Opioid prescriptions for individuals receiving workers' compensation in Michigan

We evaluated the prevalence of opioid prescriptions after injury and associated characteristics among workers receiving workers' compensation for a lost work time injury. Injured workers identified in Michigan's Workers' Compensation records from 2016 to 2018 were linked to the opioid...

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Veröffentlicht in:PloS one 2022-08, Vol.17 (8), p.e0272385-e0272385
Hauptverfasser: Rosenman, Kenneth D, Wang, Ling
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description We evaluated the prevalence of opioid prescriptions after injury and associated characteristics among workers receiving workers' compensation for a lost work time injury. Injured workers identified in Michigan's Workers' Compensation records from 2016 to 2018 were linked to the opioid prescription history in the Michigan Automated Prescription System. Among the 46,934 injured workers with paid claims, the prevalence of receiving an opioid prescription, morphine milligram equivalents (MME) per prescription, number of opioid prescription and probability of receiving opioids prescription>90 days after injury decreased from 2016-2018. Despite the decrease over 50% of the injured workers received an opioid prescription. Being over 34 years, a male, having had an opioid prescription before the injury, working in construction or having an amputation or sprain/strain of the shoulder had a significantly higher probability of receiving an opioid prescription, a higher MME per prescription, a higher number of opioid prescriptions and a higher probability having opioids prescription >90 days after the injury. Even though opioid prescribing patterns generally decreased from 2016 to 2018 (64.5-52.8%), injured workers in Michigan had a higher prevalence of opioid prescription after injury, than those reported from other states.
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Even though opioid prescribing patterns generally decreased from 2016 to 2018 (64.5-52.8%), injured workers in Michigan had a higher prevalence of opioid prescription after injury, than those reported from other states.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0272385</identifier><identifier>PMID: 35944052</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Amputation ; Analgesics, Opioid - therapeutic use ; Automation ; Compensation and benefits ; Complications and side effects ; Controlled substances ; Drug overdose ; Drug Prescriptions ; Earth Sciences ; Evaluation ; Federal employees ; Humans ; Injuries ; Male ; Management ; Medicine and Health Sciences ; Michigan - epidemiology ; Morphine ; Narcotics ; Occupational health and safety ; Opioids ; Patient outcomes ; Practice Patterns, Physicians ; Prescription writing ; Prescriptions ; Rural areas ; Social Sciences ; Social security numbers ; Wages &amp; salaries ; Work-related injuries ; Workers ; Workers compensation</subject><ispartof>PloS one, 2022-08, Vol.17 (8), p.e0272385-e0272385</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Rosenman, Wang. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Injured workers identified in Michigan's Workers' Compensation records from 2016 to 2018 were linked to the opioid prescription history in the Michigan Automated Prescription System. Among the 46,934 injured workers with paid claims, the prevalence of receiving an opioid prescription, morphine milligram equivalents (MME) per prescription, number of opioid prescription and probability of receiving opioids prescription&gt;90 days after injury decreased from 2016-2018. Despite the decrease over 50% of the injured workers received an opioid prescription. Being over 34 years, a male, having had an opioid prescription before the injury, working in construction or having an amputation or sprain/strain of the shoulder had a significantly higher probability of receiving an opioid prescription, a higher MME per prescription, a higher number of opioid prescriptions and a higher probability having opioids prescription &gt;90 days after the injury. Even though opioid prescribing patterns generally decreased from 2016 to 2018 (64.5-52.8%), injured workers in Michigan had a higher prevalence of opioid prescription after injury, than those reported from other states.</description><subject>Amputation</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Automation</subject><subject>Compensation and benefits</subject><subject>Complications and side effects</subject><subject>Controlled substances</subject><subject>Drug overdose</subject><subject>Drug Prescriptions</subject><subject>Earth Sciences</subject><subject>Evaluation</subject><subject>Federal employees</subject><subject>Humans</subject><subject>Injuries</subject><subject>Male</subject><subject>Management</subject><subject>Medicine and Health Sciences</subject><subject>Michigan - epidemiology</subject><subject>Morphine</subject><subject>Narcotics</subject><subject>Occupational health and safety</subject><subject>Opioids</subject><subject>Patient outcomes</subject><subject>Practice Patterns, Physicians</subject><subject>Prescription writing</subject><subject>Prescriptions</subject><subject>Rural areas</subject><subject>Social Sciences</subject><subject>Social security numbers</subject><subject>Wages &amp; 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Wang, Ling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-d6565832427c5f951e63df83b953391ded0cfce6c70ff422d5999dbd4692a5473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Amputation</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Automation</topic><topic>Compensation and benefits</topic><topic>Complications and side effects</topic><topic>Controlled substances</topic><topic>Drug overdose</topic><topic>Drug Prescriptions</topic><topic>Earth Sciences</topic><topic>Evaluation</topic><topic>Federal employees</topic><topic>Humans</topic><topic>Injuries</topic><topic>Male</topic><topic>Management</topic><topic>Medicine and Health Sciences</topic><topic>Michigan - epidemiology</topic><topic>Morphine</topic><topic>Narcotics</topic><topic>Occupational health and safety</topic><topic>Opioids</topic><topic>Patient outcomes</topic><topic>Practice Patterns, Physicians</topic><topic>Prescription writing</topic><topic>Prescriptions</topic><topic>Rural areas</topic><topic>Social Sciences</topic><topic>Social security numbers</topic><topic>Wages &amp; 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Injured workers identified in Michigan's Workers' Compensation records from 2016 to 2018 were linked to the opioid prescription history in the Michigan Automated Prescription System. Among the 46,934 injured workers with paid claims, the prevalence of receiving an opioid prescription, morphine milligram equivalents (MME) per prescription, number of opioid prescription and probability of receiving opioids prescription&gt;90 days after injury decreased from 2016-2018. Despite the decrease over 50% of the injured workers received an opioid prescription. Being over 34 years, a male, having had an opioid prescription before the injury, working in construction or having an amputation or sprain/strain of the shoulder had a significantly higher probability of receiving an opioid prescription, a higher MME per prescription, a higher number of opioid prescriptions and a higher probability having opioids prescription &gt;90 days after the injury. Even though opioid prescribing patterns generally decreased from 2016 to 2018 (64.5-52.8%), injured workers in Michigan had a higher prevalence of opioid prescription after injury, than those reported from other states.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>35944052</pmid><doi>10.1371/journal.pone.0272385</doi><tpages>e0272385</tpages><orcidid>https://orcid.org/0000-0003-2452-6691</orcidid><oa>free_for_read</oa></addata></record>
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subjects Amputation
Analgesics, Opioid - therapeutic use
Automation
Compensation and benefits
Complications and side effects
Controlled substances
Drug overdose
Drug Prescriptions
Earth Sciences
Evaluation
Federal employees
Humans
Injuries
Male
Management
Medicine and Health Sciences
Michigan - epidemiology
Morphine
Narcotics
Occupational health and safety
Opioids
Patient outcomes
Practice Patterns, Physicians
Prescription writing
Prescriptions
Rural areas
Social Sciences
Social security numbers
Wages & salaries
Work-related injuries
Workers
Workers compensation
title Opioid prescriptions for individuals receiving workers' compensation in Michigan
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