Proportion of opioid use due to compensated workers' compensation claims in Manitoba, Canada

Background This study identifies the percentage of opioids prescribed for compensated workplace conditions in Manitoba, Canada and whether Workers Compensation Board (WCB) status is associated with higher prescription opioid doses. Methods Opioid prescriptions for WCB recipients were linked with databases housed at the Manitoba Center for Health Policy. Duration of continuous opioid prescription and morphine equivalents (ME) per day (ME/D) were calculated for individuals age 18–65. Results Over the period from 1998 to 2010, 3.8% of the total opioid dosage of medication prescribed in the study population were prescribed to WCB recipients. WCB recipients accounted for 2.1% of the individuals prescribed opioids. In adjusted analyses WCB recipients were more likely to be prescribed over 120 ME/D (OR 2.06 95% CI, 1.58–2.69). Conclusions WCB recipients account for a small, but significant amount of the total opioid prescribed in Manitoba. Manitoba's WCB population is a group at increased risk of being prescribed over 120 ME/day. Am. J. Ind. Med. 58:33–39, 2015. © 2014 The Authors. American Journal of Industrial Medicine Published by Wiley Periodicals, Inc.

• Publication year

  2014

• Venue

  American Journal of Industrial Medicine

• Publication date

  2014-08-21

• Fields of study

  Medicine

• Identifiers
  DOI 10.1002/ajim.22374PMID 25145877PMCID 4305270
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Influence of compensation status on time off work after carpal tunnel release and rotator cuff surgery: a meta-analysis

  2013cited by this paper
• Comparison of opioid-related deaths by work-related injury.

  2013cited by this paper
• Is Type of Compensation a Predictor of Outcome After Lumbar Fusion?

  2013cited by this paper
• Bending the prescription opioid dosing and mortality curves: impact of the Washington State opioid dosing guideline.

  2012influential reference
• Dependence and Addiction During Chronic Opioid Therapy

  2012cited by this paper
• Natural History of Opioid Dosage Escalation Post-Injury: A Cohort Study of Injured Workers in the State of Louisiana

  2012influential reference
• Increases in the Use and Cost of Opioids to Treat Acute and Chronic Pain in Injured Workers, 1999 to 2009

  2012cited by this paper
• Screening for Addictive Disorders Within a Workers’ Compensation Clinic: An Exploratory Study

  2012cited by this paper
• Impact of the Combined Use of Opioids and Surgical Procedures on Workers' Compensation Cost Among a Cohort of Injured Workers in the State of Louisiana

  2012influential reference
• Workers’ Compensation Status: Does It Affect Orthopaedic Surgery Outcomes? A Meta-Analysis

  2012cited by this paper
• Negative effects of smoking, workers’ compensation, and litigation on pain/disability scores for spine patients

  2012cited by this paper
• The Effect of Opioid Use on Workers' Compensation Claim Cost in the State of Michigan

  2012cited by this paper
• Canadian guideline for safe and effective use of opioids for chronic non-cancer pain: implications for pain physicians.

  2011cited by this paper
• Enhancing policymakers' understanding of disparities: relevant data from an information-rich environment.

  2010cited by this paper
• Geographic variation in opioid prescribing for acute, work-related, low back pain and associated factors: a multilevel analysis.

  2009cited by this paper
• Opioid Prescriptions in Canadian Workers’ Compensation Claimants: Prescription Trends and Associations Between Early Prescription and Future Recovery

  2009influential reference
• Early Opioid Prescription and Subsequent Disability Among Workers With Back Injuries: The Disability Risk Identification Study Cohort

  2008influential reference
• The Board of Regents of the University of Wisconsin System

  2008cited by this paper
• Relationship Between Early Opioid Prescribing for Acute Occupational Low Back Pain and Disability Duration, Medical Costs, Subsequent Surgery and Late Opioid Use

  2007cited by this paper
• Data Quality in an Information-Rich Environment: Canada as an Example

  2005cited by this paper
• Opioid dosing trends and mortality in Washington State workers' compensation, 1996-2002.

  2005influential reference
• SF-36 health status of workers compensation cases with spinal disorders.

  2001cited by this paper

• Opioid misuse in the workforce: A review of empirical research, theoretical framework, and future research agenda

  2026cites this paper
• Adverse Events of the Long-Term Use of Opioids for Chronic Non-cancer Pain: A Narrative Review

  2024cites this paper
• High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews.

  2023cites this paper
• Injuries That Happen at Work Lead to More Opioid Prescriptions and Higher Opioid Costs

  2022cites this paper
• Determining the influence of the Workers Compensation Board of Manitoba's opioid policy on prescription opioid use amongst WCB recipients

  2020cites this paper
• Drug overdose mortality is associated with employment status and occupation in the National Longitudinal Mortality Study

  2020cites this paper
• The Impact of Morphine Equivalent Daily Dose Threshold Guidelines on Prescribed Dose in a Workers’ Compensation Population

  2019cites this paper
• Adverse events associated with medium- and long-term use of opioids for chronic non-cancer pain: an overview of Cochrane Reviews.

  2017cites this paper
• Characterizing the Interrelationships of Prescription Opioid and Benzodiazepine Drugs With Worker Health and Workplace Hazards

  2017cites this paper
• Response: Prescription Opioid Use and the Risk of Disability.

  2017cites this paper
• High-dose opioids for chronic non-cancer pain: an overview of Cochrane Reviews.

  2017cites this paper
• Relationship Between Opioid Prescribing Patterns and Claim Duration and Cost

  2016influential citation
• A comparison of opioid use between WCB recipients and other Manitobans for knee, shoulder, back and carpal tunnel release procedures

  2016influential citation
• Prescription Opioid Use, Harms and Interventions in Canada: A Review Update of New Developments and Findings since 2010.

  2015cites this paper
• The impact of opioid prescription dose and duration during a workers compensation claim, on post-claim continued opioid use: A retrospective population-based study.

  2015cites this paper