Table 3.
Arkansas Medicaid: opioid use among subjects with non-cancer pain diagnoses
| Variables | Category | 2000 (N=23,155) | 2001 (N=25,261) | 2002 (N=27,896) | 2003 (N=30,079) | 2004 (N=33,028) | 2005 (N=35,697) | % Change 00~05 |
|---|---|---|---|---|---|---|---|---|
| Days Supply of Opioids-Groups | 1-30 days | 29.5% | 29.3% | 30.2% | 29.3% | 29.9% | 29.5% | 0.1% |
| 31-90 days | 9.1% | 9.5% | 9.7% | 10.6% | 10.5% | 11.0% | 21.6% | |
| 91-180 days | 5.4% | 5.9% | 6.3% | 6.4% | 6.8% | 7.0% | 29.5% | |
| 181+days | 9.5% | 10.9% | 11.5% | 12.6% | 13.9% | 16.0% | 68.5% | |
| Among Those Receiving Opioids | ||||||||
| Days Supply of Opioids Per Year | Mean (SD) | 86.6 (129.1) | 94.4 (135.4) | 96.3 (137.6) | 103.3 (145.3) | 109.2 (151.6) | 116.1 (153.5) | 34.0% |
| [Median] | [25] | [29] | [30] | [31] | [33] | [38] | ||
| Cumulative Yearly Opioid Dose [mg morphine equivalents] | Mean (SD) | 5,059.8 (13,534.4) | 5,520.2 (14,656.0) | 5,634.3 (15,961.9) | 6,129.0 (17,829.9) | 6,705.9 (19,569.4) | 6,952.4 (18,377.1) | 37.40% |
| [Median] | [1117] | [1185] | [1200] | [1301] | [1373] | [1450] | ||
| Opioid Dose per Day Supplied [in mg morph/day supplied] | Mean(SD) | 54.3 (40.3) | 53.0 (39.9) | 51.7 (40.9) | 51.1 (42.4) | 50.9 (43.4) | 50.2 (41.7) | -7.49% |
| [Median] | [41] | [39] | [38] | [38] | [38] | [38] | ||
| Number of Prescriptions Received | Mean(SD) | 5.3 (5.4) | 5.5 (5.5) | 5.5 (5.5) | 5.8 (5.7) | 6.0 (5.8) | 6.2 (5.8) | 17.13% |
| [Median] | [3] | [3] | [3] | [3] | [4] | [4] | ||
| Opioid Dose per Prescription [in mg morph/prescription] | Mean (SD) | 633.6 (824.2) | 655.5 (874.0) | 653.4 (921.5) | 667.1 (989.0) | 689.5 (1063.3) | 713.9 (1027.5) | 12.66% |
| [Median] | [398] | [395] | [380] | [378] | [383] | [406] | ||
| All Enrollees | N=115,914 | N=117,935 | N=119,338 | N=123,080 | N=128,628 | N=127,866 | ||
| Cumulative Opioid Dose Per Year Per Enrollee [mg morphine equivalents] | 1003.3 | 1137.4 | 1234.3 | 1346.4 | 1529.3 | 1662.0 | 65.66% | |