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. 2010 Jan 5;25(4):310–315. doi: 10.1007/s11606-009-1218-z

Table 4.

Hazard Ratios for the Relationship Between Opioid Dosage Level and Fracture

Opioid dosage level (mg/day) Number of fractures Person years Fracture rate (per person year) Hazard ratio (95% C.I.)a
0 114 3,012 0.03784 1.00
1–<20 152 2,684 0.05663 1.20 (0.92, 1.56)
20–<50 33 472 0.06993 1.34 (0.89, 2.01)
50+ 21 211 0.09953 2.00 (1.24, 3.24)
Any Use 206 3,367 0.06118 1.28 (0.99, 1.64)

aAdjusted for smoking, depression, substance abuse, dementia, comorbidity, pain site, age, gender, prior fracture, antidepressant use, sedative use, HRT/bisphosphonate use