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Related Experiment Videos

Opioid use: Case-control analyses of worker's compensation data.

Ulrike Ott1, Matthew S Thiese1, Brenden B Ronna2

  • 1Rocky Mountain Center for Occupational and Environmental Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah.

Journal of Opioid Management
|September 21, 2018
PubMed
Summary

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Working-age adults with workers' compensation (WC) claims face opioid misuse risks. Factors like indemnity claims and multiple providers increase opioid use, informing potential prevention strategies.

Area of Science:

  • Occupational health
  • Public health
  • Epidemiology

Background:

  • Opioid misuse significantly impacts working-age adults.
  • Factors contributing to opioid misuse within workers' compensation (WC) populations are understudied.
  • WC claims offer a unique, efficient data source for researching the opioid epidemic.

Purpose of the Study:

  • To identify factors associated with opioid use among individuals with WC claims.
  • To pilot a study using WC insurer data to understand opioid misuse risk factors.
  • To lay the groundwork for a larger study to develop a risk-scoring system for opioid-related events.

Main Methods:

  • A case-control study design was employed.
  • Secondary data analysis of de-identified WC claims from a large insurer in Utah.

Related Experiment Videos

  • Cases were defined as WC claims with a morphine equivalent dose (MED) ≥ 50 mg/d within 30 days of claim filing; controls had 0 mg/d.
  • Main Results:

    • The study included 76 claimants (28 cases, 48 controls), predominantly male, full-time workers with a mean age of 37.
    • Cases were more likely to file indemnity claims and visit multiple medical providers (≥3) compared to controls.
    • Cases had significantly higher odds of visiting 2-3 providers (OR=4.6) or >3 providers (OR=41.8) and being prescribed NSAIDs (OR=3.6).

    Conclusions:

    • Pilot study identified potential modifiable risk factors for opioid misuse in WC claimants.
    • Findings suggest that high provider utilization and indemnity claims are associated with increased opioid use.
    • Future research aims to develop a predictive scoring system for adverse opioid events within WC systems for prevention.