Opioid abuse/dependence among those hospitalized due to periapical abscess
dc.contributor.author | Shroff, Deepti | |
dc.contributor.author | Nalliah, Romesh P. | |
dc.contributor.author | Allareddy, Veerajalandhar | |
dc.contributor.author | Chandrasekaran, Sangeetha | |
dc.contributor.author | Stein, Kyle | |
dc.contributor.author | Rampa, Sankeerth | |
dc.contributor.author | Allareddy, Veerasathpurush | |
dc.date.accessioned | 2018-12-06T17:37:54Z | |
dc.date.available | 2020-01-06T16:41:00Z | en |
dc.date.issued | 2018-11 | |
dc.identifier.citation | Shroff, Deepti; Nalliah, Romesh P.; Allareddy, Veerajalandhar; Chandrasekaran, Sangeetha; Stein, Kyle; Rampa, Sankeerth; Allareddy, Veerasathpurush (2018). "Opioid abuse/dependence among those hospitalized due to periapical abscess." Journal of Investigative and Clinical Dentistry 9(4): n/a-n/a. | |
dc.identifier.issn | 2041-1618 | |
dc.identifier.issn | 2041-1626 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/146647 | |
dc.description.abstract | AimOpioid abuse/dependence (OAD) is an emerging public health crisis in the USA. The aim of the present study was to estimate the nationwide prevalence of OAD in those hospitalized due to periapical abscess in the USA.MethodsThe Nationwide Inpatient Sample for 2012‐2014 was used. All patients who were hospitalized due to periapical abscess were selected for analysis. In this cohort, OAD was identified and used as the outcome variable. A mix of patient and geographic factors were used as independent variables. The simultaneous association between outcome and independent variables was examined by a multivariable logistic regression model. Clustering of outcomes within hospitals was adjusted. Odds of OAD were computed for all independent variables.ResultsDuring the study period, 30 040 patients were hospitalized due to periapical abscess; 1.5% of these had OAD. Those aged 18‐29 years (odds ratio [OR] = 3.69, 95% confidence interval [CI] = 1.76‐7.72, P < 0.01) and 30‐44 years (OR = 3.19, 95% CI = 1.77‐5.76, P < 0.01) were associated with higher odds for OAD compared to those aged 45‐64 years. Blacks were associated with lower odds for OAD compared to whites (OR = 0.52, 95% CI = 0.28‐0.95, P = 0.03). Those covered by Medicare (OR = 4.08, 95% CI = 1.458‐11.44, P = 0.01), Medicaid (OR = 5.86, 95% CI = 2.22‐15.47, P < 0.01), and those who were uninsured (OR = 3.68, 95% CI = 1.30‐10.45, P = 0.01) were associated with higher odds for OAD compared to those covered by private insurance. The odds of OAD increased with comorbid burden (OR = 1.66, 95% CI = 1.50‐1.84, P < 0.01).ConclusionsHigh‐risk groups that are likely to have OAD were identified among those hospitalized due to periapical abscess. | |
dc.publisher | Wiley Periodicals, Inc. | |
dc.publisher | Agency for Healthcare Research and Quality | |
dc.subject.other | abscess | |
dc.subject.other | opioid epidemic | |
dc.subject.other | opioid abuse | |
dc.subject.other | prescription | |
dc.subject.other | periapical abscess | |
dc.title | Opioid abuse/dependence among those hospitalized due to periapical abscess | |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | |
dc.subject.hlbsecondlevel | Dentistry | |
dc.subject.hlbtoplevel | Health Sciences | |
dc.description.peerreviewed | Peer Reviewed | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/146647/1/jicd12354.pdf | |
dc.description.bitstreamurl | https://deepblue.lib.umich.edu/bitstream/2027.42/146647/2/jicd12354_am.pdf | |
dc.identifier.doi | 10.1111/jicd.12354 | |
dc.identifier.source | Journal of Investigative and Clinical Dentistry | |
dc.identifier.citedreference | Prevention CDC International Classification of Diseases,Ninth Revision, Clinical Modification (ICD‐9‐CM). “ www.cdc.gov/nchs/icd/icd9cm.htm ”. Accessed March 6, 2014. | |
dc.identifier.citedreference | Chen LH, Hedegaard H, Warner M. Drug‐poisoning deaths involving opioid analgesics: United States, 1999‐2011. NCHS Data Brief. 2014; 166: 1 ‐ 8. | |
dc.identifier.citedreference | Nash DB. The use of medicines in the United States: a detailed review. Am Health Drug Benefits. 2012; 5 ( 7 ): 423. | |
dc.identifier.citedreference | Ahmedani BK, Peterson EL, Wells KE, Lanfear DE, Williams LK. Policies and events affecting prescription opioid use for non‐cancer pain among an insured patient population. Pain Physician. 2014; 17 ( 3 ): 205 ‐ 216. | |
