Opioid use declined by 15% annually from 2014-2021, following similar trends in the general population.
Since 2014, opioid use for autoimmune rheumatic decreased by 15% annually while other management modalities increased or stabilized.Researchers analyzed de-identified US claims data from the MarketScan Database from 2007-2021.
The study included nearly 142,000 patients with autoimmune rheumatic diseases: 10,927 with ankylosing spondylitis ; 21,438 with psoriatic arthritis ; 71,393 with rheumatoid arthritis ; 16,718 with Sjögren disease; 18,018 with systemic lupus erythematosus; and 3468 with systemic sclerosis. Primary outcome was opioid use annual trends, with secondary outcomes including trends in the use of anticonvulsants, antidepressants, skeletal muscle relaxants, nonsteroidal anti-inflammatory drugs , topical pain medications, and physical or occupational therapy.The incidence of opioid use increased annually by 4% until 2014 and decreased annually by 15% after 2014.The proportion of patients utilizing physical therapy or anticonvulsants doubled from 2008 to 2020.
NSAID prescriptions were highest in AS, PsA, and RA, while they were lowest in Sjögren disease and systemic sclerosis."Our work, along with the published literature, highlights the need for future studies to evaluate the effectiveness of pain management modality changes over time and to understand the possible effects that changes have had on outcomes such as quality of life, disability, health status, and function," wrote the authors of the study.
This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.
Opioids Sjogren's Syndrome Sjogren Syndrome Pain Rheumatic Disease Nonsteroidal Anti-Inflammatory Drugs Nsaids NSAID Nonsteroidal Anti-Inflammatory Drugs Nonsteroidal Anti-Inflammatory Agents Psoriatic Arthritis Arthropathic Psoriasis Psoriatic Arthropathy Psa Arthritis Joint Inflammation Rheumatoid Arthritis RA - Rheumatoid Arthritis Rheumatoid Arthritis (RA)
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