{"id":4420,"date":"2015-09-03T00:00:00","date_gmt":"2015-09-03T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/incident-opioid-drug-use-among-older-adults-with-chronic-obstructive-pulmonary-disease-a-population-based-study\/"},"modified":"2023-06-14T20:02:16","modified_gmt":"2023-06-15T00:02:16","slug":"incident-opioid-drug-use-among-older-adults-with-chronic-obstructive-pulmonary-disease-a-population-based-study","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/incident-opioid-drug-use-among-older-adults-with-chronic-obstructive-pulmonary-disease-a-population-based-study\/","title":{"rendered":"Incident opioid drug use among older adults with chronic obstructive pulmonary disease: a population-based study"},"content":{"rendered":"<p><strong>Purpose<\/strong> &#x2014; The purpose of this study was to describe the scope, pattern, and patient characteristics associated with incident opioid use among older adults with COPD.<\/p>\n<p><strong>Methods<\/strong> &#x2014; This was a retrospective population-based cohort study using Ontario, Canada, healthcare administrative data. Study participants were individuals ages 66 years and older with physician-diagnosed COPD, identified using a validated algorithm, who were not receiving palliative care. We examined the incidence of oral opioid receipt between April 1, 2003 and March 31, 2012, as well as several patterns of incident opioid drug use.<\/p>\n<p><strong>Results<\/strong> &#x2014; Among 107,109 community-dwelling and 16,207 long-term care resident older adults with COPD, 72,962 (68.1%) and 8811 (54.4%) received an incident opioid drug during the observation period, respectively. Among long-term care residents, multiple opioid dispensings (8.8%), dispensings for &gt; 30 days duration (up to 19.8%), second dispensings (35%-43%), and early refills (24.2%) were observed. Incident opioid dispensing was also observed to occur during COPD exacerbations (6.9% among all long-term care residents; 18.1% among long-term care residents with frequent exacerbations). These same patterns of incident opioid use occurred among community-dwelling individuals, but with relatively lower frequencies.<\/p>\n<p><strong>Conclusions<\/strong> &#x2014; New opioid use was high among older adults with COPD. Potential safety concerns are raised by the degree and pattern of new opioid use, but further studies are needed to evaluate if adverse events are associated with opioid drug use in this older and respiratory-vulnerable population.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Purpose &#x2014; The purpose of this study was to describe the scope, pattern, and patient characteristics associated with incident opioid use among older adults with COPD. Methods &#x2014; This was a retrospective population-based cohort study using Ontario, Canada, healthcare administrative data. Study participants were individuals ages 66 years and older with physician-diagnosed COPD, identified using [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[52,17,56],"migration-helper-qa-sample-set":[],"class_list":["post-4420","journal_article","type-journal_article","status-publish","hentry","topic-lung-health","topic-older-people","topic-pharmacoepidemiology-and-drug-safety"],"acf":{"citation":"Vozoris NT, Wang X, Fischer HD, Gershon AS, Bell CM, Gill SS, O&apos;Donnell DE, Austin PC, Stephenson AL, Rochon PA. <em>Br J Clin Pharmacol<\/em>. 2016; 81(1):161-70. Epub 2015 Sep 3.","source_url":"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bcp.12762\/epdf","ices_scientist":[1244,1172,1251,1385,1340,1115,17132],"site":[6733,6736,6735],"research_program":[6746,6742],"news_release":[7818],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"49C106BD-D3F8-438D-A933-C8A38EC50802","sitecore_item_name":"Incident-opioid-drug-use-among-older-adults-with-chronic-obstructive-pulmonary-disease","sitecore_field_values":"{\n  \"__Unpublish\": null,\n  \"Title\": \"Incident opioid drug use among older adults with chronic obstructive pulmonary disease: a population-based study\",\n  \"Short title\": \"Incident opioid drug use among older\",\n  \"Summary\": \"The purpose of this study was to describe the scope, pattern, and patient characteristics associated with incident opioid use among older adults with chronic obstructive pulmonary disease.