dc.identifier.citedreference | Volkow ND, McLellan TA, Cotto JH, Karithanom M, Weiss SR. Characteristics of opioid prescriptions in 2009. JAMA. 2011; 305 ( 13 ): 1299 ‐ 1301. | |
dc.identifier.citedreference | McCauley JL, Hyer JM, Ramakrishnan VR, et al. Dental opioid prescribing and multiple opioid prescriptions among dental patients: administrative data from the South Carolina prescription drug monitoring program. J Am Dent Assoc. 2016; 147 ( 7 ): 537 ‐ 544. | |
dc.identifier.citedreference | Baker JA, Avorn J, Levin R, Bateman BT. Opioid prescribing after surgical extraction of teeth in medicaid patients, 2000‐2010. JAMA. 2016; 315 ( 15 ): 1653 ‐ 1654. | |
dc.identifier.citedreference | Denisco RC, Kenna GA, O’Neil MG, et al. Prevention of prescription opioid abuse: the role of the dentist. J Am Dent Assoc. 2011; 142 ( 7 ): 800 ‐ 810. | |
dc.identifier.citedreference | Manchikanti L, Helm S 2nd, Fellows B, et al. Opioid epidemic in the United States. Pain Physician 2012; 3 ( Suppl ): Es9 ‐ Es38. | |
dc.identifier.citedreference | Manchikanti L, Fellows B, Ailinani H, Pampati V. Therapeutic use, abuse, and nonmedical use of opioids: a ten‐year perspective. Pain Physician. 2010; 13 ( 5 ): 401 ‐ 435. | |
dc.identifier.citedreference | CfDCa Prevention. Vital signs: overdoses of prescription opioid pain relievers‐United States, 1999‐2008. MMWR Morb Mortal Wkly Rep. 2011; 60 ( 43 ): 1487 ‐ 1492. | |
dc.identifier.citedreference | Moore PA, Hersh EV. Combining ibuprofen and acetaminophen for acute pain management after third‐molar extractions: translating clinical research to dental practice. J Am Dent Assoc. 2013; 144 ( 8 ): 898 ‐ 908. | |
dc.identifier.citedreference | Allareddy V, Rampa S, Lee MK, Allareddy V, Nalliah RP. Hospital‐based emergency department visits involving dental conditions: profile and predictors of poor outcomes and resource utilization. J Am Dent Assoc. 2014; 145 ( 4 ): 331 ‐ 337. | |
dc.identifier.citedreference | Sun BC, Chi DL, Schwarz E, et al. Emergency department visits for nontraumatic dental problems: a mixed‐methods study. Am J Public Health. 2015; 105 ( 5 ): 947 ‐ 955. | |
dc.identifier.citedreference | Haffajee RL, Jena AB, Weiner SG. Mandatory use of prescription drug monitoring programs. JAMA. 2015; 313 ( 9 ): 891 ‐ 892. | |
dc.identifier.citedreference | Healthcare Cost and Utilization Project (HCUP). AHRQ: The National (Nationwide) inpatient sample (NIS) for years 2012 to 2014. Rockville, MD: Agency for Healthcare Research and Quality; 2017. | |
dc.identifier.citedreference | Maughan BC, Hersh EV, Shofer FS, et al. Unused opioid analgesics and drug disposal following outpatient dental surgery: A randomized controlled trial. Drug Alcohol Depend. 2016; 168: 328 ‐ 334. | |
dc.identifier.citedreference | Gomes T, Juurlink DN, Antoniou T, et al. Gabapentin, opioids, and the risk of opioid‐related death: a population‐based nested case‐control study. PLoS Med. 2017; 14 ( 10 ): e1002396. | |
dc.identifier.citedreference | Ashrafioun L, Edwards PC, Bohnert AS, Ilgen MA. Nonmedical use of pain medications in dental patients. Am J Drug Alcohol Abuse. 2014; 40 ( 4 ): 312 ‐ 316. | |
dc.identifier.citedreference | Report NP Medicaid Patients More Likely To Use Illegal Drugs. “ www.nationalpainreport.com/medicaid-patients-more-likely-to-use-illegal-drugs-8815665.html ”. Accessed January 26, 2018. | |
dc.identifier.citedreference | Charles Ornstein RGJ. As Controlled Substance Use Rises in Medicare, Prolific Prescribers Face More Scrutiny Propublica: 2014. “ www.propublica.org/article/as-controlled-substance-use-rises-in-medicare-top-prescribers-face-scrutiny ”. Accessed January 23, 2018. | |
dc.identifier.citedreference | McGinn‐Shapiro M. Medicaid Coverage of Adult Dental Services. National Academy for State Health Policy 2008. https://nashp.org/wp-content/uploads/sites/default/files/Adult%20Dental%20Monitor.pdf. Accessed January 23, 2018. | |
dc.identifier.citedreference | Healthcare.Gov. How to get or stay on a parent’s plan. HealthCare.gov: U.S. Centers for Medicare & Medicaid Services. “ www.healthcare.gov/young-adults/children-under-26/ ”. Accessed January 23 2018. | |
dc.identifier.citedreference | Pon D, Awuah K, Curi D, Okyere E, Stern CS. Combating an epidemic of prescription opioid abuse. J Calif Dent Assoc. 2015; 43 ( 11 ): 673 ‐ 678. | |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.