{"doi":"10.1093/pm/pnad121","title":"Evaluating chronic pain as a risk factor for COVID-19 complications among New York State Medicaid beneficiaries: a retrospective claims analysis","abstract":"OBJECTIVE: To assess whether chronic pain increases the risk of COVID-19 complications and whether opioid use disorder (OUD) differentiates this risk among New York State Medicaid beneficiaries. DESIGN, SETTING, AND SUBJECTS: This was a retrospective cohort study of New York State Medicaid claims data. We evaluated Medicaid claims from March 2019 through December 2020 to determine whether chronic pain increased the risk of COVID-19 emergency department (ED) visits, hospitalizations, and complications and whether this relationship differed by OUD status. We included beneficiaries 18-64 years of age with 10 months of prior enrollment. Patients with chronic pain were propensity score-matched to those without chronic pain on demographics, utilization, and comorbidities to control for confounders and were stratified by OUD. Complementary log-log regressions estimated hazard ratios (HRs) of COVID-19 ED visits and hospitalizations; logistic regressions estimated odds ratios (ORs) of hospital complications and readmissions within 0-30, 31-60, and 61-90 days. RESULTS: Among 773 880 adults, chronic pain was associated with greater hazards of COVID-related ED visits (HR = 1.22 [95% CI: 1.16-1.29]) and hospitalizations (HR = 1.19 [95% CI: 1.12-1.27]). Patients with chronic pain and OUD had even greater hazards of hospitalization (HR = 1.25 [95% CI: 1.07-1.47]) and increased odds of hepatic- and cardiac-related events (OR = 1.74 [95% CI: 1.10-2.74]). CONCLUSIONS: Chronic pain increased the risk of COVID-19 ED visits and hospitalizations. Presence of OUD further increased the risk of COVID-19 hospitalizations and the odds of hepatic- and cardiac-related events. Results highlight intersecting risks among a vulnerable population and can inform tailored COVID-19 management.","journal":"Pain Medicine","year":2023,"id":377491,"datarank":0.22377161934371062,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.015827465175727,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.015827465175727,"corpus_percentile":37.6421443490369,"corpus_rank":8062,"citation_count":3,"citer_count":1,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.574,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1099474,"name":"Katherine Wheeler-Martin","orcid":"0000-0002-6806-4233","position":1,"is_corresponding":false},{"id":958306,"name":"Kelly Terlizzi","orcid":null,"position":2,"is_corresponding":false},{"id":311861,"name":"Noa Krawczyk","orcid":"0000-0002-7396-3938","position":3,"is_corresponding":false},{"id":840105,"name":"Victoria Jent","orcid":"0000-0002-5695-081X","position":4,"is_corresponding":false},{"id":388686,"name":"Deborah S. Hasin","orcid":"0000-0002-6533-7021","position":5,"is_corresponding":false},{"id":390112,"name":"Charles J. Neighbors","orcid":"0000-0002-9163-8389","position":6,"is_corresponding":false},{"id":380842,"name":"Zachary L. Mannes","orcid":"0000-0002-0357-6051","position":7,"is_corresponding":false},{"id":263754,"name":"Lisa Doan","orcid":"0000-0002-7833-1753","position":8,"is_corresponding":false},{"id":921923,"name":"John R. Pamplin","orcid":"0000-0002-0773-2349","position":9,"is_corresponding":false},{"id":632527,"name":"Tarlise Townsend","orcid":"0000-0001-7459-9798","position":10,"is_corresponding":false},{"id":322704,"name":"Stephen Crystal","orcid":"0000-0003-0366-7583","position":11,"is_corresponding":false},{"id":326116,"name":"Sílvia S. Martins","orcid":"0000-0003-3059-9993","position":12,"is_corresponding":false},{"id":304344,"name":"Magdalena Cerdá","orcid":"0000-0001-8441-7046","position":13,"is_corresponding":false},{"id":884618,"name":"Allison Perry","orcid":"0000-0002-5745-1684","position":0,"is_corresponding":true}],"reference_count":49,"raw_metadata":null,"created_at":"2026-07-19T01:16:40.346877Z","pmid":"37651585","pmcid":"PMC10690846","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}