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Effect of an opioid management program for Colorado workers’ compensation providers on adherence to treatment guidelines for chronic pain
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November 30 2018
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Source: Am J Ind Med. 62(1):21-29
Details:
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Alternative Title:Am J Ind Med
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Personal Author:
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Description:Objective:
The aim of this study was to examine adherence of state guidelines for Colorado workers’ compensation physicians/providers treating individuals as injured workers with chronic pain after initiation of an opioid management program and provider incentives.
Methods:
A retrospective cohort of chronic, non-cancer pain claims was constructed from the Colorado’s workers’ compensation database. Adherence to treatment guidelines and opioid prescribing practices were evaluated during implementation of a new billing code to incentivize adherence.
Results:
Overall, less than 33% of claims showed evidence of opioid management. Comprehensive opioid management was observed in only 4.4% of claims. In 2010, after implementing the new billing code, the ratio of long acting opioids to short acting opioids decreased from 0.2 to 0.13; returning to 0.2 in one year. Similarly, morphine equivalent doses declined for a short period.
Conclusions:
Incentivizing physicians to adhere to chronic pain management guidelines only temporarily improves prescribing practices.
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Subjects:
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Source:
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Pubmed ID:30499587
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Pubmed Central ID:PMC6558965
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Document Type:
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Funding:
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Volume:62
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Issue:1
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Collection(s):
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Main Document Checksum:
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Download URL:
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File Type:
[PDF-499.88 KB]
