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Research ArticleResearch Brief

Update to Gabapentinoid Use in the United States, 2002-2021

Michael E. Johansen and Donovan T. Maust
The Annals of Family Medicine January 2024, 22 (1) 45-49; DOI: https://doi.org/10.1370/afm.3052
Michael E. Johansen
1Grant Family Medicine, OhioHealth, Columbus, Ohio
MD, MS
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  • For correspondence: michael.johansen@ohiohealth.com
Donovan T. Maust
2Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan
3Department of Psychiatry, University of Michigan, Ann Arbor, Michigan
MD, MS
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Article Figures & Data

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  • Figure 1A.
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    Figure 1A.

    Proportion of adult population reporting gabapentinoid, gabapentin, and pregabalin use.

    Note: Figure reports the proportion of the adult population who reported any applicable medication during the year, 2002-2021.

  • Figure 1B.
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    Figure 1B.

    Probability of gabapentinoid medication user by age.

    Note: Three separate multivariable logistic regressions were used with age modeled as a restricted cubic spline with 4 knots between 3 different time periods.

  • Figure 1C.
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    Figure 1C.

    Proportion of gabapentinoid medication user by number of included medication classes.

    Note: Included medication classes include opioids, muscle relaxants, benzodiazepines, serotonin and norephinephrine re-uptake inhibitors (SNRIs), and tricyclic antidepressants (TCAs).

  • Figure 1D.
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    Figure 1D.

    Proportion of adult population using gabapentinoid during first, second, or both years.

    Note: Analysis of the longitudinal MEPS files analyzing the proportion of the adult population who reported a gabapentinoid during first, second, or both survey years. Panels 7-24 (2002-2020) were included in the analysis.

    Data from the 2002-2021 Medical Expenditure Panel Survey.

Tables

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    Table 1.

    Gabapentinoid Users by Medical Condition, 2017-2021

    CCSR and (ICD-10-CM) CodesAdult Population With the Medical Condition Reported, %Adult Population With Condition and Gabapentinoid, %Individuals With Condition That Reported Gabapentinoid, %Odds Ratio of Gabapentinoid With Conditiona
    PolyneuropathiesNVS015 (ICD10: G62)1.2 (1.1-1.3)0.8 (0.7-0.9)69.5 (66.1-72.8)59.2 (50.4-69.6)
    Low back pain or spondylopathies/spondyloarthropathy (including infective)MUS011 or MUS038 (ICD10: M43, M47, M48, M50, M511, M53, M54, M62)6.0 (5.8-6.3)1.1 (1.0-1.2)21.0 (19.6-22.6)6.9 (6.3-7.6)
    Nervous system pain and pain syndromesNVS019 (ICD10: G89)1.5 (1.4-1.7)0.4 (0.3-0.5)25.9 (22.9-29.1)8.0 (6.8-9.4)
    Musculoskeletal pain, not low back painMUS010 (ICD10: M25, M54, M79)12.4 (12.0-12.7)1.5 (1.4-1.7)12.4 (11.5-13.3)4.0 (3.7-4.4)
    FibromyalgiaICD10 M79 and MUS025 (ICD10: M71, M72, M75, M79)2.4 (2.2-2.5)0.9 (0.8-1.0)36.9 (34.1-40.0)15.2 (13.4-17.2)
    Mononeuropathy (nerve and nerve root disorders)NVS017 (ICD10: G56, G57, G58)1.5 (1.4-1.6)0.4 (0.4-0.5)29.0 (25.9-32.4)9.5 (8.0-11.2)
    ZosterICD10: B020.5 (0.5-0.6)0.1 (0.1-0.1)15.8 (12.2-20.1)4.0 (3.0-5.4)
    Seizure disorderNVS009 (ICD10: G40, R56)1.0 (0.9-1.0)0.2 (0.1-0.2)19.4 (15.9-23.4)5.3 (4.1-6.8)
    Anxiety disorderMBD005 (ICD10: F41)9.7 (9.3-10.0)1.1 (1.0-1.2)11.4 (10.5-12.2)3.3 (3.0-3.6)
    Headache, including migraineNVS010 (ICD10: G43, G44, R51)3.4 (3.2-3.6)0.5 (0.4-0.5)13.1 (11.7-14.8)3.5 (3.0-4.0)
    InsomniaNVS016 (ICD10: F51, G47)5.7 (5.4-6.0)1.0 (0.9-1.1)17.5 (16.2-18.8)5.5 (4.9-6.0)
    DiabetesSelf-report of diabetes11.1 (10.7-11.5)1.6 (1.4-1.7)14.0 (13.1-15.0)4.7 (4.3-5.2)
    • CCSR = Clinical Classifications Software Refined; ICD-10-CM = International Classification of Diseases, Tenth Revision, Clinical Modification.

    • Note: Medical conditions were identified from the 2017-2021 Medical Expenditure Panel Survey (MEPS). Percentage of the population is the percent of the adult population reporting a medical condition associated with a medical event, the percentage of the population with the condition and any gabapentinoid, and percentage of individuals reporting a gabapentinoid among individuals with the condition. The unadjusted odds ratio represents the odds ratio of an individual uses a gabapentinoid if they reported the medical condition compared with individuals who did not report the condition.

    • ↵a Odds ratios have a P <0.001.

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The Annals of Family Medicine: 22 (1)
The Annals of Family Medicine: 22 (1)
Vol. 22, Issue 1
January/February 2024
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Update to Gabapentinoid Use in the United States, 2002-2021
Michael E. Johansen, Donovan T. Maust
The Annals of Family Medicine Jan 2024, 22 (1) 45-49; DOI: 10.1370/afm.3052

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Update to Gabapentinoid Use in the United States, 2002-2021
Michael E. Johansen, Donovan T. Maust
The Annals of Family Medicine Jan 2024, 22 (1) 45-49; DOI: 10.1370/afm.3052
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