<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Peters, Jillian L.</style></author><author><style face="normal" font="default" size="100%">Durand, Wesley M.</style></author><author><style face="normal" font="default" size="100%">Monteiro, Kristina A.</style></author><author><style face="normal" font="default" size="100%">Dumenco, Luba</style></author><author><style face="normal" font="default" size="100%">George, Paul</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Opioid Overdose Hospitalizations among Medicare-Disability Beneficiaries</style></title><secondary-title><style face="normal" font="default" size="100%">The Journal of the American Board of Family
                Medicine</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2018-11-01 00:00:00</style></date></pub-dates></dates><pages><style  face="normal" font="default" size="100%">881-896</style></pages><doi><style  face="normal" font="default" size="100%">10.3122/jabfm.2018.06.180152</style></doi><volume><style face="normal" font="default" size="100%">31</style></volume><issue><style face="normal" font="default" size="100%">6</style></issue><abstract><style  face="normal" font="default" size="100%">Introduction: As the opioid epidemic progresses, a better understanding of those at elevated risk of opioid overdose is needed, particularly for populations whose growing risk may be overlooked. Medicare recipients under age 65 (Medicare-disability beneficiaries [MDBs]) are one such population. We sought to analyze characteristics of opioid-overdose hospitalizations among MDBs and quantify the contribution of this population to opioid-overdose hospitalizations overall.Methods: This retrospective cohort study included patients hospitalized for opioid overdose in the National/Nationwide Inpatient Sample from 1998 to 2013. The primary outcome measurements were number and characteristics of discharges, including patient sex, age, race, prescription opioid versus heroin overdose, and comorbidities.Results: MDBs constituted 11.7% of US opioid overdose hospitalizations among those under 65 years of age in 1998; this proportion grew to 24.5% by 2013 (P &lt; .0001). The proportion of female patients grew markedly among this cohort (P &lt; .0001) and were disproportionately represented among MDBs (P &lt; .0001). Prescription opioid overdose accounted for a larger proportion of opioid overdose hospitalizations among MDBs than among non-Medicare-insured patients under 65 years old (P &lt; .0001). MDBs generally exhibited greater comorbidity burden versus non-Medicare-insured patients under age 65; however, chronic drug and alcohol abuse were less commonly documented among the Medicare cohort (P &lt; .0001).Conclusions: MDBs constitute a substantial and growing proportion of opioid overdose hospitalizations in the United. To prevent opioid overdoses among MDBs, care must be taken to address the unique needs of this population.</style></abstract></record></records></xml>