Table 2
Cohort characteristics, opioid-naïve mothers who underwent surgery in Ontario, Canada, July 2013 to March 2017
| Characteristic | Total/overall (n=170,156) |
Filled postoperative opioid prescription (n=100,521) |
Did not fill postoperative opioid prescription (n=69,635) |
P-valueTable 2 Note ‡ | |||
|---|---|---|---|---|---|---|---|
| mean | standard deviation | mean | standard deviation | mean | standard deviation | p-valueTable 2 Note ‡ | |
| Age, mother | 40.3 | 8.8 | 40.9 | 8.7 | 39.3 | 8.9 | <0.001 |
| number | percent | number | percent | number | percent | p-valueTable 2 Note ‡ | |
| Number of linked children | |||||||
| 1 | 86,269 | 50.7 | 48,143 | 47.9 | 38,126 | 54.8 | <0.001 |
| 2 | 61,378 | 36.1 | 38,276 | 38.1 | 23,102 | 33.2 | N/A |
| 3 or more | 22,509 | 13.2 | 14,102 | 14.0 | 8,407 | 12.1 | N/A |
| Residence | |||||||
| Rural | 22,113 | 13.0 | 12,738 | 12.7 | 9,375 | 13.5 | <0.001 |
| Non-rural | 148,043 | 87.0 | 87,783 | 87.3 | 60,260 | 86.5 | N/A |
| Neighbourhood income quintile | |||||||
| First (lowest) | 29,300 | 17.2 | 16,322 | 16.2 | 12,978 | 18.6 | <0.001 |
| Second | 31,024 | 18.2 | 17,836 | 17.7 | 13,188 | 18.9 | N/A |
| Third | 34,665 | 20.4 | 20,516 | 20.4 | 14,149 | 20.3 | N/A |
| Fourth | 39,289 | 23.1 | 23,742 | 23.6 | 15,547 | 22.3 | N/A |
| Fifth (highest) | 35,063 | 20.6 | 21,719 | 21.6 | 13,344 | 19.2 | N/A |
| Missing | 815 | 0.5 | 386 | 0.4 | 429 | 0.6 | N/A |
| Surgery | |||||||
| Outpatient | 89,409 | 52.5 | 56,601 | 56.3 | 32,808 | 47.1 | <0.001 |
| Inpatient | 80,747 | 47.5 | 43,920 | 43.7 | 36,827 | 52.9 | N/A |
| Charlson comorbidity index | |||||||
| 0 | 157,284 | 92.4 | 91,357 | 90.9 | 65,927 | 94.7 | <0.001 |
| 1 | 4,100 | 2.4 | 2,603 | 2.6 | 1,497 | 2.1 | N/A |
| 2+ | 8,772 | 5.2 | 6,561 | 6.5 | 2,211 | 3.2 | N/A |
| Intervention | |||||||
| Nervous system | 3,367 | 2.0 | 2,474 | 2.5 | 893 | 1.3 | <0.001 |
| Eye and ocular adnexa | 3,832 | 2.3 | 256 | 0.3 | 3,576 | 5.1 | N/A |
| Ear and mastoid (process) | 956 | 0.6 | 732 | 0.7 | 224 | 0.3 | N/A |
| Orocraniofacial region | 9,767 | 5.7 | 7,505 | 7.5 | 2,262 | 3.2 | N/A |
| Respiratory system | 538 | 0.3 | 352 | 0.4 | 186 | 0.3 | N/A |
| Cardiovascular system | 1,565 | 0.9 | 1,205 | 1.2 | 360 | 0.5 | N/A |
| Lymphatic system | 284 | 0.2 | 203 | 0.2 | 81 | 0.1 | N/A |
| Digestive, hepatobiliary and abdominal | 21,746 | 12.8 | 16,534 | 16.4 | 5,212 | 7.5 | N/A |
| Genitourinary system | 47,839 | 28.1 | 24,524 | 24.4 | 23,315 | 33.5 | N/A |
| Musculoskeletal system | 21,724 | 12.8 | 18,237 | 18.1 | 3,487 | 5.0 | N/A |
| Skin, subcutaneous tissue and breast | 14,723 | 8.7 | 11,432 | 11.4 | 3,291 | 4.7 | N/A |
| Caesarean section delivery | 42,241 | 24.8 | 16,445 | 16.4 | 25,796 | 37.0 | N/A |
| Other | 1,574 | 0.9 | 622 | 0.6 | 952 | 1.4 | N/A |
| Year of surgery | |||||||
| 2013 (July to December) | 25,507 | 15.0 | 14,473 | 14.4 | 11,034 | 15.8 | <0.001 |
| 2014 | 50,540 | 29.7 | 29,431 | 29.3 | 21,109 | 30.3 | N/A |
| 2015 | 44,975 | 26.4 | 26,732 | 26.6 | 18,243 | 26.2 | N/A |
| 2016 | 39,792 | 23.4 | 24,238 | 24.1 | 15,554 | 22.3 | N/A |
| 2017 (January to March) | 9,342 | 5.5 | 5,647 | 5.6 | 3,695 | 5.3 | N/A |
| Index opioid | |||||||
| Type | |||||||
| Codeine | Note ...: not applicable | Note ...: not applicable | 34,527 | 34.3 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Hydromorphone | Note ...: not applicable | Note ...: not applicable | 10,759 | 10.7 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Morphine | Note ...: not applicable | Note ...: not applicable | 5,419 | 5.4 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Oxycodone | Note ...: not applicable | Note ...: not applicable | 35,457 | 35.3 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Tramadol | Note ...: not applicable | Note ...: not applicable | 12,379 | 12.3 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Other | Note ...: not applicable | Note ...: not applicable | 218 | 0.2 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Multiple | Note ...: not applicable | Note ...: not applicable | 1,762 | 1.8 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| mean/median | standard deviation/IQR | mean/median | standard deviation/IQR | mean/median | standard deviation/IQR | p-valueTable 2 Note ‡ | |
| Days' supply | |||||||
| Mean (SD) | Note ...: not applicable | Note ...: not applicable | 4.3 | 3.2 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Median (IQR) | Note ...: not applicable | Note ...: not applicable | 3 | 3-5 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Total MME | |||||||
| Mean (SD) | Note ...: not applicable | Note ...: not applicable | 184.2 | 129.1 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
| Median (IQR) | Note ...: not applicable | Note ...: not applicable | 150.0 | 112.5-225.0 | Note ...: not applicable | Note ...: not applicable | Note ...: not applicable |
... not applicable
Sources: 1. Inpatient admissions (Discharge Abstract Database), 2. Same-day surgical procedures (Same Day Surgery Database), 3. Opioid prescriptions (Narcotics Monitoring System), 4. Emergency department presentations (National Ambulatory Care Reporting System), 5. Deaths (Office of the Registrar General – Deaths) and individual-level demographic information (Registered Persons Database), 6. Mother–baby linked database (ICES-derived MOMBABY database). |
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