Gabapentinoid and Opioid Utilization and Cost Trends Among Injured Workers.

Journal of Occupational and Environmental Medicine
Che LiuXuguang Grant Tao

Abstract

To characterize changes in opioid, gabapentin, and pregabalin utilization patterns and cost trends between 2008 and 2018 in a Louisiana workers' compensation claims population and explore the role of gabapentinoids as alternative analgesics during the opioid epidemic. Filled prescriptions for gabapentinoids and opioids were studied for 11 years in a cohort of 18,737 claimants. The proportion of claimants prescribed gabapentin increased 2-fold (8.9% to 18.9%) and average drug cost per claimant decreased 22% ($612 to $480). The proportion of claimants prescribed pregabalin decreased approximately 80% (11.7% to 2.5%) and average drug cost per claim increased 224% ($911 to $2952). Proportion of claimants prescribed opioids decreased 20% (80% to 64.2%) and average drug cost per claim decreased 46% ($691 to $371). Utilization increased substantially for gabapentin and decreased for pregabalin and opioids.

References

Jul 24, 2012·Journal of Occupational and Environmental Medicine·Jeffrey A WhiteEdward Bernacki
Apr 19, 2013·Journal of Occupational Rehabilitation·Fiona J ClayAlex Collie
Dec 8, 2015·Journal of Occupational and Environmental Medicine·Xuguang Grant TaoEdward J Bernacki
Mar 8, 2016·Journal of Occupational and Environmental Medicine·Robert A LavinEdward J Bernacki
Mar 16, 2016·JAMA : the Journal of the American Medical Association·Deborah DowellRoger Chou
Feb 2, 2017·Drugs·Kirk E EvoyStephen R Saklad
Aug 27, 2017·BMC Health Services Research·Brett R StaceyPatrick Hlavacek
Jan 4, 2018·JAMA Internal Medicine·Michael E Johansen
Jul 5, 2018·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Oliver EnkeC-W Christine Lin
Aug 25, 2018·Annals of Internal Medicine·Douglas C Throckmorton, Janet Woodcock
Mar 26, 2019·JAMA Internal Medicine·Christopher W Goodman, Allan S Brett

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Citations

Aug 7, 2021·Journal of Occupational and Environmental Medicine·Robert A LavinXuguang Grant Tao

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