:

Objective

Policies and regulations on opioid use have evolved from being primarily state-to federally based. We examined the trends and variation in chronic opioid use among states and nursing homes.

Design

Retrospective cohort study.

Setting and participants

We used the nursing home Minimum Data Set and Medicare claims from 2014 to 2018 and included long-term care nursing home residents from each year who had at least 120 days of consecutive stay.

Measurements

Chronic opioid use was defined as use for ≥90 days. Three-level hierarchical logistic regression models (resident, nursing home, state) were constructed to estimate intraclass correlation coefficient (ICC) at the state level and at the nursing home level. The ICC shows the proportion of variation in chro

SUBMITTER: Mehta HB 

PROVIDER: S-EPMC9000974 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature