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Letter to the Editor| Volume 21, ISSUE 9, P1362-1363, September 2020

Opioid Prescriptions and Health Care Utilization at End of Life in a Program of All-Inclusive Care for the Elderly

      Pain in older adults is associated with increased health care utilization in hospitals, emergency departments (EDs), and outpatient settings.
      • Nahin R.L.
      Estimates of pain prevalence and severity in adults: United States, 2012.
      ,
      • Weiss A.J.
      • Wier L.M.
      • Stocks C.
      • Blanchard J.
      Overview of Emergency Department Visits in the United States, 2011: Statistical Brief #174.
      This is especially true as older adults approach death.
      • Smith A.K.
      • McCarthy E.
      • Weber E.
      • et al.
      Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there.
      ,
      • Riley G.F.
      • Lubitz J.D.
      Long-term trends in Medicare payments in the last year of life.
      Opioid prescriptions are frequently initiated for individuals receiving end-of-life care through hospice
      • Lowey S.E.
      • Smith J.A.
      • Xue Y.
      • Powers B.A.
      Opioid use in the last year of life among medicare beneficiaries with advanced illnesses: A retrospective cohort study.
      ; however, similar trends have not been established in different practice models.
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      References

        • Nahin R.L.
        Estimates of pain prevalence and severity in adults: United States, 2012.
        J Pain. 2015; 16: 769-780
        • Weiss A.J.
        • Wier L.M.
        • Stocks C.
        • Blanchard J.
        Overview of Emergency Department Visits in the United States, 2011: Statistical Brief #174.
        Agency for Healthcare Research and Quality (US), 2006 (Available at:)
        • Smith A.K.
        • McCarthy E.
        • Weber E.
        • et al.
        Half of older Americans seen in emergency department in last month of life; most admitted to hospital, and many die there.
        Health Aff. 2012; 3: 1277-1285
        • Riley G.F.
        • Lubitz J.D.
        Long-term trends in Medicare payments in the last year of life.
        Health Serv Res. 2010; 45: 565-576
        • Lowey S.E.
        • Smith J.A.
        • Xue Y.
        • Powers B.A.
        Opioid use in the last year of life among medicare beneficiaries with advanced illnesses: A retrospective cohort study.
        J Hosp Palliat Nurs. 2015; 17: 242
        • PACE
        Medicare.gov.
        (Available at:)