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Table 3 Percentage of adults with ≥1 day of high-dose opioid utilization (≥120MME per day) within one year of hemodialysis initiation, 2007–2014 (N = 327,344)

From: High-dose opioid utilization and mortality among individuals initiating hemodialysis

 

All hemodialysis patients

(N = 327,344)

Hemodialysis patients with ≥ 1 opioid prescriptions

(N = 232,546)

Overall, %

p-value*

Overall, %

p-value*

Prevalence of high-dose utilization

10.2

14.4

Age (years)

 18–35

12.1

< 0.0001

16.0

< 0.0001

 36–50

13.0

 

17.0

 

 51–65

11.5

 

15.8

 

  ≥ 66

8.3

 

12.3

 

Sex

 Female

9.2

< 0.0001

13.6

< 0.0001

 Male

11.4

 

15.2

 

Race

 Black

9.5

< 0.0001

13.0

< 0.0001

 White

11.0

 

15.6

 

 Native American/Asian

4.6

 

7.3

 

 Other/Unknown

9.1

 

14.2

 

Ethnicity

 Non-Hispanic

10.7

< 0.0001

15.1

< 0.0001

 Hispanic

7.4

 

10.5

 

Medicare/Medicaid Eligibility

 Non-Eligible

8.6

< 0.0001

13.0

< 0.0001

 Dual-Eligible

12.0

 

15.7

 

Employment

 Unemployed

10.4

< 0.0001

14.2

< 0.0001

 Full or Part-time

6.1

 

9.8

 

 Retired

8.3

 

12.4

 

 Retired Disabled

14.0

 

18.3

 

 Other

9.3

 

13.2

 

Cause of ESKD

 Diabetes

10.6

< 0.0001

14.5

< 0.0001

 Hypertension

8.6

 

12.4

 

 Other

11.8

 

17.1

 

Body Mass Index (kg/m2)

    

  < 18.5

10.9

< 0.0001

16.2

< 0.0001

 18.5–25.0

9.3

 

13.7

 

 25.0–35.0

9.3

 

13.3

 

  ≥ 30.0

11.5

 

15.4

 

Diabetes

 No

9.4

< 0.0001

13.8

<.0001

 Yes

10.6

 

14.6

 

Cerebrovascular

 No

10.2

0.09

14.3

0.05

 Yes

10.5

 

14.8

 

Peripheral Vascular

 No

9.8

< 0.0001

13.8

< 0.0001

 Yes

12.9

 

17.6

 

Hypertension

 No

10.7

< 0.01

15.7

< 0.0001

 Yes

10.2

 

14.2

 

Chronic Obstructive Pulmonary

 No

9.7

< 0.0001

13.7

< 0.0001

 Yes

13.7

 

18.7

 

Tobacco Use

 No

9.5

< 0.0001

13.5

< 0.0001

 Yes

16.0

 

20.3

 

Cancer

 No

9.9

< 0.0001

14.0

< 0.0001

 Yes

13.0

 

18.5

 

Drug Use

 No

10.0

< 0.0001

14.2

< 0.0001

 Yes

19.2

 

24.5

 

Inability to Ambulate

 No

9.9

< 0.0001

13.9

< 0.0001

 Yes

12.8

 

18.9

 

Institutionalized

 No

9.8

< 0.0001

13.7

< 0.0001

 Yes

12.2

 

18.5

 

U.S. Geographic Region

 New England

10.5

< 0.0001

15.5

< 0.0001

 Mideast

7.9

 

12.8

 

 Great Lakes

11.3

 

15.7

 

 Plains

12.6

 

16.8

 

 Southeast

11.0

 

14.8

 

 Southwest

10.3

 

13.9

 

 Rocky Mountain

13.4

 

18.3

 

 Far West

8.4

 

12.2

 
  1. *chi-squared test of association