Table 3.
Percent distribution on opioid days-supply and average opioid dose per surgical encounter with opioida, October 2008-September 2017
| Non-extract encounters | Encounters with extractions | All surgical encounters | |||||
|---|---|---|---|---|---|---|---|
| 26 & older | Under 26 | All | 26 & older | Under 26 | All | All ages | |
| Sample n | 81,224 | 25,737 | 106,961 | 80,099 | 85,658 | 165,757 | 272,718 |
| Total days-supply | Percent distribution | ||||||
| 1 day | 5.6 | 7.2 | 6.0 | 3.8 | 3.2 | 3.7 | 4.7 |
| 2 | 26.5 | 28.2 | 26.9 | 22.6 | 21.7 | 22.1 | 24.0 |
| 3 | 29.3 | 26.3 | 28.6 | 32.1 | 30.5 | 31.3 | 30.2 |
| 4 | 11.1 | 10.4 | 10.7 | 11.9 | 13.5 | 12.7 | 12.0 |
| 5 | 10.0 | 8.6 | 9.9 | 11.6 | 11.5 | 11.6 | 10.7 |
| 6–10 days | 5.1 | 4.8 | 5.0 | 5.0 | 5.0 | 4.5 | 4.9 |
| 11–20 | 3.2 | 3.0 | 3.1 | 2.7 | 2.6 | 2.6 | 2.8 |
| 21 or more | 8.3 | 9.6 | 8.6 | 7.5 | 8.2 | 7.9 | 8.2 |
| Total MME | Average morphine milligram equivalents | ||||||
| Mean (SD)b | 109 (76) | 104 (74) | 108 (76) | 126 (69) | 134 (59) | 131 (64) | 121 (70) |
| Median | 90 | 90 | 90 | 113 | 150 | 120 | 105 |
| IQR (low, high) | 75, 150 | 60, 120 | 67, 150 | 80, 150 | 90, 150 | 90 150 | 75, 150 |
| Total MME > 100, % yes | 40.5 | 36.0 | 36.2 | 54.6 | 61.2 | 58.0 | 50.7 |
Analysis based on opioid prescriptions that were written on date of surgical encounter or either pre-surgery (within 30 days prior), or post-surgery (within 30 days after surgery). If multiple prescriptions were on the same date or within this 60 day window, days-supply and total MME were summed for all prescriptions.
T-test of difference in means 26 and older relative to under age 26 for non-extraction procedures, unequal variances = 9.3 p < 0.0001; T-test for extraction procedures, unequal variances = −26.3, p<0.001
IQR = interquartile range; the values reported are for the 25th percentile and 75th percentile
MME = morphine milligram equivalents