Table 2:
Adjusted study outcomes
Outcome | Adjusted change, after vs. before hydrocodone rescheduling | Difference-in-differences estimate (95% CI)* | |
---|---|---|---|
Exposed patients (95% CI)* | Unexposed patients (95% CI)* | ||
Oral Morphine Equivalents | |||
Oral morphine equivalents dispensed in initial postoperative prescription, up to day 7 | 26.9 mg (20.8 mg, 33.0 mg) | −18.5 mg (−27.9 mg, −9.1 mg) | 45.4 mg (34.2 mg, 56.7 mg) |
Oral morphine equivalents dispensed within first 30 days after surgery | 10.3 mg (2.8 mg, 17.9 mg) | −27.4 mg (−42.7 mg, −12.0 mg) | 37.7 mg (20.6 mg, 54.8 mg) |
Percentage points | |||
Percent with any opioid refill within first 30 days after surgery | −5.6% (−6.5%, −4.8%) | −1.6% (−2.7%, −0.4%) | −4.1% (−5.5%, −2.7%) |
Percent with any opioid prescription between 90 and 180 days after surgery | −1.6% (−2.4%, −0.9%) | −0.5% (−1.5%, 0.5%) | −1.1% (−2.3%, 0.1%) |
Results obtained from linear models that included an interaction term between patient exposure status (exposed vs unexposed) and period (pre- vs post-implementation), and were adjusted for sex; individual provider vs group practice; age; length of stay; surgery type; peripheral vascular disorders, hypertension (uncomplicated); hypertension (complicated); neurological disorders; chronic pulmonary disease; diabetes (uncomplicated); diabetes (complicated); hypothyroidism; renal failure; liver disease; solid tumor without metastasis; rheumatoid arthritis; coagulopathy; obesity; fluid and electrolyte disorders; iron deficiency anemia; depression; antidepressant receipt in last 90 days; congestive heart failure; cardiac arrhythmia; and cardiac valve disease.