Health costs of chronic pain in women are higher with opioid treatment
According to a study conducted by Taryn AG Quinlan, MS, Department of Health Systems, Management, and Policy, Colorado School of Public Health University of Colorado Anschutz, complementary integrative health (CIH) therapeutic approaches for chronic pain have the potential to reduce health costs. Medical campus. Long-term use of opioids for pain management in women resulted in significantly higher expenses.
Different pain management methods will have different costs. The study researchers aim to explore this by using a pain treatment modality to estimate the differences in the average annual health expenditure of adult women with overlapping chronic pain conditions (COPC): no long-term use of opioids or complementary and integrative health (CIH); CIH use only; long-term opioid use only; and long-term use of opioids and ICIDH.
Investigators looked at data from the Cross-sectional Medical Expenditure Panel Survey (MEPS) from 2012 to 2016. The average annual expenditure of adult women with chronic overlapping pain differs depending on their long-term opioid use and modalities. of CIH.
The adjusted marginal effects of annual expenditures were estimated by generalized linear regression with a logarithmic link function. This was chosen on the basis of the modified fleet tests.
Researchers monitored pain severity, patient demographics, physical limitations, co-morbidities, mental health, insurance status, physical therapy use, and census region.
A marginal mean weighting based on the propensity score by stratification (MMWS) was used to balance the treatment groups on the observed covariates.
For this study, adult women ranked their long-term use of ICIDH and opioids.
They identified themselves with 1 or more self-reported COPCs using the 3-digit codes from ICD-9/10-CM (n = 9169).
Reduce the cost
Researchers found that compared to women who did not use opioids or long-term ICIDH, use of ICID alone was significantly associated with lower hospital expenses (- $ 947 [-$1,699, – $196]; P P P
Ultimately, long-term opioid use was significantly associated with higher spending (P
CIH has been shown to be the most effective treatment for reducing costs.
“Our results indicate that complementary and integrative health treatment approaches for chronic pain have the potential to be used without increasing overall costs,” the authors wrote. “Future research should further examine the role of CIH modalities in achieving cost-effective pain management that reduces the use of preventable opioids.”
Other ways to cut costs
Previous research conducted in 2017 at the University of Michigan found that people who took opioids before surgery stayed longer in hospital, resulting in higher costs of care.
In the first 90 days after surgery, patients who took opioids before their procedure had medical costs 3 times higher than those who did not.
The difference between the groups narrowed over time, but after 1 year medical costs averaged about $ 12,113 for non-opioid users and more than doubled to $ 25,000 for non-opioid users. opioid users.
The study, “Health Costs of Women with Chronic Overlapping Pain Using Opioid Use and Complementary and Integrative Health Care,” was published in Health services record.