Leda Cosmides, John Tooby, Robert Kurzban
Perceptions of race
Trends in cognitive sciences
people opioid use disorder oud risk premature death benefit palliative care sought compare palliative care provision decedents without oud conducted cohort study using health administrative databases ontario canada identify people died july 1 2015 dec 31 2021 exposure oud defined emergency department visits hospital admissions pharmacologic treatments suggestive oud within 3 years death primary outcome receipt 1 palliative care services last 90 days death secondary outcomes included setting initiation intensity palliative care conducted secondary analysis excluding sudden deaths eg opioid toxicity injury 679 840 decedents 11 200 16 oud compared people without oud oud died younger age likely live neighbourhoods high marginalization indices found people oud less likely receive palliative care end lives adjusted relative risk rr 084 95 confidence interval ci 082086 difference exist excluding people died suddenly adjusted rr 099 95 ci 096101 people oud less likely receive palliative care clinics homes regardless cause death opioid use disorder chronic lifelimiting illness people oud less likely receive palliative care communities 90 days death health care providers receive training palliative care addiction medicine support people oud