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. 2017 Dec 6;19(12):2450–2458. doi: 10.1093/pm/pnx293

Table 2.

Estimated change (Δ) per year in average daily opioid dose by high-risk subgroup


Gender

Substance Use Disorders
Time Period
Female

Male

No

Yes
ΔMean (95% CI) ΔMean (95% CI) ΔMean (95% CI) ΔMean (95% CI)

1: Baseline Jan 2006–Jan 2008 −3.7 (−5.6 to − 1.9) −5.3 (−9.4 to − 1.3) −3.8 (−5.8 to − 1.8) −8.8 (−17.0 to − 0.6)
P* 0.479 0.263
2: Dose reduction Jan 2008–Oct 2010 −5.9 (−7.0 to − 4.8) −8.8 (−10.8 to − 6.9) −6.5 (−7.6 to − 5.5) −10.7 (−14.9 to − 6.5)
P* 0.010 0.064
3: Risk mitigation Oct 2010–Sep 2014 −1.3 (−2.1 to − 0.6) −1.5 (−2.7 to − 0.3) −1.5 (−2.1 to − 0.8) −0.8 (−3.4 to 1.9)
P* 0.851 0.635

Mental Disorders

Any Sedative Use
Time period
No

Yes

No

Yes
ΔMean (95% CI) ΔMean (95% CI) ΔMean (95% CI) ΔMean (95% CI)

1: Baseline Jan 2006–Jan 2008 −3.7 (−6.5 to − 1.0) −5.0 (−7.7 to − 2.3) −3.8 (−6.0 to − 1.6) −5.3 (−8.6 to − 2.0)
P* 0.539 0.456
2: Dose reduction Jan 2008–Oct 2010 −5.2 (−6.6 to − 3.8) −8.2 (−9.7 to − 6.7) −5.8 (−7.0 to − 4.6) −9.2 (−11.1 to − 7.2)
P* 0.005 0.004
3: Risk mitigation Oct 2010–Sep 2014 −1.1 (−2.2 to 0.0) −1.5 (−2.4 to − 0.7) −1.3 (−2.1 to − 0.6) −1.6 (−2.7 to − 0.5)
P* 0.605 0.716

CI = confidence interval.

*

Each P value is based on a 1-degree-of-freedom Wald chi-square test for the difference in rates of change between the two groups within the given time period. Boldface indicates statistical significance (P < 0.05).