Table 2.
All-cause and cause-specific mortality rates in older (≥50 years) opioid use disorder, younger (<50 years) opioid use disorder and older (≥50 years) no opioid use disorder VA patients, FY2000–2011
| Older opioid use disorder (n=36,608; 186,750 py) |
Younger opioid use disorder (n=23,662; 161,374 py) |
Older no opioid use disorder (n=36,608; 192,999 py) |
||||
|---|---|---|---|---|---|---|
| Cause of deatha | N (%) deaths | CMR per 1,000 py (95% CI) |
N (%) deaths | CMR per 1,000 py (95 % CI) |
N (%) deaths | CMR per 1,000 py (95% CI) |
| All cause | 6,754 (100) | 36.2 (35.3, 37.0) | 2,632 (100) | 16.3 (15.7, 16.9) | 4,407 (100) | 22.8 (22.2, 23.5) |
| Drug-related | 659 (9.8) | 3.5 (3.3, 3.8) | 676 (25.7) | 4.2 (3.9, 4.5) | 79 (1.8) | 0.4 (0.3, 0.5) |
| Accidental drug-related | 562 (8.3) | 3.0 (2.8, 3.3) | 551 (20.9) | 3.4 (3.1, 3.7) | 61 (1.4) | 0.3 (0.2, 0.4) |
| Suicide | 149 (2.2) | 0.8 (0.7, 0.9) | 132 (5.0) | 0.8 (0.7, 1.0) | 75 (1.7) | 0.4 (0.3, 0.5) |
| Violence | 35 (0.5) | 0.2 (0.1, 0.3) | 49 (1.9) | 0.3 (0.2, 0.4) | 18 (0.4) | 0.09 (0.06, 0.1) |
| Accidental injuries | 193 (2.9) | 1.0 (0.9, 1.2) | 100 (3.8) | 0.6 (0.5, 0.7) | 113 (2.6) | 0.6 (0.5, 0.7) |
| Cancer | 1,518 (22.5) | 8.1 (7.7, 8.5) | 305 (11.6) | 1.9 (1.7, 2.1) | 1,240 (28.1) | 6.4 (6.1, 6.8) |
| HIV | 124 (1.8) | 0.7 (0.6, 0.8) | 92 (3.5) | 0.6 (0.5, 0.7) | 47 (1.1) | 0.2 (0.2, 0.3) |
| Cardiovascular disease | 1,711 (25.3) | 9.2 (8.7, 9.6) | 523 (19.9) | 3.2 (3.0, 3.5) | 1,367 (31.0) | 7.1 (6.7, 7.5) |
| Liver-related | 1000 (14.8) | 5.4 (5.0, 5.7) | 375 (14.2) | 2.3 (2.1, 2.6) | 349 (7.9) | 1.8 (1.6, 2.0) |
| Chronic respiratory disease | 411 (6.1) | 2.2 (2.0, 2.4) | 79 (3.0) | 0.5 (0.4, 0.6) | 254 (5.8) | 1.3 (1.2, 1.5) |
| Respiratory infections | 103 (1.5) | 0.6 (0.5, 0.7) | 26 (1.0) | 0.2 (0.1, 0.2) | 71 (1.6) | 0.4 (0.3, 0.5) |
| Diabetes | 181 (2.7) | 1.0 (0.8, 1.1) | 72 (2.7) | 0.4 (0.3, 0.6) | 199 (4.5) | 1.0 (0.9, 1.2) |
Causes of death are neither mutually exclusive nor exhaustive.
CMR: crude mortality rate. py: person-years. CI: confidence interval. Sex-disaggregated data are provided in the Supplementary Materials2.