Factors associated with early opioid prescription among workers with low back injuries

Details

• Personal Author:
  Egan K ; Franklin G ; Fulton-Kehoe D ; Gluck JV ; Kaufman J ; Sheppard L ; Stover BD ; Turner JA ; Wickizer TM
• Description:
  Prescription of opioids for nonmalignant musculoskeletal pain has increased substantially in recent years, but there is little information on the incidence of, or factors associated with, such prescription for work-related back pain. In a prospective cohort study (N = 1,067), we examined associations between worker sociodemographic and other characteristics and opioid prescription within six weeks of the first medical visit for workers' compensation claims for work loss due to back injury. We examined administrative, pharmacy, and worker-reported data. In bivariate logistic regression models, Hispanics were less likely than non-Hispanic whites to receive opioid prescriptions, and very high body mass index, daily tobacco use, greater pain and physical disability, pain radiating below the knee, injury severity categorizations (from medical records) of major sprain and radiculopathy, and worse mental health were associated with opioid prescription. Adjusting for demographics, pain intensity, and physical disability, opiate prescription was significantly associated with daily tobacco use, pain radiating below the knee, and injury severity categories (major sprain and radiculopathy). Knowledge of worker characteristics associated with early opioid prescription may be useful in future studies of the role of early pain treatment in influencing subsequent course of pain and disability among workers with back injuries. [Description provided by NIOSH]
• Subjects:
  Aging Demography Epidemiology Men Mental Health Musculoskeletal Diseases Musculoskeletal System Nervous System Occupational Health Race Factors Safety Tobacco Products Women Workplace

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• Keywords:
  Age Groups Analgesics Author Keywords: Narcotics Back Injuries Back Pain BMI Body Mass Index Demographic Characteristics Drugs Humans Injuries Mental Health Models MSD Musculoskeletal System Musculoskeletal System Disorders Opioid Physiological Effects Physiopathology Racial Factors Sociological Factors Tobacco Work Environment Workers Workers' Compensation

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• ISSN:
  1526-5900
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  7
• Issue:
  10
• NIOSHTIC Number:
  nn:20047929
• Citation:
  J Pain 2006 Oct; 7(10):718-725
• Contact Point Address:
  Bert D. Stover, Environmental & Occupational Health Sciences, University of Washington, 1914 N. 34th Street, Suite 101, Seattle WA 98103
• Email:
  bstover@u.washington.edu
• Federal Fiscal Year:
  2007
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  The Journal of Pain
• End Date:
  20070929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a4c0de7063bb6f1ba4c7388c38c794800c1292a6ed3c397984dfdff4ce87d080f2be6f62113313d0034f519dd3e1bd5ead8777d9691482015a3fc57a021931eb
• Download URL:
  https://stacks.cdc.gov/view/cdc/202862/cdc_202862_DS1.pdf
• File Type:
  [PDF - 100.58 KB ]