Opioid use and dosing in the workers' compensation setting. A comparative review and new data from Ohio.

Abstract:

BACKGROUND:Many authorities are concerned about the rising use and the potential overuse of opioid pain medications. A study of opioid prevalence and dosage in Ohio's workers' compensation (WC) system was conducted, with comparisons made to opioid use in other WC and non-WC settings. METHODS:Systematic literature reviews of WC and non-WC opioid use and dosage nationally were conducted. Two years of Ohio WC data (2008-2009) were analyzed to determine average daily morphine equivalent dose (MED), opioid costs, pharmacies used per claimant, and extent of long-duration cases. RESULTS:Nearly one-fifth (19.2%) of Ohio WC claims involved opioid use, compared to 31.8% in other WC systems and 17.9% in non-WC settings. Mean MED was 57.5 mg, compared to 47.8 mg in other WC systems, and 41.8 mg among non-WC populations. Nearly 10% of WC claims involved relatively high MED exceeding 120 mg/day. CONCLUSION:Policy makers need to develop strategies for addressing high opioid use in WC systems.

journal_name

Am J Ind Med

authors

Dembe A,Wickizer T,Sieck C,Partridge J,Balchick R

doi

10.1002/ajim.21021

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

313-24

issue

4

eissn

0271-3586

issn

1097-0274

journal_volume

55

pub_type

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