Prescription Opioid Use and the Risk of Disability

Details

• Personal Author:
  Franklin GM ; Fulton-Kehoe D ; Turner JA ; Wickizer T
• Description:
  We would like to address some of the issues raised in the recent systematic review, "Early prescription opioid use for musculoskeletal disorders and work outcomes: a systematic review of the literature" by Carnide et al https://doi.org/10.1097/AJP.0000000000000452. There are 3 aspects of our study that deserve special comment. First, our study is referred to as an historical (eg, retrospective) cohort study. In fact, this study was a prospective cohort study. This study was one of the largest prospective studies ever conducted on risk factors related to long-term disability following a work-related low back injury, and according to the American Academy of Neurology Classification of Evidence method, would be considered class 1 evidence for prognostic (risk factor) studies... Second, our study included patient-reported measures obtained at baseline (including pain, function, recovery expectations, and fear avoidance), which are strong predictors of transition to chronic pain following a low back injury... Third, we adjusted for injury severity based on a review of medical records rather than relying solely on administrative claims data. The injury severity rating was completed by independent reviewers and was not dependent on patients providing information... [Description provided by NIOSH]
• Subjects:
  Biopharmaceutics Cohort Studies Drug Therapy Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Back Injuries Central Nervous System Cohort Studies Drug-therapy Drugs Injuries Low Back Disorders Medical Records MSD Musculoskeletal Disorders Nerve Function Pain-tolerance Pharmaceuticals Pharmacodynamics Risk-analysis Risk-factors Skeletal-disorders Skeletal-system-disorders Systematic Reviews Worker-health Workers Workers Compensation

  More +
• ISSN:
  0749-8047
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Ohio ; OSHA Region 10 ; OSHA Region 5 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  34
• Issue:
  2
• NIOSHTIC Number:
  nn:20051072
• Citation:
  Clin J Pain 2018 Feb; 34(2):190
• Contact Point Address:
  Gary M. Franklin, MD, MPH, Department of Environmental and Occupational Health Sciences Neurology, and Health Services, University of Washington, Seattle, WA
• Federal Fiscal Year:
  2018
• Performing Organization:
  University of Washington
• Peer Reviewed:
  False
• Start Date:
  20010930
• Source Full Name:
  The Clinical Journal of Pain
• End Date:
  20070929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:7509330551b3d06825947c9bbbae00a493bd1dd488c1e4cd8e497fe8b36d72d7f0e6f784f9b2ecfe6bec2873025e5cdc0416b10a8b307992930035f9ac5ef969
• Download URL:
  https://stacks.cdc.gov/view/cdc/211198/cdc_211198_DS1.pdf
• File Type:
  [PDF - 411.39 KB ]