Table 1:
Baseline Characteristics for Patients Undergoing Hysterectomy by Perioperative Opioid Prescription Fill.
| Characteristic | Perioperative Opioids | No Perioperative Opioids | ASMD* |
|---|---|---|---|
| Total | N=331,322 | N=61,775 | |
| Age (years) at Index Procedure, mean±SD | 46.6±9.2 | 50.0±11.5 | 0.33 |
| Age Category (years) | |||
| 18–25 | 486 (0.1%) | 143 (0.2%) | 0.02 |
| 25–34 | 23,161 (7.0%) | 3,095 (5.0%) | 0.08 |
| 35–44 | 122,886 (37.1%) | 17,729 (28.7%) | 0.18 |
| 45–54 | 129,740 (39.2%) | 23,245 (37.6%) | 0.03 |
| 55–64 | 41,723 (12.6%) | 10,779 (17.4%) | 0.14 |
| 65–74 | 9,721 (2.9%) | 4,138 (6.7%) | 0.18 |
| 75+ | 3,605 (1.1%) | 2,646 (4.3%) | 0.20 |
| Route of Hysterectomy | |||
| Abdominal | 112,408 (33.9%) | 21,103 (34.2%) | 0.01 |
| Laparoscopic | 163,724 (49.4%) | 28,293 (45.8%) | 0.07 |
| Vaginal | 55,190 (16.7%) | 12,379 (20.0%) | 0.09 |
| Diagnoses (30 days prior) | |||
| Benign Neoplasm | 199,666 (60.3%) | 35,180 (56.9%) | 0.07 |
| Inflammatory Pelvic Disease | 99,347 (30.0%) | 17,049 (27.6%) | 0.05 |
| Endometriosis | 104,401 (31.5%) | 17,054 (27.6%) | 0.09 |
| Prolapse | 56,717 (17.1%) | 12,227 (19.8%) | 0.07 |
| Menstrual Disorders | 190,783 (57.6%) | 29,780 (48.2%) | 0.19 |
| Region | |||
| Midwest | 78,287 (23.6%) | 15,861 (25.7%) | 0.05 |
| Northeast | 32,884 (9.9%) | 8,900 (14.4%) | 0.14 |
| South | 164,455 (49.6%) | 27,202 (44.0%) | 0.11 |
| West | 51,902 (15.7%) | 9,128 (14.8%) | 0.03 |
| Unknown | 3,794 (1.1%) | 684 (1.1%) | 0.00 |
| Year | |||
| 2005 | 22,869 (6.9%) | 5,007 (8.1%) | 0.05 |
| 2006 | 21,524 (6.5%) | 4,496 (7.3%) | 0.03 |
| 2007 | 23,082 (7.0%) | 4,414 (7.1%) | 0.01 |
| 2008 | 29,858 (9.0%) | 5,737 (9.3%) | 0.01 |
| 2009 | 34,919 (10.5%) | 6,464 (10.5%) | 0.00 |
| 2010 | 34,163 (10.3%) | 6,203 (10.0%) | 0.01 |
| 2011 | 38,233 (11.5%) | 7,426 (12.0%) | 0.02 |
| 2012 | 39,902 (12.0%) | 7,970 (12.9%) | 0.03 |
| 2013 | 33,750 (10.2%) | 5,729 (9.3%) | 0.03 |
| 2014 | 33,874 (10.2%) | 5,443 (8.8%) | 0.05 |
| 2015 | 19,148 (5.8%) | 2,886 (4.7%) | 0.05 |
| Charlson Comorbidity Index mean±SD | 0.3±0.98 | 0.5±1.29 | 0.15 |
| Surgical Details | |||
| Inpatient | 174,586 (52.7%) | 34,983 (56.6%) | 0.08 |
| LOS, mean±SD | 0.3±1.7 | 0.3±2.0 | 0.02 |
| Surgical complication | 26,946 (8.1%) | 5,704 (9.2%) | 0.04 |
| Baseline Non-Opioid Analgesic | 46,506 (14.0%) | 7,385 (12.0%) | 0.06 |
ASMDs below 0.10 are considered negligible.
ASMD=Absolute standardized mean difference, LOS= length of stay