A comparison of opioid use between WCB recipients and other Manitobans for knee, shoulder, back and carpal tunnel release procedures

Kraut, Allen; Raymond, Colette B; Ekuma, Okechukwu; Shafer, Leigh Anne

doi:10.1002/ajim.22562

Cited by 9 publications

(11 citation statements)

References 30 publications

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“…Like other studies, 3,34 we found that multiple prescriptions of opioids and long‐term prescriptions were more important risk factors for developing OUD than high daily dose. Opioids were commonly prescribed for musculoskeletal surgery (61%), consistent with other studies 35 . Our findings show that conditions associated with acute pain, like dental procedures, carry a relatively low risk for long‐term opioid use.…”

Section: Discussionsupporting

confidence: 90%

Predictors of long‐term opioid use and opioid use disorder among construction workers: Analysis of claims data

Buckner‐Petty¹,

Evanoff²,

Gage³

2020

American J Industrial Med

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Background: Construction workers have high rates of work-related musculoskeletal disorders, which lead to frequent opioid use and opioid use disorder (OUD). This paper quantified the incidence of opioid use and OUD among construction workers with and without musculoskeletal disorders. Methods: We conducted a retrospective study using union health claims from January 2015 to June 2018 from 19,909 construction workers. Claims for diagnoses of chronic musculoskeletal disorders, acute musculoskeletal injuries, musculoskeletal surgery, and other conditions were linked to new opioid prescriptions. We examined the effects of high doses (≥50 morphine mg equivalents per day), large supply (more than 7 days per fill), long-term opioid use (60 or more days supplied within a calendar quarter), and musculoskeletal disorders, on the odds of a future OUD. Results: There were high rates (42.8% per year) of chronic musculoskeletal disorders among workers, of whom 24.1% received new opioid prescriptions and 6.3% received long-term opioid prescriptions per year. Workers receiving opioids for chronic musculoskeletal disorders had the highest odds of future OUD: 4.71 (95% confidence interval 3.09-7.37); workers prescribed long-term opioids in any calendar quarter had a nearly 10-fold odds of developing an OUD. Conclusions: Among construction workers, opioids initiated for musculoskeletal pain were strongly associated with incident long-term opioid use and OUD. Musculoskeletal pain from physically demanding work is likely one driver of the opioid epidemic in occupations like construction. Prevention of work injuries and alternative pain management are needed for workers at risk for musculoskeletal injuries.

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Section: Discussionsupporting

confidence: 90%

Predictors of long‐term opioid use and opioid use disorder among construction workers: Analysis of claims data

Buckner‐Petty¹,

Evanoff²,

Gage³

2020

American J Industrial Med

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“…19 A recent study suggested a relationship between CTS and prolonged opioid use. 20 The question of the potential risk of opioid abuse in such context should be raised. Conversely, antineuropathic drug prescription patterns were low in our study, concerning only 15% of the population.…”

Section: Discussionmentioning

confidence: 99%

Analgesic Drug Prescription After Carpal Tunnel Surgery

Fuzier

Serres

Bourrel

et al. 2018

Regional Anesthesia and Pain Medicine

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This study revealed that approximately 3% to 5% of patients undergoing carpal tunnel surgery had persistent and even increased use of opioid or antineuropathic drugs more than 2 months after surgery, in relation with possible chronic postoperative pain. Considering the incidence of carpal tunnel syndrome, the risks associated with persistent opioid use in this population should be further monitored.

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“…Deidentified health data collected by Manitoba Health are housed at the Manitoba Centre for Health Policy (MCHP). MCHP data have been extensively validated and utilized in a wide variety of studies 21–23 …”

Section: Methodsmentioning

confidence: 99%

“…MCHP data have been extensively validated and utilized in a wide variety of studies. [21][22][23] The provincial health data does not include any information on occupation. Thus, occupational information was obtained by linking the provincial administrative health care databases with accepted time loss AMI cases were identified as the most responsible diagnosis in the hospitalization file (ICD-9 410 or ICD-10 I20).…”

Section: Methodsmentioning

confidence: 99%

Acute myocardial infarctions identified in the Manitoba Occupational Disease Surveillance System: A linkage of worker's compensation and provincial health data

Kraut

Peters

Rydz

et al. 2023

American J Industrial Med

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Introduction:The purpose of this study was to identify jobs and industries that may be associated with increased or decreased risk of myocardial infarction. Methods:We linked provincial health care data with Workers Compensation Board (WCB) of Manitoba claims data to create the Manitoba Occupational Disease Surveillance System (MODSS). Workers were eligible for inclusion in this study if their WCB claim listed an occupation, their claim could be linked to health data, they had an accepted non-acute myocardial infarction (AMI) compensation time loss claim and were free of a recent (<1 year) AMI diagnosis at the start of disease follow-up. AMI cases were identified as the most-responsible diagnosis in the hospitalization file (ICD-9 410 or ICD-10 I20). Cases were included if they occurred after the WCB record injury date until end of coverage, either through moving out of province, reaching age 65, death, or the end of the study period (March 1, 2020).Results: We identified 1880 incident AMIs amongst 150,022 claims recorded in the MODSS (1.25%). A number of industries and occupations were found to have higher and lower AMI rates. Care providers and educational, legal, and public protection support occupations had a lower hazard ratio (HR; 0.64; 95% confidence interval [CI]: 0.44-0.92) compared to the overall cohort. Female chefs and cooks, and male butchers and bakers had elevated AMI HRs. Both male and female transport and heavy equipment operators and related maintenance occupations had increased HRs (1.48; 95% CI: 1.30-1.67). Often male and female workers employed in the same occupations had congruent AMI risks, but this was not always the case. Conclusions:The linkage of a WCB data set with provincial health claims data led to the identification of a number of occupations with elevated risks of AMI in Manitoba.This was most notable in the transportation industry. Identifying work areas with increased risk of AMIs could lead to targeted educational efforts and potential workplace modifications to lower this risk.

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A comparison of opioid use between WCB recipients and other Manitobans for knee, shoulder, back and carpal tunnel release procedures

Cited by 9 publications

References 30 publications

Predictors of long‐term opioid use and opioid use disorder among construction workers: Analysis of claims data

Predictors of long‐term opioid use and opioid use disorder among construction workers: Analysis of claims data

Analgesic Drug Prescription After Carpal Tunnel Surgery

Acute myocardial infarctions identified in the Manitoba Occupational Disease Surveillance System: A linkage of worker's compensation and provincial health data

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