Table 3.
Likelihood of Receiving Guideline-Concordant Care Based on Substance Use Disorder (SUD) Status (n = 5,814)
| Pain and SUD | Pain Only | Odds Ratio (95% confidence interval) | |
|---|---|---|---|
| (n = 1136) | (n = 4678) | ||
| More Intensive Treatment in Primary Care | 1.08 (0.94 – 1.23) | ||
| Number of patients with ≥ 4 visits/year (%) | 720 (63.4%) | 2853 (61.0%) | |
| Average number of appointments (SD), range | 5.7 (4.6), 0-45 | 5.4 (4.7), 0-66 | |
| Long-acting Opioid | 0.94 (0.81 – 1.09) | ||
| Number of patients who received any (%) | 306 (26.9%) | 1216 (26.0%) | |
| Physical Therapy | 1.08 (0.94 – 1.25) | ||
| Number of patients who received any (%) | 348 (30.6%) | 1336 (28.6%) | |
| Average number of appointments (SD), range | 0.9 (2.1), 0-23 | 0.8 (2.4), 0-43 | |
| Urine Drug Screen | 3.53 (3.06 – 4.06) | ||
| Number of patients who received any (%) | 534 (47.0%) | 859 (18.4%) | |
| Average number of administrations (SD), range | 2.2 (4.7), 0-54 | 0.6 (1.8), 0-34 | |
| Mental Health Visit* | 1.49 (1.26 – 1.77) | ||
| Number of patients who received any (%) | 337 (29.7%) | 803 (17.2%) | |
| Average number of appointments (SD), range | 2.5 (6.2), 0-60 | 1.7 (5.4), 0-118 | |
| Antidepressant Medication+ | 1.26 (0.96 – 1.67) | ||
| Number of patients who received any (%) | 554 (88.2%) | 1583 (85.8%) |
Note. The Odds Ratios tested whether patients with a SUD were more likely to receive certain medical services. Analyses controlled for the effects of VA facility, age, gender, average pain score, and major depressive disorder diagnosis. * = For the variable mental health visit, this included only patients who were diagnosed with an axis I psychiatric disorder (n = 3,374). + = For antidepressant use, this included only patients who were diagnosed with major depressive disorder or dysthymia (n = 2,472)