Abstract：
BACKGROUND:Opioid use is rising in the US and may cause special problems in workers compensation cases, including addiction and preventing a return to work after an injury. OBJECTIVE:This study evaluates a physician-level intervention to curb opioid usage. An insurer identified patients with out-of-guideline opioid utilization and called the prescribing physician to discuss the patient's treatment protocol. RESEARCH DESIGN:This study uses a differences-in-differences study design with a propensity-score-matched control group. Medical and pharmaceutical claims data from 2005 to 2011 were used for analyses. RESULTS:Following the intervention, the use of opioids increased for the intervention group and there is little impact on medical spending. CONCLUSIONS:Counseling physicians about patients with high opioid utilization may focus more attention on their care, but did not impact short-term outcomes. More robust interventions may be needed to manage opioid use. PERSPECTIVE:While the increasing use of opioids is of growing concern around the world, curbing the utilization of these powerfully addictive narcotics has proved elusive. This study examines a prescribing guidelines intervention designed to reduce the prescription of opioids following an injury. The study finds that there was little change in the opioid utilization after the intervention, suggesting interventions along other parts of the prescribing pathway may be needed.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Buttorff C,Trujillo AJ,Castillo R,Vecino-Ortiz AI,Anderson GFdoi
10.1002/ajim.22779subject
Has Abstractpub_date
2017-12-01 00:00:00pages
1023-1030issue
12eissn
0271-3586issn
1097-0274journal_volume
60pub_type
杂志文章abstract：BACKGROUND:While low dose computed tomography (LDCT) screening for lung cancer is recommended for high-risk smokers, ages 55-74 years, information about asbestos exposure may not be routinely elicited. Asbestos exposure is associated with declining respiratory function over time; however, the effect of a history of asb...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
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abstract：BACKGROUND:Because of reported associations of psychosocial factors and computer related musculoskeletal symptoms, we investigated the effects of a workplace psychosocial factor, reward, in the presence of over-commitment, on trapezius muscle activity and shoulder, head, neck, and torso postures during computer use. M...
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abstract：:Conventional occupational mortality analysis, using underlying cause of death coding, underestimates the contribution of those chronic diseases which are mentioned on the death certificate but which usually do not appear as underlying cause of death. Proportionate occupational mortality analysis, using all the mention...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700140311
更新日期：1988-01-01 00:00:00
abstract：BACKGROUND:The occupational lung cancer risk in manufacturing and repair of shoes was studied by pooling of two major case-control studies from Germany. METHODS:Some 4184 incident hospital-based cases of primary lung cancer and 4253 population controls, matched for sex, age, and region of residence were intensively in...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(200006)37:6<575::aid-ajim1
更新日期：2000-06-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22125
更新日期：2013-03-01 00:00:00
abstract：:In this article the material collected for a case-control study is analyzed in order to evaluate the existence of relationships between organic solvent exposure and the entitlement to disability benefits due to neuropsychiatric disorders. Questionnaires were used to collect information on 252 cases receiving compensat...
journal_title：American journal of industrial medicine
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journal_title：American journal of industrial medicine
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更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:The extent that cigarette smoking may confound the relationship between diesel exhaust exposure and lung cancer was assessed in a retrospective cohort study of 55,395 U.S. railroad workers followed from 1959 to 1976. METHODS:The relative risk (RR) of lung cancer due to diesel exhaust was indirectly adjusted...
journal_title：American journal of industrial medicine
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199803)33:3<305::aid-ajim1
更新日期：1998-03-01 00:00:00
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doi：10.1002/ajim.20993
更新日期：2011-09-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199704)31:4<373::aid-ajim1
更新日期：1997-04-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/(sici)1097-0274(199905)35:5<472::aid-ajim4
更新日期：1999-05-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章,评审
doi：
更新日期：1983-01-01 00:00:00
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journal_title：American journal of industrial medicine
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更新日期：2013-06-01 00:00:00
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更新日期：2017-11-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.22042
更新日期：2012-07-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700280208
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.4700160103
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journal_title：American journal of industrial medicine
pub_type： 历史文章,杂志文章
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更新日期：1992-01-01 00:00:00
abstract：BACKGROUND:Workers in foundry and pottery are exposed to a mixture of chemicals and silica, which is suspected to cause genetic alterations. METHODS:To investigate the potential hazard associated with the occupational exposure to silica, DNA damage in the peripheral lymphocytes of 30 foundry and 22 pottery workers wer...
journal_title：American journal of industrial medicine
pub_type： 杂志文章
doi：10.1002/ajim.10222
更新日期：2003-06-01 00:00:00
