Proportion of opioid use due to compensated workers' compensation claims in Manitoba, Canada.

Am J Ind Med

Department of Internal Medicine, University of Manitoba; Department of Community Health Sciences, University of Manitoba.

Published: January 2015

Background: This study identifies the percentage of opioids prescribed for compensated workplace conditions in Manitoba, Canada and whether Workers Compensation Board (WCB) status is associated with higher prescription opioid doses.

Methods: Opioid prescriptions for WCB recipients were linked with databases housed at the Manitoba Center for Health Policy. Duration of continuous opioid prescription and morphine equivalents (ME) per day (ME/D) were calculated for individuals age 18-65.

Results: Over the period from 1998 to 2010, 3.8% of the total opioid dosage of medication prescribed in the study population were prescribed to WCB recipients. WCB recipients accounted for 2.1% of the individuals prescribed opioids. In adjusted analyses WCB recipients were more likely to be prescribed over 120 ME/D (OR 2.06 95% CI, 1.58-2.69).

Conclusions: WCB recipients account for a small, but significant amount of the total opioid prescribed in Manitoba. Manitoba's WCB population is a group at increased risk of being prescribed over 120 ME/day.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4305270PMC
http://dx.doi.org/10.1002/ajim.22374DOI Listing

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