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. Author manuscript; available in PMC: 2018 Sep 15.
Published in final edited form as: Spine (Phila Pa 1976). 2017 Sep 15;42(18):1405–1411. doi: 10.1097/BRS.0000000000002133

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