Correlates of the number of high dose (>90 daily OME) opioid prescriptions
Cirrhosis | Hepatitis C without cirrhosis | |||||||
Mean # high dose prescriptions | RR | 95% CI | P value | Mean # high dose prescriptions | RR | 95% CI | P value | |
Age (years) | ||||||||
≤18 | 4.4 | 0.46 | 0.37 to 0.57 | <0.001 | 4.6 | 0.35 | 0.29 to 0.41 | <0.001 |
19–39 | 6.8 | 1.20 | 1.12 to 1.28 | <0.001 | 6.6 | 1.07 | 1.00 to 1.14 | 0.051 |
40–59 | 8.5 | 1.32 | 1.27 to 1.37 | <0.001 | 10.0 | 1.17 | 1.11 to 1.23 | <0.001 |
≥60 | 5.1 | 1.00 | Reference | 6.6 | 1.00 | Reference | ||
Sex | ||||||||
Male | 7.6 | 1.26 | 1.21 to 1.30 | <0.001 | 9.3 | 1.30 | 1.26 to 1.35 | <0.001 |
Female | 7.2 | 1.00 | Reference | 8.5 | 1.00 | Reference | ||
Geographic region | ||||||||
Northeast | 8.2 | 0.93 | 0.87 to 0.98 | 0.008 | 10.0 | 0.84 | 0.79 to 0.89 | <0.001 |
North Central | 6.8 | 0.71 | 0.67 to 0.75 | <0.001 | 8.3 | 0.69 | 0.65 to 0.73 | <0.001 |
South | 6.8 | 0.65 | 0.62 to 0.69 | <0.001 | 8.1 | 0.70 | 0.67 to 0.74 | <0.001 |
West | 8.7 | 1.00 | Reference | 10.1 | 1.00 | Reference | ||
Substance abuse/mental health diagnosis | ||||||||
Yes | 9.6 | 1.29 | 1.24 to 1.35 | <0.001 | 10.8 | 1.62 | 1.55 to 1.69 | <0.001 |
No | 6.6 | 1.00 | Reference | 8.1 | 1.00 | Reference | ||
Charlson comorbidity index | ||||||||
2 or higher | 7.3 | 1.25 | 1.20 to 1.29 | <0.001 | 9.8 | 1.13 | 1.08 to 1.19 | <0.001 |
0–1 | 7.5 | 1.00 | Reference | 8.8 | 1.00 | Reference | ||
Aetiology of liver disease | N/A | |||||||
Alcoholic cirrhosis with HCV | 9.7 | 1.25 | 1.17 to 1.33 | <0.001 | ||||
Alcoholic cirrhosis (without HCV) | 7.2 | 0.98 | 0.93 to 1.03 | 0.353 | ||||
HCV cirrhosis (without alcohol) | 9.4 | 1.19 | 1.13 to 1.25 | <0.001 | ||||
Other cirrhosis* | 6.3 | 1.00 | Reference |
*Includes all forms of cirrhosis excluding HCV and alcoholic related cirrhosis.
HCV, hepatitis C virus;N/A, not applicable; OME, opioid morphine equivalents; RR, relative risk.