The Association of the Use of Opioid and Psychotropic Medications With Workers' Compensation Claim Costs and Lost Work Time

Xuguang Tao, Robert A. Lavin, Larry Yuspeh, Virginia M. Weaver, Edward J. Bernacki

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To study the relationship between the use of psychotropic and opioid medications with workers' compensation disability and costs. METHODS: The study population included lost time claimants injured between 1999 and 2002 followed to closing in December 31, 2009. RESULTS: Controlling for age, sex, marital status, attorney involvement, and spinal surgeries, multivariate logistic regression revealed that odds ratios (95% confidence interval) of claim costs ≥$100,000 compared with claimants who were never prescribed opioids were 4.3 for short-acting opioids only; 8.6 for any use of long-acting opioids; 2.8 for any use of hypnotics; 2.6 for any use of antipsychotics; 1.6 for any use of anti-anxiety agents; and 2.9 for any use of antidepressants. CONCLUSIONS:: The use of psychotropic and opioid medications was associated with high workers' compensation costs and prolonged disability.

Original languageEnglish (US)
Pages (from-to)196-201
Number of pages6
JournalJournal of occupational and environmental medicine
Volume57
Issue number2
DOIs
StatePublished - Feb 13 2015

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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