MP33-05 A 10 YEAR ANALYSIS OF CHRONIC PELVIC PAIN AND CHRONIC NARCOTIC USE IN THE MALE VETERAN POPULATION

Abstract

INTRODUCTION AND OBJECTIVES:To compare chronic narcotic use (CNU) and average narcotic doses prescribed five years prior to and five years following the diagnosis of chronic pelvic pain (CPP). To evaluate patient characteristics associated with CNU and CPP.METHODS:We used the validated Veteran’s Health Administration corporate database warehouse. Time 0 was the first CPP diagnosis date by ICD-9 codes. Outpatient narcotic prescriptions were summed for the 5 years preceding and following CPP diagnosis; oral narcotics were converted to morphine equivalents (ME). CNU was defined as greater than 90 narcotic use days per year; drug abuse/overdose rates were defined by ICD-9 codes. An interrupted time series analysis was performed to model the impact of CPP on CNU.RESULTS:168,318 male Veterans met inclusion criteria of non-cancer CPP diagnosed between 2002-2012 with average age of 59.9 ± 14.1years; 17.9% of minority race, with an average BMI of 29.2± 5.4kg/m2 and 2.3% had a history of military sexual trauma. Oth...