Table 4.
Group Health | Kaiser Permanente Northern California | |||||
---|---|---|---|---|---|---|
Depressedb (N=2,124) | Non-Depressed (N=3,431) | P value | Depressedb (N=11,307) | Non-Depressed (N=21,881) | P value | |
Average Prescribed Dose (mg)c | 54.1 | 44.5 | <0.001 | 65.4 | 48.0 | <0.001 |
Average Daily Dose (mg)d | 53.3 | 39.6 | <0.001 | 62.8 | 39.6 | <0.001 |
Average Days Supply | 304.4 | 284.3 | <0.001 | 304.5 | 273.8 | <0.001 |
Percent with Mainly Schedule IIe | 49.3% | 43.4% | <0.001 | 25.6% | 13.7% | <0.001 |
Percent with Mainly Long-Acting Schedule II | 28.9% | 21.0% | <0.001 | 19.9% | 9.5% | <0.001 |
Percent with 180+ Days Supply Sedative-Hypnotics | 35.6% | 24.1% | <0.001 | 41.0% | 24.2% | <0.001 |
Long-term opioid use episodes on-going in 2005. Long term use defined as episodes with duration of 90+ days, 10+ fills or days supply of fills 120+ days.
Depressed defined as having a documented depression diagnosis in either of the two prior calendar years
Average prescribed dose is the total morphine equivalents for an episode divided by total days supply for the episode, that is, the estimated average daily dose prescribed as opposed to the average daily dose consumed.
Average daily dose is the total morphine equivalents for an episode divided by episode duration in days.
Schedule II=morphine sulfate; codeine sulfate; hydromorphone;, meperidine; fentanyl transmucosal; and oxymorphone, oxycodone, morphine sulfate SR; fentanyl transdermal; levorphanol; oxycodone CR; and methadone, hydromorphone SR, oxymorphone SR