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Patterns of Opioid Prescribing and Predictors of Chronic Opioid Use in an Industrial Cohort, 2003–2013
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5 2018
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Source: J Occup Environ Med. 60(5):457-461
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Alternative Title:J Occup Environ Med
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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.
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Pubmed ID:29135839
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Pubmed Central ID:PMC5943140
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