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Use of gabapentinoid medications among US adults with cancer, 2005-2015.


ABSTRACT:

Background

Gabapentinoid use for long-term cancer pain control may be problematic, given unclear mechanisms of action and increased concerns for physical dependence. The purpose of this report is to examine trends of gabapentinoid use among US adults with cancer from 2005 to 2015.

Methods

We conducted a serial, cross-sectional study using data from the Medical Expenditure Panel Survey (MEPS). We performed multiple logistic regression to examine the annual percentages of gabapentinoid users, which were adjusted for age, sex, and US region of residence. The amount of gabapentinoid prescriptions filled in 2015 was also estimated.

Results

The adjusted percentage of gabapentinoid users in 2015 was 5.60% (3.79%, 7.41%), 2.39 times greater than the percentage in 2005 (p < .001). By 2015, the number of gabapentinoid prescriptions had grown to approximately 3.52 million (2.40 million, 4.65 million).

Conclusion

We observed greater than a twofold increase in the trend of gabapentinoid medication use among US adults with cancer. Investigations on the long-term efficacy of gabapentinoids for complex pain syndromes, and mitigation of risks, is essential to guide informed clinical management and keep patients safe.

SUBMITTER: Fauer AJ 

PROVIDER: S-EPMC6884691 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Publications

Use of gabapentinoid medications among US adults with cancer, 2005-2015.

Fauer Alex J AJ   Davis Matthew A MA   Choi Sung Won SW   Wallner Lauren P LP   Friese Christopher R CR  

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer 20191025 1


<h4>Background</h4>Gabapentinoid use for long-term cancer pain control may be problematic, given unclear mechanisms of action and increased concerns for physical dependence. The purpose of this report is to examine trends of gabapentinoid use among US adults with cancer from 2005 to 2015.<h4>Methods</h4>We conducted a serial, cross-sectional study using data from the Medical Expenditure Panel Survey (MEPS). We performed multiple logistic regression to examine the annual percentages of gabapentin  ...[more]

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