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. 2017 Jul 17;177(9):1265–1272. doi: 10.1001/jamainternmed.2017.2468

Table 3. Patient-Level Secondary Outcomes at 12 Months by Intervention Statusa.

Variable Baseline Follow-up
Intervention
(n = 586)
Control
(n = 399)
P Value Intervention
(n = 586)
Control
(n = 399)
P Value AOR (95% CI)
Discontinuation of opioid prescriptionb NA NA NA 125 (21.3) 67 (16.8) .08 1.5 (1.0-2.1)
Opioid dose reductionc,d NA NA NA 151 (32.8) 76 (22.9) .002 1.6 (1.1-2.4)e
Opioid dose reductionc,d or discontinuationb NA NA NA 276 (47.1) 143 (35.8) <.001 1.6 (1.3-2.1)e
MEDD, mean (SD), mgd,e 61.1 (84.9) 62.3 (75.6) .84 60.8 (93.7) 67.3 (80.4) .31 −6.8 (1.6)f,g

Abbreviations: AOR, adjusted odds ratio; MEDD, morphine equivalent daily dose; NA, not applicable; SE, standard error.

a

Unless otherwise noted, data are reported as number (percentage) of patient participants. Analyses included patients with complete information on active opioid prescriptions within 60 days prior to the start date of the intervention. Analyses adjusted for drug use diagnosis, mental health problems, English-speaking, and baseline levels of outcome measures.

b

Definition of discontinuation: if the last day of the prescription (accounting for the days of supply) falls within 300th day after the start of the intervention, the prescription has been discontinued.

c

10% reduction in MEDD; this compares MEDD in the 30 days prior to the start of the intervention with the last 30 days of the 12-month follow-up of patients receiving opioids in those time periods.

d

This measure excludes patients who discontinued opioid treatment (n = 192): TOPCARE (n = 461), e-tools only (n = 332).

e

This measure compares the mean MEDD 30 days prior to the start of the intervention to the last 30 days of the 12-month follow-up of patients receiving opioids in those time periods.

f

P ≤ .01.

g

β Coefficient (standard error).