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Impact of the Combined Use of Opioids and Surgical Procedures on Workers' Compensation Cost Among a Cohort of Injured Workers in the State of Louisiana
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Impact of the Combined Use of Opioids and Surgical Procedures on Workers' Compensation Cost Among a Cohort of Injured Workers in the State of Louisiana
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Journal Article
Impact of the Combined Use of Opioids and Surgical Procedures on Workers' Compensation Cost Among a Cohort of Injured Workers in the State of Louisiana
2012
Overview
Objective: To determine the impact of surgical procedures and opioids on workers' compensation claim cost. Methods: A cohort of 11,394 lost time claims filed with the Louisiana Workers' Compensation Corporation from 1999 to 2002 was followed for 7 years. Results: Controlling for gender, attorney involvement, and claim duration, multivariate logistic regression analysis indicated that odds ratios (ORs) for a catastrophic claim (final cost ≥ $100,000) associated with short-acting and long-acting opioids (vs no opioids) were 4.28 and 12.19. The ORs for catastrophic claims associated with a spinal surgical procedure or spinal fusion (vs no procedure) were 4.27 and 11.40. Spinal surgical procedures plus opioid use significantly increased the OR for catastrophic claims; for example, spinal fusion plus long-acting opioids had an OR of 138.96. Conclusion: Spinal surgery and opioid utilization are associated with catastrophic claim costs.
Publisher
Lippincott Williams & Wilkins,The American College of Occupational and Environmental Medicine,Lippincott Williams & Wilkins Ovid Technologies
Subject
Analgesics, Opioid - economics
/ Analgesics, Opioid - therapeutic use
/ Biological and medical sciences
/ Combined Modality Therapy - economics
/ Female
/ Humans
/ Male
/ Occupational Injuries - drug therapy
/ Occupational Injuries - economics
/ Occupational Injuries - surgery
/ Public health. Hygiene-occupational medicine
/ Surgery
