Patterns of Opioid Prescribing and Predictors of Chronic Opioid Use in an Industrial Cohort, 2003–2013

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Pensa, Mellisa A. ; Galusha, Deron H. ; Cantley, Linda F. ; Pensa, Mellisa A. ; Galusha, Deron H. ; Cantley, Linda F.
• Description:
  Objective
  
  To appreciate the impact of the opioid epidemic in workers, we described opioid prescription patterns in a U.S. industrial cohort over a ten-year period and assessed predictors of chronic prescription.
  
  Methods
  
  A multiyear (2003–2013) cross-sectional analysis of employer-sponsored health care claims for enrolled workers (N: 21,357- 44,769) was performed.
  
  Results
  
  The proportion of workers prescribed opioids nearly doubled in the ten-year period. The strongest predictor of chronic opioid prescribing was year, with an increase in prescriptions each year from 2003 to 2013 (OR= 2.90, 95% CI: 2.41–3.48). Additional predictors included older age, white race, hourly wage, low back pain, and osteoarthritis.
  
  Conclusions
  
  Opioid prescribing for industrial workers substantially increased from 2003 to 2013. Occupational health professionals should be aware of the potential for chronic opioid use among workers to assess job safety and appropriate treatment of work-related injuries.
  
  
• Subjects:
  Adult Cohort Studies Cross-Sectional Studies Drug Prescriptions Female Forecasting Humans Insurance Claim Review Male Middle Aged Occupational Health Opioid-Related Disorders Practice Patterns, Physicians' United States

  More +
• Source:
  J Occup Environ Med. 60(5):457-461 ; J Occup Environ Med. 60(5):457-461
• Pubmed ID:
  29135839
• Pubmed Central ID:
  PMC5943140
• Document Type:
  Journal Article
• Funding:
  R01 AG026291/AG/NIA NIH HHSUnited States/ ; R01 OH009939/OH/NIOSH CDC HHSUnited States/ ; T01 OH008607/OH/NIOSH CDC HHSUnited States/ ; T03 OH008607/OH/NIOSH CDC HHSUnited States/
• Volume:
  60
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b57d46094afef7020965d74c5b1a8bf2be6a60ec48df442c67c9af371b158573
• Download URL:
  https://stacks.cdc.gov/view/cdc/53983/cdc_53983_DS1.pdf
• File Type:
  [PDF - 408.93 KB ]