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

American Journal of Industrial Medicine
Allen KrautLeigh Anne Shafer

Abstract

This study's objectives were to evaluate whether WCB claimants with conditions requiring certain surgical procedures are more likely to be prescribed outpatient opioids than other Manitobans and whether those prescribed opioids are more likely to still be on opioid medications 6 months post procedure. We compared 7,246 WCB claims for a number of surgical procedures to 65,032 similar procedures performed in other Manitobans. Logistic regression was used to explore the association between being a WCB claimant and being prescribed opioids, while controlling for type of surgical procedure and other potential confounders. WCB claimants were more likely than other Manitobans to be prescribed opioids (adjusted OR 1.38; 95%CI 1.30-1.47). Amongst those prescribed opioids, the odds of being still on opioids 6 months post-procedure were not significantly elevated for WCB claimants (adjusted OR 1.09 95%CI 0.97-1.23). WCB claimants are prescribed opioids more often than non-claimants for similar procedures.

References

Feb 15, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G R BarrettM R Coggin
May 16, 2001·Arthritis and Rheumatism·J N KatzR B Keller
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·H T HeeJ E Ricciardi
Apr 7, 2005·JAMA : the Journal of the American Medical Association·Ian HarrisJane Young
Sep 12, 2008·Clinical Orthopaedics and Related Research·R BalykL Beaupre
May 5, 2010·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Andrea D FurlanUNKNOWN National Opioid Use Guideline Group
Jul 31, 2010·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·Scott F M DuncanRyosuke Kakinoki
Nov 10, 2011·Substance Use & Misuse·Iman ParhamiTimothy W Fong
Jan 4, 2012·American Journal of Industrial Medicine·Gary M FranklinDeborah Fulton-Kehoe
Oct 18, 2012·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·David N Juurlink, Irfan A Dhalla
Oct 20, 2012·Spine·Jeffrey L GumLeah Y Carreon
Nov 13, 2012·American Journal of Industrial Medicine·Melissa ChengKurt Hegmann
Dec 19, 2012·Surgical Neurology International·Mark L PrasarnGlenn R Rechtine
Jan 30, 2013·Drug and Alcohol Dependence·Magdalena CerdáSandro Galea
Oct 15, 2013·American Journal of Industrial Medicine·Deborah Fulton-KehoeGary M Franklin
Jan 17, 2014·The Journal of Bone and Joint Surgery. American Volume·H Mike KimWilliam N Levine
Aug 26, 2014·American Journal of Industrial Medicine·Allen KrautColette B Raymond
Oct 13, 2014·Journal of Shoulder and Elbow Surgery·Brent J MorrisT Bradley Edwards

❮ Previous
Next ❯

Citations

Nov 4, 2017·Regional Anesthesia and Pain Medicine·Régis FuzierMaryse Lapeyre-Mestre
Mar 12, 2019·Population Health Management·Sarah GebauerF David Schneider
Sep 30, 2020·The American Journal of Drug and Alcohol Abuse·Jonathan AramNatalie Slopen
Nov 25, 2020·American Journal of Industrial Medicine·Ann Marie DaleBrian F Gage

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.