Feature

Elderly Americans carry heavier opioid burden


 

Annual opioid prescriptions for American aged 65 years and older are more than double the amount received by adults under age 65, according to the Agency for Healthcare Quality and Research.

Annual prescription opioid use per capita by age, 2015-2016

Elderly adults with chronic and acute pain obtained an average of 774 morphine milligram equivalents (MMEs) of prescription opioids annually during 2015-2016 from outpatient clinicians, compared with 376 MMEs a year for nonelderly adults, said Asako S. Moriya, PhD, and G. Edward Miller, PhD, of the AHRQ.

Narrowing the age groups shows that opioid MMEs increased with age, starting at 49 MMEs for 18- to 26-year-olds and rising to a high of 856 MMEs in the 65- to 74-year-old group, before dropping off in the oldest adults, the investigators said in a Medical Expenditure Panel Survey (MEPS) research findings report.

The analysis included “all opioid medications that are commonly used to treat pain” and excluded respiratory agents, antitussives, and drugs used for medication-assisted treatment, they noted. The MEPS data cover prescriptions purchased or obtained in outpatient settings but not those administered in inpatient settings or in clinics or physician offices.

Recommended Reading

Cancer pain management inadequate in opioid-saturated areas
Federal Practitioner
Support for medical marijuana transcends political affiliation
Federal Practitioner
Depression linked to persistent opioid use after hysterectomy
Federal Practitioner
Survey: Cancer-related pain, opioid use up since 2018
Federal Practitioner
In addiction, abusive partners can wreak havoc
Federal Practitioner
Incidentally Discovered Ochronosis Explaining Decades of Chronic Pain
Federal Practitioner
SimLEARN Musculoskeletal Training for VHA Primary Care Providers and Health Professions Educators
Federal Practitioner
CDC: Opioid prescribing and use rates down since 2010
Federal Practitioner
Tramadol use for noncancer pain linked with increased hip fracture risk
Federal Practitioner
Prescription osteoarthritis relief gets OTC approval
Federal Practitioner