Citation

Pensa MA, Galusha DH, Cantley LF. J. Occup. Environ. Med. 2018; 60(5): 457-461.

Affiliation

Department of Occupational and Environmental Medicine, Yale School of Medicine, New Haven, Connecticut.

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/JOM.0000000000001231

PMID

29135839

Abstract

OBJECTIVE: To appreciate the impact of the opioid epidemic in workers, we described opioid prescription patterns in a US industrial cohort over a 10-year period and assessed predictors of chronic prescription.

METHODS: A multiyear (2003 to 2013) cross-sectional analysis of employer-sponsored health care claims for enrolled workers (N: 21,357 to 44,769) was performed.

RESULTS: The proportion of workers prescribed opioids nearly doubled in the 10-year period. The strongest predictor of chronic opioid prescribing was year, with an increase in prescriptions each year from 2003 to 2013 (OR = 2.90, 95% CI: 2.41 to 3.48). Additional predictors included older age, white race, hourly wage, low back pain, and osteoarthritis.

CONCLUSIONS: Opioid prescribing for industrial workers substantially increased from 2003 to 2013. Occupational health professionals should be aware of the potential for chronic opioid use among workers to assess job safety and appropriate treatment of work-related injuries.

Language: en