Persistent Opioid Use Among Patients with Urolithiasis: A Population based Study

2020 ◽  
Vol 6 (4) ◽  
pp. 745-751 ◽  
Author(s):  
Gregory W. Hosier ◽  
Thomas McGregor ◽  
Darren Beiko ◽  
Melanie Jaeger ◽  
Christopher Booth ◽  
...  

2021 ◽  
Vol 221 ◽  
pp. 108601
Author(s):  
Nicholas Papadomanolakis-Pakis ◽  
Kieran M. Moore ◽  
Yingwei Peng ◽  
Tara Gomes


Pain ◽  
2013 ◽  
Vol 154 (12) ◽  
pp. 2677-2683 ◽  
Author(s):  
Jette Hjsted ◽  
Ola Ekholm ◽  
Geana Paula Kurita ◽  
Knud Juel ◽  
Per Sjgren


2019 ◽  
Vol 201 (Supplement 4) ◽  
Author(s):  
Walter Cazzaniga* ◽  
Stacy Loeb ◽  
Hans Garmo ◽  
David Robinson ◽  
Pär Stattin


2014 ◽  
Vol 58 (4) ◽  
pp. 437-445 ◽  
Author(s):  
KRISTIAN SVENDSEN ◽  
OLAV M. FREDHEIM ◽  
PÅL ROMUNDSTAD ◽  
PETTER C. BORCHGREVINK ◽  
SVETLANA SKURTVEIT


2021 ◽  
pp. emermed-2020-210215
Author(s):  
Torey Lau ◽  
Jake Hayward ◽  
Shabnam Vatanpour ◽  
Grant Innes

BackgroundSex differences in pain experience and expression may influence ED pain management. Our objective was to evaluate the effect of sex on ED opioid administration.MethodsWe conducted a multicentre population-based observational cohort study using administrative data from Calgary’s four EDs between 2017 and 2018. Eligible patients had a presenting complaint belonging to one of nine pain categories or an arrival pain score >3. We performed multivariable analyses to identify predictors of opioid administration and stratified analyses by age, pain severity and pain category.ResultsWe studied 119 510 patients (mean age 47.4 years; 55.4% female). Opioid administration rates were similar for men and women. After adjusting for age, hospital site, pain category, ED length of stay and pain severity, male sex was not a predictor of opioid treatment (adjusted OR (aOR)=0.93; 95% CI 0.85 to 1.02). However, men were more likely to receive opioids in the categories of trauma (aOR=1.58, 95% CI 1.40 to 1.78), flank pain (aOR=1.24, 95% CI 1.11 to 1.38), headache (aOR=1.18, 95% CI 1.03 to 1.34) and abdominal pain (aOR=1.11, 95% CI 1.08 to 1.18). Pain category appears to be a strong determinant of opioid administration, especially back pain (aOR=6.56, 95% CI 5.99 to 7.19) and flank pain (aOR=6.04, 95% CI 5.48 to 6.65). There was significant variability in opioid provision by ED site (aOR 0.76 to 1.24).ConclusionsThis population-based study demonstrated high variability in opioid use across different settings. Overall, men and women had similar likelihood of receiving opioids; however men with trauma, flank pain, headache and abdominal pain were much more likely to receive opioids. ED physicians should self-examine their analgesic practices with respect to possible sex biases, and departments should introduce evidence-based, indication-specific analgesic protocols to reduce practice variability and optimise opioid analgesia.



2020 ◽  
Vol 203 (1) ◽  
pp. 145-150
Author(s):  
Stacy Loeb ◽  
Walter Cazzaniga ◽  
David Robinson ◽  
Hans Garmo ◽  
Pär Stattin




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