Table 1.
Characteristic | CYP2D6-Guided (n = 235) |
Usual Care (n = 135) |
P- value |
---|---|---|---|
Age, years | 58 ± 13 | 59 ± 12 | 0.465 |
Sex, female | 156 (66) | 96 (71) | 0.348 |
Race | |||
White | 183 (78) | 80 (59) | |
Black | 41 (17) | 44 (33) | <0.001 |
Other | 11 (5) | 11 (8) | |
Pain Management Indicationa | |||
Back pain | 160 (68) | 74 (55) | 0.011 |
Arthritis | 134 (57) | 76 (56) | 0.892 |
Nerve Damage and/or Pain | 88 (37) | 31 (23) | 0.004 |
Fibromyalgia | 43 (18) | 17 (13) | 0.152 |
Head, neck, or face pain | 68 (29) | 15 (11) | <0.001 |
Headaches (including migraines) | 61 (26) | 27 (20) | 0.195 |
Cancer | 15 (6) | 11 (8) | 0.523 |
Injury | 20 (9) | 5 (4) | 0.076 |
Surgery | 10 (4) | 2 (1) | 0.147 |
Trauma | 6 (3) | 3 (2) | 0.842 |
Duration of pain | |||
<1 year | 13 (6) | 18 (13) | 0.002 |
1-5 years | 90 (38) | 64 (47) | |
>5 years | 132 (56) | 53 (39) | |
Any Opioid useb | 215 (91) | 131 (97) | 0.047 |
Tramadol | 84 (36) | 81 (60) | <0.001 |
Hydrocodone | 68 (29) | 26 (19) | 0.040 |
Codeine | 5 (2) | 6 (4) | 0.219 |
Oxycodone | 84 (36) | 34 (25) | 0.036 |
Other opioidc | 32 (14) | 8 (6) | 0.029 |
Non Opioid Analgesic Use | |||
NSAID | 133 (57) | 91 (67) | 0.041 |
Acetaminophen | 41 (17) | 18 (13) | 0.298 |
SSRI or SNRI | 116 (49) | 54 (40) | 0.082 |
TCA | 17 (7) | 11 (8) | 0.749 |
Gabapentin or pregabalin | 92 (39) | 58 (43) | 0.472 |
Pain Intensity Composite | 6.50 ± 1.71 | 6.59 ± 1.86 | 0.615 |
Comorbidities | |||
Depression | 126 (54) | 60 (44) | 0.089 |
Anxiety | 95 (40) | 38 (28) | 0.018 |
Other psychiatric disorder | 79 (34) | 24 (18) | 0.001 |
Mean ± SD or No. (%)
Patients could have had >1 indication for pain management
Some patients prescribed >1 opioid at baseline
Morphine, fentanyl, hydromorphone, oxymorphone, methadone, buprenorphine/naltrexone