Morphine Equivalent Dose-Days (MED-D): Predicting the Impact of Opioid Prescription on Total Workers’ Compensation Claim Costs for Acute Low Back Pain

Details

• Personal Author:
  Amoafo LA ; Hegmann KT ; Merris J ; Owens JD ; Phillips AL ; Thiese MS
• Description:
  Objective: To assess the effect of morphine equivalent dose-days (MED-D) on the total cost for acute low back pain (LBP) workers' compensation claims. Methods: Simple random samples of 123 opioid and 141 nonopioid acute LBP claims were obtained. Opioid claims were divided into low, medium, and high subgroups for MED-D, MED, and prescription duration. Subgroup mean total costs were compared to the nonopioid group using multivariate regression analyses. Results: MED-D and prescription duration were each, respectively, associated with significantly increased total costs at both medium and high levels. Increasing MED had a negative association with total cost, though stratification by duration abrogated this perceived trend. Interaction testing indicated MED and duration together better explained cost than MED alone. Conclusion: MED-D is a better predictor of total cost in acute LBP claims than MED alone. [Description provided by NIOSH]
• Subjects:
  Biopharmaceutics Drug Therapy Musculoskeletal System Occupational Health Safety
• Keywords:
  Author Keywords: Opioid Cost Analyses Costs Drug Therapy Duration Low Back Pain MED Medical Treatment Occupational Pharmaceuticals Prescription Drugs Work Workers Compensation

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 8 ; Utah
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  62
• Issue:
  9
• NIOSHTIC Number:
  nn:20060594
• Citation:
  J Occup Environ Med 2020 Sep; 62(9):700-705
• Contact Point Address:
  Joshua Merris, MD, MOH, Rocky Mountain Center for Occupational and Environmental Health, University of Utah, 391 Chipeta Way, Suite C, Salt Lake City, UT 84108
• Email:
  joshua.merris@hsc.utah.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of Utah
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9fa1d6977b82433b1be9b29e61aa7b1695e4716cc7af8d85e1dfe652bd1c47fe65031c63f3ae913fc8cbdd5667f373bd2798e11306bf3591494f5fecf7a96e9b
• Download URL:
  https://stacks.cdc.gov/view/cdc/224455/cdc_224455_DS1.pdf
• File Type:
  [PDF - 243.16 KB ]