阿片类药物处方模式与索赔持续时间及成本之间的关系。

Relationship Between Opioid Prescribing Patterns and Claim Duration and Cost.

作者信息

Lavin Robert A, Tao Xuguang Grant, Yuspeh Larry, Kalia Nimisha, Bernacki Edward J

机构信息

Department of Neurology, University of Maryland School of Medicine (Dr Lavin); Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Tao); Louisiana Workers' Compensation Corporation, Baton Rouge, and Department of Medicine, Johns Hopkins University School of Medicine (Mr Yuspeh); Division of Occupational Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Kalia); Dell Medical School at University of Texas at Austin (Dr Bernacki).

出版信息

J Occup Environ Med. 2016 Mar;58(3):e90-3. doi: 10.1097/JOM.0000000000000625.

DOI:10.1097/JOM.0000000000000625

PMID:26949894

Abstract

OBJECTIVE

The aim of this study was to assess the relationship between timing and duration of opioid prescriptions, disability duration, and claims costs for work-related injuries.

METHOD

A retrospective cohort study using lost time compensation claimant data to examine the relationship between opioid prescription patterns and claim duration and cost. Logistic regression adjusted for sex, marital status, initial reserve, attorney involvement, and spinal surgeries.

RESULTS

Odds ratios for claim cost at least $100,000 and duration at least 3 years were not statistically different between groups prescribed opioids less than 30 days and those not prescribed opioids. Claims with short-acting opioids continued after 180 days; the odds ratios for claim cost at least $100,000 and duration at least 3 years were 6.21 (95% confidence interval 5.30 to 7.28) and 3.32 (95% confidence interval 2.94 to 3.74).

CONCLUSION

Claim cost and lost time are related to when and how long opioids are prescribed for work-related injuries.

摘要

目的

本研究旨在评估阿片类药物处方的时间和时长、伤残持续时间以及与工伤相关的索赔成本之间的关系。

方法

一项回顾性队列研究，使用误工补偿索赔者数据来检验阿片类药物处方模式与索赔持续时间及成本之间的关系。逻辑回归对性别、婚姻状况、初始储备金、律师参与情况和脊柱手术进行了校正。

结果

开具阿片类药物少于30天的组与未开具阿片类药物的组相比，索赔成本至少10万美元及持续时间至少3年的优势比无统计学差异。使用短效阿片类药物的索赔在180天后仍在继续；索赔成本至少10万美元及持续时间至少3年的优势比分别为6.21（95%置信区间5.30至7.28）和3.32（95%置信区间2.94至3.74）。