{"id":1784,"date":"2022-11-01T00:00:00","date_gmt":"2022-11-01T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study\/"},"modified":"2023-11-30T13:53:09","modified_gmt":"2023-11-30T18:53:09","slug":"non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study\/","title":{"rendered":"Non-opioid analgesic prescriptions filled after surgery among older adults in Ontario, Canada: a population-based cohort study"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in the immediate post-discharge period. We hypothesized that the number of patients who filled a non-opioid analgesic prescription increased over the study period.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We performed a population-based cohort study, using linked health administrative data, of 278,366 admissions &#x2265;66 years undergoing surgery between fiscal year 2013 and 2019 in Ontario, Canada. The primary outcome was the percentage of patients with new filled prescriptions for non-opioid analgesics within 7 days of discharge, and a secondary outcome was the analgesic class. We assessed whether patients filled prescriptions for a non-opioid only, an opioid only, both opioid and non-opioid prescriptions, or a combination opioid\/non-opioid.<\/p>\n<p><strong>Results<\/strong> &#x2014; Overall, 22% (n=60,181) of patients filled no opioid prescription, 2% (n=5,534) filled a non-opioid only, 21% (n=59,608) filled an opioid only, and 55% (n=153,043) filled some combination of opioid and non-opioid. The percentage of patients who filled a non-opioid prescription within 7 days post-operatively increased from 9% (n=2,119) in 2013 to 28% (n=13,090) in 2019, with the greatest increase for acetaminophen: 3% (n=701) to 20% (n=9,559). The percentage of patients who filled a combination analgesic prescription decreased from 53% (n=12,939) in 2013 to 28% (n=13,453) in 2019. However, the percentage who filled both an opioid and nonopioid prescription increased: 4% (n=938) to 21% (n=9,880) so that the overall percentage of patients who received both an opioid and a non-opioid remained constant over time 76% (n= 18,642) in 2013 to 75% (n=35,391) in 2019.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; The proportion of post-operative patients who fill prescriptions for non-opioid analgesics has increased. However, rather than a move to use of non-opioids alone for analgesia, this represents a shift away from combination medications towards separate prescriptions for opioids and non-opioids.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in the immediate post-discharge period. We hypothesized that the number of patients who filled a non-opioid analgesic prescription increased over the study period. Methods &#x2014; We performed a population-based cohort study, using linked health administrative [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-1784","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Jivraj NK, Ladha K, Goel A, Hill A, Wijeysundera DN, Bateman BT, Neuman M, Wunsch H. <em>Anesthesiology<\/em>. 2023; 138(2):195\u2013207. Epub 2022 Nov 1.","source_url":"https:\/\/doi.org\/10.1097\/ALN.0000000000004443","ices_scientist":[1128,1132],"site":[6733],"research_program":[6740],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"F33C97A9-37C0-4CD5-B759-721F495C90DD","sitecore_item_name":"Non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-Ontario-Canada","sitecore_field_values":"{\n  \"Title\": \"Non-opioid analgesic prescriptions filled after surgery among older adults in Ontario, Canada: a population-based cohort study\",\n  \"Short title\": \"Non-opioid analgesic prescriptions\",\n  \"Summary\": \"The study objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in the immediate post-discharge period.\",\n  \"Citation\": \"<p>Jivraj NK, Ladha K, Goel A, Hill A, Wijeysundera DN, Bateman BT, Neuman M, Wunsch H. <em>Anesthesiology<\/em>. 2022; Nov 1 [Epub ahead of print]. DOI: <a href=\"https:\/\/doi.org\/10.1097\/ALN.0000000000004443\" title=\"opens external link\">https:\/\/doi.org\/10.1097\/ALN.0000000000004443<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in the immediate post-discharge period. We hypothesized that the number of patients who filled a non-opioid analgesic prescription increased over the study period.<\/p>n<p><strong>Methods<\/strong> &mdash; We performed a population-based cohort study, using linked health administrative data, of 278,366 admissions &ge;66 years undergoing surgery between fiscal year 2013 and 2019 in Ontario, Canada. The primary outcome was the percentage of patients with new filled prescriptions for non-opioid analgesics within 7 days of discharge, and a secondary outcome was the analgesic class. We assessed whether patients filled prescriptions for a non-opioid only, an opioid only, both opioid and non-opioid prescriptions, or a combination opioid\/non-opioid.<\/p>n<p><strong>Results<\/strong> &mdash; Overall, 22% (n=60,181) of patients filled no opioid prescription, 2% (n=5,534) filled a non-opioid only, 21% (n=59,608) filled an opioid only, and 55% (n=153,043) filled some combination of opioid and non-opioid. The percentage of patients who filled a non-opioid prescription within 7 days post-operatively increased from 9% (n=2,119) in 2013 to 28% (n=13,090) in 2019, with the greatest increase for acetaminophen: 3% (n=701) to 20% (n=9,559). The percentage of patients who filled a combination analgesic prescription decreased from 53% (n=12,939) in 2013 to 28% (n=13,453) in 2019. However, the percentage who filled both an opioid and nonopioid prescription increased: 4% (n=938) to 21% (n=9,880) so that the overall percentage of patients who received both an opioid and a non-opioid remained constant over time 76% (n= 18,642) in 2013 to 75% (n=35,391) in 2019.<\/p>n<p><strong>Conclusions<\/strong> &mdash; The proportion of post-operative patients who fill prescriptions for non-opioid analgesics has increased. However, rather than a move to use of non-opioids alone for analgesia, this represents a shift away from combination medications towards separate prescriptions for opioids and non-opioids.<\/p>n<p><a href=\"https:\/\/pubs.asahq.org\/anesthesiology\/article\/doi\/10.1097\/ALN.0000000000004443\/137335\/Non-opioid-analgesic-prescriptions-filled-after\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{46DF28D2-EDE8-4DF2-8CC0-87CEF464E435}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{C896C802-59A9-4EBD-9C51-CC7C3D35313F}|{22E01D03-965E-4F09-9CC2-6BC40EC9403D}\",\n  \"Posted Date\": \"20221101T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/November\/Non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-Ontario-Canada"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Non-opioid analgesic prescriptions filled after surgery among older adults in Ontario, Canada: a population-based cohort study<\/title>\n<meta name=\"description\" content=\"Background &#x2014; The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Non-opioid analgesic prescriptions filled after surgery among older adults in Ontario, Canada: a population-based cohort study\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; The objective was to assess changes over time in prescriptions filled for non-opioid analgesics for older post-operative patients in\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-30T18:53:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/non-opioid-analgesic-prescriptions-filled-after-surgery-among-older-adults-in-ontario-canada-a-population-based-cohort-study\\\/\",\"name\":\"ICES | Non-opioid analgesic prescriptions filled after surgery among older adults in Ontario, Canada: a population-based cohort study\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2022-11-01T04:00:00+00:00\",\"dateModified\":\"2023-11-30T18:53:09+00:00\",\"description\":\"Background &#x2014; 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