Opioid Rx for Chronic Abdominal Pain Up Over Last Decade

Most commonly prescribed to 25- to 40-year-olds; least commonly to uninsured, African-Americans

TUESDAY, Nov. 29 (HealthDay News) -- The prevalence of opioid prescriptions for chronic abdominal pain more than doubled between 1997 and 2008 in the United States, with prescriptions most common for patients aged 25 to 40 years, according to a study published in the December issue of Clinical Gastroenterology and Hepatology.

Spencer D. Dorn, M.D., M.P.H., from the University of North Carolina School of Medicine in Chapel Hill, and colleagues investigated national trends in opioid use for chronic abdominal pain, and determined the factors associated with opioid prescribing for abdominal pain. Reason-for-visit codes from two National Care Surveys (1997 to 2008) were used to identify adults who visited outpatient clinics for chronic abdominal pain. Data were weighted to generate estimates over time for opioid prescriptions. Factors associated with opioid use were identified through logistic regression analyses, after adjustment for complex survey design.

The investigators found that there was a significant, consistent decrease in chronic abdominal pain-related outpatient clinic visits over time, from an estimated 14.8 million visits in 1997-1999 to 12.2 million visits in 2006-2008 (1,863 visits per 100,000 population). There was a significant increase in the adjusted prevalence of visits where opioids were prescribed, from 5.9 percent in 1997-1999 to 12.2 percent in 2006-2008. Opioids were most commonly prescribed to individuals aged 25 to 40 years (odds ratio [OR], 4.6), and prescriptions were least common for uninsured and African-American individuals (OR, 0.1 and 0.3, respectively).

"Between 1997 and 2008, the prevalence of opioid prescriptions for chronic abdominal pain more than doubled," the authors write.

Full Text (subscription or payment may be required)

Copyright © 2011 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events