\",\n  \"Citation\": \"<p>Vozoris NT, Wang X, Fischer HD, Gershon AS, Bell CM, Gill SS, O'Donnell DE, Austin PC, Stephenson AL, Rochon PA. <em>Br J Clin Pharmacol<\/em>. 2016; 81(1):161-70. Epub 2015 Sep 3.<\/p>\",\n  \"Abstract\": \"<p><strong>Purpose<\/strong> &mdash; The purpose of this study was to describe the scope, pattern, and patient characteristics associated with incident opioid use among older adults with COPD.<\/p>rn<p><strong>Methods<\/strong> &mdash; This was a retrospective population-based cohort study using Ontario, Canada, healthcare administrative data. Study participants were individuals ages 66 years and older with physician-diagnosed COPD, identified using a validated algorithm, who were not receiving palliative care. We examined the incidence of oral opioid receipt between April 1, 2003 and March 31, 2012, as well as several patterns of incident opioid drug use.<\/p>rn<p><strong>Results<\/strong> &mdash; Among 107,109 community-dwelling and 16,207 long-term care resident older adults with COPD, 72,962 (68.1%) and 8811 (54.4%) received an incident opioid drug during the observation period, respectively. Among long-term care residents, multiple opioid dispensings (8.8%), dispensings for &gt; 30 days duration (up to 19.8%), second dispensings (35%-43%), and early refills (24.2%) were observed. Incident opioid dispensing was also observed to occur during COPD exacerbations (6.9% among all long-term care residents; 18.1% among long-term care residents with frequent exacerbations). These same patterns of incident opioid use occurred among community-dwelling individuals, but with relatively lower frequencies.<\/p>rn<p><strong>Conclusions<\/strong> &mdash; New opioid use was high among older adults with COPD. Potential safety concerns are raised by the degree and pattern of new opioid use, but further studies are needed to evaluate if adverse events are associated with opioid drug use in this older and respiratory-vulnerable population.<\/p>rn<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bcp.12762\/epdf\" title=\"Opens new browser window containing pdf of article\" target=\"_blank\">View full text<\/a> <\/p>\",\n  \"Keywords\": \"{AD1C8354-D3A0-4679-8E69-7A79EFFE3607}|{84FE2CDF-5B86-4CD1-A954-9886D022974F}|{6CF3F7C3-716A-435F-BFC9-A17A5FE763F9}\",\n  \"Related Products\": \"<h2>NEWS RELEASE<\/h2>rn<h3><a href=\"~\/link.aspx?_id=6652DC6DEF2144C6ADF01F2D77994E53&amp;_z=z\">High opioid use in older people living with chronic obstructive pulmonary disease raises safety concerns <\/a><\/h3>rn<h2>ICES in the News<\/h2>rn<h3><a href=\"http:\/\/www.forbes.com\/sites\/cjarlotta\/2015\/10\/13\/high-opioid-use-in-elderly-with-chronic-obstructive-pulmonary-disease-study-finds\/?ss=pharma-healthcare\" title=\"External link to Forbes website opens in new window\" target=\"_blank\">High opioid use in elderly with chronic obstructive pulmonary disease, study finds<\/a><\/h3>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}|{BEC72DE0-BA8C-42B8-ACE5-EE29FFB2CB3B}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}|{5A12C65D-3CDA-413E-BC94-C1D778156CE6}|{FBE2D1B1-C0BA-423F-8D16-39466B6C1424}\",\n  \"ICES Scientists\": \"{BC74234B-58F2-4366-95D9-235FF40A7AE3}|{9F60496B-63FD-4BE5-A7EF-C4969D7AACB3}|{5B2D929C-DA9B-45B8-8DAA-8150B2E76063}|{7D498E8B-5801-4F9E-AC41-11ED50F3C34E}|{14B76C34-3A35-4785-86C4-9B1633E28765}|{4842EDAF-1B6E-4A29-A8E4-3B22A9BABC68}\",\n  \"Posted Date\": \"20150903T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2015\/January\/Incident-opioid-drug-use-among-older-adults-with-chronic-obstructive-pulmonary-disease"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Incident opioid drug use among older adults with chronic obstructive pulmonary disease: a population-based study<\/title>\n<meta name=\"description\" content=\"Purpose &#x2014; 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