Melissa Cheng1, Matthew S Thiese, Eric M Wood, Jay Kapellusch, James Foster, David Drury, Andrew Merryweather, Kurt T Hegmann. 1. Rocky Mountain Center for Occupational & Environment Health, Department of Family and Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Drs Cheng, Thiese, Wood, Merryweather, Hegmann); Occupational Science & Technology Department, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin (Dr Kapellusch); School of Rural Public Health, Texas A&M University Health Science Center, College Station, Texas (Dr Foster).
Abstract
OBJECTIVE: The primary goal of this cross-sectional analysis was to determine the relationships between self-reported low back pain (LBP) ratings and use of opioid medications. METHODS: At baseline, subjects completed a computerized questionnaire. Structured interviews were conducted by residents or certified therapists under the direction of board-certified physicians. RESULTS: There was a statistically significant nonlinear relationship between lifetime prevalence of worst LBP rating (0 to 10) and lifetime prevalence of opioid use. Those with a low pain rating for worst lifetime LBP and those with high LBP ratings were significantly more likely to have been prescribed opioids. Surprisingly, those with moderate pain ratings were the least likely to have used opioids. CONCLUSION: This study found a higher use of opioids between workers with low and high severe pain rating then those with moderate pain. We also found an increase of opioid use for severe pain.
OBJECTIVE: The primary goal of this cross-sectional analysis was to determine the relationships between self-reported low back pain (LBP) ratings and use of opioid medications. METHODS: At baseline, subjects completed a computerized questionnaire. Structured interviews were conducted by residents or certified therapists under the direction of board-certified physicians. RESULTS: There was a statistically significant nonlinear relationship between lifetime prevalence of worst LBP rating (0 to 10) and lifetime prevalence of opioid use. Those with a low pain rating for worst lifetime LBP and those with high LBP ratings were significantly more likely to have been prescribed opioids. Surprisingly, those with moderate pain ratings were the least likely to have used opioids. CONCLUSION: This study found a higher use of opioids between workers with low and high severe pain rating then those with moderate pain. We also found an increase of opioid use for severe pain.
Authors: Stephen V Cantrill; Michael D Brown; Russell J Carlisle; Kathleen A Delaney; Daniel P Hays; Lewis S Nelson; Robert E O'Connor; Annmarie Papa; Karl A Sporer; Knox H Todd; Rhonda R Whitson Journal: Ann Emerg Med Date: 2012-10 Impact factor: 5.721
Authors: Howard G Birnbaum; Alan G White; Matt Schiller; Tracy Waldman; Jody M Cleveland; Carl L Roland Journal: Pain Med Date: 2011-03-10 Impact factor: 3.750
Authors: Matthew S Thiese; Kurt T Hegmann; Eric M Wood; Arun Garg; J Steven Moore; Jay M Kapellusch; James Foster; Tom Greene; Greg Stoddard; Jeremy Biggs Journal: Hum Factors Date: 2014-02 Impact factor: 2.888