Work Enabling Opioid Management

Robert A. Lavin, Nimisha Kalia, Larry Yuspeh, Jill A. Barry, Edward J. Bernacki, Xu Guang Tao

Research output: Contribution to journalArticle

Abstract

Objective: This study describes the relationship between opioid prescribing and ability to work. Methods: The opioid prescription patterns of 4994 claimants were studied. Three groups were constructed: 1) at least 3 consecutive months prescribed (chronic opioid therapy; COT); 2) less than 3 consecutive months prescribed (acute opioid therapy; AOT); and 3) no opioids prescribed. Variables included sex, age, daily morphine equivalent dose (MED), days opioids were prescribed, temporary total days (TTDs), and medical/indemnity/total costs. Results: The COT versus AOT claimants had higher opioid costs ($8618 vs $94), longer TTD (636.2 vs 182.3), and average MED (66.8 vs 34.9). Only 2% of the COT cohort were not released to work. Fifty-seven percent of patients in the COT category (64 of 112) were released to work while still receiving opioids. Conclusion: COT does not preclude ability to work when prescribing within established guidelines.

Original languageEnglish (US)
Pages (from-to)761-764
Number of pages4
JournalJournal of Occupational and Environmental Medicine
Volume59
Issue number8
DOIs
StatePublished - Aug 1 2017

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Opioid Analgesics
Morphine
Costs and Cost Analysis
Insurance
Prescriptions
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Work Enabling Opioid Management. / Lavin, Robert A.; Kalia, Nimisha; Yuspeh, Larry; Barry, Jill A.; Bernacki, Edward J.; Tao, Xu Guang.

In: Journal of Occupational and Environmental Medicine, Vol. 59, No. 8, 01.08.2017, p. 761-764.

Research output: Contribution to journalArticle

Lavin, Robert A. ; Kalia, Nimisha ; Yuspeh, Larry ; Barry, Jill A. ; Bernacki, Edward J. ; Tao, Xu Guang. / Work Enabling Opioid Management. In: Journal of Occupational and Environmental Medicine. 2017 ; Vol. 59, No. 8. pp. 761-764.
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