Table 2.
Odds Ratio Estimates for Risk of Being Dispensed Opioid Pain Relievers for 365 days or more in 2-year, Post-Fusion Follow-Up Period
Variable | % Dispensed > 365 Days OPR | OR Estimate | 95% CI | P-value |
---|---|---|---|---|
Demographics | ||||
Age (n=2459) | 49.95 (8.92) | 0.99 | 0.98–0.99 | 0.0001 |
Male | 1025 (27.89%) | 1 | Reference | |
Female | 1433 (30.48%) | 1.02 | 0.89–1.16 | 0.77 |
Region | ||||
South | 1344 (30.48%) | 1 | Reference | |
Midwest | 613 (26.58%) | 0.88 | 0.75–1.03 | 0.10 |
Northeast | 145 (29.96%) | 1.04 | 0.79–1.38 | 0.77 |
West | 354 (30.20%) | 0.98 | 0.80–1.19 | 0.82 |
Fusion Type | ||||
Posterior Fusion | 1557 (28.57%) | 1 | Reference | |
Anterior Fusion | 235 (29.71%) | 0.79 | 0.63–0.99 | 0.04 |
360 Fusion | 403 (32.76%) | 1.18 | 0.98–1.41 | 0.09 |
OPMI Fusion | 263 (29.03%) | 0.87 | 0.70–1.08 | 0.20 |
Indication | ||||
Degenerative | 2030 (28.43%) | 1 | Reference | |
Post-Laminectomy | 153 (39.13%) | 1.14 | 0.85–1.52 | 0.38 |
Re-Fusion | 189 (38.65%) | 1.32 | 1.02–1.72 | 0.04 |
Other | 86 (24.16%) | 1.25 | 0.89–1.75 | 0.21 |
Comorbidity | ||||
Elixhauser Score | ||||
0 | 1036 (24.50%) | 1 | Reference | |
1 | 723 (31.06%) | 1.12 | 0.96–1.31 | 0.17 |
2+ | 699 (38.41%) | 1.15 | 0.97–1.37 | 0.11 |
Depression | 458 (49.51%) | 1.43 | 1.18–1.74 | <0.001 |
Obesity | 130 (38.12%) | 0.91 | 0.67–1.23 | 0.53 |
Smoking | 189 (48.46%) | 1.12 | 0.91–1.58 | 0.21 |
OPR Use Pre-Fusion | ||||
Quintile 1: 0 | 29 (2.18%) | 1 | Reference | |
Quintile 2: 1–22 days | 86 (4.87%) | 2.274 | 1.48–3.49 | <0.001 |
Quintile 3: 23–72 days | 213 (12.03%) | 5.939 | 4.00–8.83 | <0.001 |
Quintile 4: 73–250 days | 651 (37.22%) | 25.305 | 17.26–37.10 | <0.001 |
Quintile 5: 250+ | 1479 (84.03%) | 219.946 | 148.53–325.71 | <0.001 |