Mp02-17 Predictors of Chronic Opioid Use in Bladder Cancer Patients Undergoing Radical Cystectomy: A Seer-Medicare Analysis

You have accessJournal of UrologyHealth Services Research: Quality Improvement 29% had prior opioid exposure. Compared to opioid-naïve patients, non-opioid naïve patients tended to be younger, belong to minority ethnic groups and live in less educated communities. The percentage of chronic post-operative use was 10% overall and 24% in non-opioid naïve patients. Adjusting for patient factors, opioid naïve individuals were less likely to develop chronic use (OR 0.23) while a 50-unit increase in oral morphine equivalent prescribed following surgery nearly doubled the likelihood of chronic use (OR 1.98). Practice factors such as hospital size, teaching affiliation and hospital ownership failed to predict chronic use. 29% of patients filled an opioid prescription post-operatively. Opioid naïve patients (OR 0.13) and those cared for at government hospitals (OR 0.59) were less likely to fill an opioid script along with those residing in the Northeast. Variability between physicians was seen in prescribing practices and rates of chronic use. CONCLUSIONS: Non-opioid naïve patients have higher rates of post-operative use than opioid-naïve patients. Physician prescribing practices play a role in chronic use, as initial prescription amount predicts chronic use even in non-opioid naïve patients. Significant physician variation in both prescribing practices and rates of chronic use suggest a role for standardizing practices. Download PPT Source of Funding: Dr. Bruce Jacobs is supported in part by the Shadyside Hospital Foundation. Dr. Michelle Yu was supported in part by the Tippins Foundation Scholar Award © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e19 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Christopher J. Staniorski More articles by this author Michelle Yu More articles by this author Danielle Sharbaugh More articles by this author Michael Stencel More articles by this author John M. Myrga More articles by this author Benjamin Davies More articles by this author Jonathan G. Yabes More articles by this author Bruce L. Jacobs More articles by this author Expand All Advertisement PDF downloadLoading ...