Open AccessFactors Associated With Persistent Opioid Use Among Injured Workers’ Compensation Claimants
Author(s) -
Nathan N. O’Hara,
Andrew N. Pollak,
Christopher Welsh,
Lyndsay M. O’Hara,
Alyson Kwok,
A Herman,
Gerard P. Slobogean
Publication year - 2018
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2018.4050
Subject(s) - medicine , medical prescription , opioid , retrospective cohort study , emergency medicine , workers' compensation , cohort study , odds ratio , poison control , injury prevention , physical therapy , anesthesia , compensation (psychology) , psychology , nursing , receptor , psychoanalysis
Key Points Question What was the proportion of persistent opioid use and the patient-level factors associated with persistent opioid use among workers’ compensation claimants? Findings In this cohort study of 9596 workers’ compensation claimants who were initially treated with an opioid prescription, approximately 30% of claimants continued to fill opioid prescriptions beyond 90 days from injury. Baseline characteristics, including increased age, preinjury income more than $60 000, crush injuries, strain or sprain injuries, and a concomitant diagnosis of chronic joint pain were associated with persistent opioid use. Meaning The findings suggest workers’ compensation claimants have a high proportion of persistent opioid use. Interventions to lower persistent opioid use among this population should target patients with the identified factors, and since persistent opioid use does not correlate well with injury severity, consideration should be given to not initiating opioid use for nonsevere injuries.
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