Rocky Mountain Center for Occupational & Environment Health, Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Drs Cheng, Thiese, Wood, Merryweather, Hegmann); Occupational Science & Technology Department, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (Dr Kapellusch); School of Rural Public Health, Texas A&M University Health Science Center, College Station, Texas (Dr Foster).
J Occup Environ Med. 2019 Oct;61(10):836-840. doi: 10.1097/JOM.0000000000001673.
The primary goal of this cross-sectional analysis was to determine the relationships between self-reported low back pain (LBP) ratings and use of opioid medications.
At baseline, subjects completed a computerized questionnaire. Structured interviews were conducted by residents or certified therapists under the direction of board-certified physicians.
There was a statistically significant nonlinear relationship between lifetime prevalence of worst LBP rating (0 to 10) and lifetime prevalence of opioid use. Those with a low pain rating for worst lifetime LBP and those with high LBP ratings were significantly more likely to have been prescribed opioids. Surprisingly, those with moderate pain ratings were the least likely to have used opioids.
This study found a higher use of opioids between workers with low and high severe pain rating then those with moderate pain. We also found an increase of opioid use for severe pain.
本横断面分析的主要目的是确定自报腰痛（LBP）评分与阿片类药物使用之间的关系。
在基线时，受试者完成了计算机化问卷。在经过认证的医师的指导下，由住院医师或认证治疗师进行了结构化访谈。
终生最差 LBP 评分（0 到 10）的终生患病率与阿片类药物使用的终生患病率之间存在统计学上的非线性关系。那些报告最差终生 LBP 疼痛评分低的人和那些报告高 LBP 评分的人更有可能被开阿片类药物。令人惊讶的是，那些报告中度疼痛评分的人最不可能使用阿片类药物。
这项研究发现，在严重疼痛评分较高和较低的工人中，阿片类药物的使用频率更高。我们还发现，严重疼痛的阿片类药物使用量增加。
