{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T09:30:05Z","timestamp":1740130205910,"version":"3.37.3"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T00:00:00Z","timestamp":1682726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100000008","name":"Health Canada","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000008","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ministry of Health and Social Services of Quebec"},{"name":"CIUSSS Centre-Sud-de-l\u2019\u00cele-de-Montr\u00e9al"},{"DOI":"10.13039\/501100024491","name":"Institut Universitaire sur les D\u00e9pendances","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100024491","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec - Sant\u00e9","doi-asserted-by":"publisher","award":["#1600","#22201"],"award-info":[{"award-number":["#1600","#22201"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To examine changes in life satisfaction and physical and mental health associated with opioid and potentially inappropriate opioid prescribing (PIOP) among older adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Secondary data analysis from the \u00c9tude sur la Sant\u00e9 des A\u00een\u00e9s (ESA)-Services study. The sample consisted of 945 older adults recruited in primary care with available health survey information linked to administrative medical record data. The exposure of interest was categorized as no prescription, opioid prescription, and PIOP, defined using the Beers criteria. Outcomes were self-rated physical health, mental health, and life satisfaction measured at baseline and at a 3-year follow-up. Generalized estimating equations were used to examine 3-year changes in outcomes as a function of opioid prescribing. Analyses were adjusted for covariates relating to health, psychosocial, and sociodemographic factors as well as duration\/frequency of opioid prescribing. Analyses were conducted in the overall sample and in non-cancer patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The sample had an average age of 73.1 years; the majority was Canadian-born (96.3%) while females made up over half (55.4%) the sample. Compared to not receiving an opioid prescription, PIOP was associated with a deterioration in physical health (ORadjusted = 0.65; 95%CI = 0.49, 0.86), but not mental health and life satisfaction. In non-cancer patients, PIOP was associated with poorer physical health (ORadjusted = 0.59; 95%CI = 0.40, 0.87) and opioid prescribing was marginally associated with improved life satisfaction (ORadjusted = 1.58; 95%CI = 0.96, 2.60).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>PIOP was associated with a deterioration in physical health. Patient-centred chronic pain management and the effect on health and well-being require further study in older adults.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/fampra\/cmad050","type":"journal-article","created":{"date-parts":[[2023,4,29]],"date-time":"2023-04-29T17:11:55Z","timestamp":1682788315000},"page":"442-450","source":"Crossref","is-referenced-by-count":1,"title":["Changes in self-rated physical and mental health and life satisfaction associated with opioid and potentially inappropriate opioid prescribing in primary care older adults"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9896-9677","authenticated-orcid":false,"given":"Isabelle","family":"Pitrou","sequence":"first","affiliation":[{"name":"Department of Community Health Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke , Longueuil , Canada"},{"name":"Charles-Le Moyne Research Center (CRCLM) , Longueuil , 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Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9769-7550","authenticated-orcid":false,"given":"Line","family":"Gu\u00e9nette","sequence":"additional","affiliation":[{"name":"Population Health and Optimal Health Practices Research Unit, CHU de Qu\u00e9bec Research Center , Quebec , Canada"},{"name":"Faculty of Pharmacy, Laval University , Quebec , Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8630-1490","authenticated-orcid":false,"given":"Djamal","family":"Berbiche","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke , Longueuil , Canada"},{"name":"Charles-Le Moyne Research Center (CRCLM) , Longueuil , 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