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Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.

Publication ,  Journal Article
Lisi, AJ; Corcoran, KL; DeRycke, EC; Bastian, LA; Becker, WC; Edmond, SN; Goertz, CM; Goulet, JL; Haskell, SG; Higgins, DM; Kawecki, T ...
Published in: Pain Med
September 1, 2018

OBJECTIVE: To examine patient sociodemographic and clinical characteristics associated with opioid use among Veterans of Operations Enduring Freedom/Iraqi Freedom/New Dawn (OEF/OIF/OND) who receive chiropractic care, and to explore the relationship between timing of a chiropractic visit and receipt of an opioid prescription. METHODS: Cross-sectional analysis of administrative data on OEF/OIF/OND veterans who had at least one visit to a Veterans Affairs (VA) chiropractic clinic between 2004 and 2014. Opioid receipt was defined as at least one prescription within a window of 90 days before to 90 days after the index chiropractic clinic visit. RESULTS: We identified 14,025 OEF/OIF/OND veterans with at least one chiropractic visit, and 4,396 (31.3%) of them also received one or more opioid prescriptions. Moderate/severe pain (odds ratio [OR] = 1.87, 95% confidence interval [CI] = 1.72-2.03), PTSD (OR = 1.55, 95% CI = 1.41-1.69), depression (OR = 1.40, 95% CI = 1.29-1.53), and current smoking (OR = 1.39, 95% CI = 1.26-1.52) were associated with a higher likelihood of receiving an opioid prescription. The percentage of veterans receiving opioid prescriptions was lower in each of the three 30-day time frames assessed after the index chiropractic visit than before. CONCLUSIONS: Nearly one-third of OEF/OIF/OND veterans receiving VA chiropractic services also received an opioid prescription, yet the frequency of opioid prescriptions was lower after the index chiropractic visit than before. Further study is warranted to assess the relationship between opioid use and chiropractic care.

Duke Scholars

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Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

September 1, 2018

Volume

19

Issue

suppl_1

Start / End Page

S54 / S60

Location

England

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Opioid-Related Disorders
  • Middle Aged
  • Manipulation, Chiropractic
  • Male
  • Iraq War, 2003-2011
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Lisi, A. J., Corcoran, K. L., DeRycke, E. C., Bastian, L. A., Becker, W. C., Edmond, S. N., … Brandt, C. A. (2018). Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Med, 19(suppl_1), S54–S60. https://doi.org/10.1093/pm/pny114
Lisi, Anthony J., Kelsey L. Corcoran, Eric C. DeRycke, Lori A. Bastian, William C. Becker, Sara N. Edmond, Christine M. Goertz, et al. “Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.Pain Med 19, no. suppl_1 (September 1, 2018): S54–60. https://doi.org/10.1093/pm/pny114.
Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, et al. Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Med. 2018 Sep 1;19(suppl_1):S54–60.
Lisi, Anthony J., et al. “Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.Pain Med, vol. 19, no. suppl_1, Sept. 2018, pp. S54–60. Pubmed, doi:10.1093/pm/pny114.
Lisi AJ, Corcoran KL, DeRycke EC, Bastian LA, Becker WC, Edmond SN, Goertz CM, Goulet JL, Haskell SG, Higgins DM, Kawecki T, Kerns RD, Mattocks K, Ramsey C, Ruser CB, Brandt CA. Opioid Use Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care. Pain Med. 2018 Sep 1;19(suppl_1):S54–S60.
Journal cover image

Published In

Pain Med

DOI

EISSN

1526-4637

Publication Date

September 1, 2018

Volume

19

Issue

suppl_1

Start / End Page

S54 / S60

Location

England

Related Subject Headings

  • Veterans
  • United States Department of Veterans Affairs
  • United States
  • Opioid-Related Disorders
  • Middle Aged
  • Manipulation, Chiropractic
  • Male
  • Iraq War, 2003-2011
  • Humans
  • Female