Brief report: Population-based reversal of the adverse impact of opioids on disability in Washington State workers’ compensation
| Autor: | Gary M. Franklin, Jeanne M. Sears, Jaymie Mai, Mark Mercier, Doug Tuman, Thomas M. Wickizer, Deborah Fulton-Kehoe |
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| Rok vydání: | 2018 |
| Předmět: |
Washington
medicine.medical_specialty Population Pain Poison control Workers' compensation Drug Prescriptions Occupational safety and health 03 medical and health sciences 0302 clinical medicine Injury prevention Accidents Occupational Humans Medicine Disabled Persons 030212 general & internal medicine Prior authorization Medical prescription education education.field_of_study business.industry Public Health Environmental and Occupational Health 030210 environmental & occupational health Analgesics Opioid Opioid Emergency medicine Workers' Compensation business medicine.drug |
| Zdroj: | American Journal of Industrial Medicine. 62:168-174 |
| ISSN: | 0271-3586 |
| DOI: | 10.1002/ajim.22937 |
| Popis: | Background Evidence has associated opioid use initiated early in a workers' compensation claim with subsequent disability. In 2013, the Washington State Department of Labor and Industries (DLI) implemented procedures based on new regulations that require improvement in pain and function to approve opioids beyond the acute pain period. Methods We measured opioid prescriptions between 6 and 12 weeks following injury, an indicator of persistent opioid use. Actuarial data for the association of any opioid use versus no opioid use with development of lost time payments are reported. Results Prior authorization with hard stops led to a sustained drop in persistent opioid use, from nearly 5% in 2013 to less than 1% in 2017. This reduction was also associated with reversal of the increased lost work time patterns seen from 1999 to 2010. Conclusions Prior authorization targeted at preventing transition to chronic opioid use can prevent and reverse adverse time loss development that has occurred on a population basis concomitant with the opioid epidemic. |
| Databáze: | OpenAIRE |
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