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Disparities in Opioid Pain Management for Long Bone Fractures.
A C Benzing1, C Bell2, M Derazin2
1UT Health San Antonio, San Antonio, TX, USA.
Journal of Racial and Ethnic Health Disparities
|May 8, 2020
Summary
Racial disparities in pain management for long bone fractures persist, with white patients more likely to receive opioids than non-white patients. Pain scores did not influence medication type, suggesting potential physician bias.
Area of Science:
- Health Services Research
- Health Disparities
- Pain Management
Background:
- Racial disparities in US healthcare lead to poorer outcomes for non-white populations.
- This study investigates analgesia disparities for long bone fractures in a diverse community hospital.
Purpose of the Study:
- To examine racial and age-based disparities in analgesic type and administration time for long bone fractures.
- To assess the association between pain scores, race, age, and prescribed analgesia.
Main Methods:
- Retrospective review of 115 de-identified patient records from a Level II Trauma Center emergency department.
- Analysis of clinical and demographic variables linked to analgesic choice and medication timing.
Main Results:
- No difference in pain scores between white and non-white patients, but white patients received more opioids (70% vs. 50%).
- Adults and elderly received more opioids, while pediatric patients received more acetaminophen.
- Pain scores were not associated with analgesic class; race and age were significant factors.
Conclusions:
- Physician bias may influence analgesia administration for long bone fractures, independent of reported pain levels.
- The utility of pain scores for acute injuries warrants further investigation.
- Evidence suggests racial and age disparities in pain management for long bone fractures.
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