Association of Opioid, Anti-Depressant, and Benzodiazepines with Workers' Compensation Cost: A Cohort Study

Dan L. Hunt, Ryan D. Artuso, Nimisha Kalia, Nina Leung, Edward J. Bernacki, Xuguang Grant Tao

Research output: Contribution to journalArticle

Abstract

Background:Antidepressants, benzodiazapines, and opioid medications are used to manage the pain, anxiety, or depression associated with workplace injuries.Objective:To evaluate the impact of these medications on workers' compensation costs and time lost from work.Methods:A cohort of 22,383 indemnity claims from 2008 to 2013 were evaluated for the association of prescribed medications on claim cost and delayed claim closure controlling for confounders.Results:Claims with anti-depressant, opioid, or benzodiazepine prescriptions were 2.24 (95% CI: 2.00 to 2.51), 1.14 (95% CI: 1.02 to 1.27), and 1.38 (95% CI: 1.23 to 1.54) times more likely to remain open at the end of the study.Conclusion:The concurrent treatment of pain, depression or anxiety, and occupational injuries are associated with large increases in claim cost and delayed return to work.

Original languageEnglish (US)
Pages (from-to)E206-E211
JournalJournal of occupational and environmental medicine
Volume61
Issue number5
DOIs
StatePublished - May 1 2019

Fingerprint

Workers' Compensation
Benzodiazepines
Opioid Analgesics
Cohort Studies
Costs and Cost Analysis
Anxiety
Depression
Occupational Injuries
Pain
Return to Work
Insurance
Workplace
Antidepressive Agents
Prescriptions
Wounds and Injuries
Therapeutics

Keywords

  • Anti-depressant
  • Benzodiazepines
  • Occupational injury
  • Opioid
  • Psychotropic mediation
  • Workers' compensation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Association of Opioid, Anti-Depressant, and Benzodiazepines with Workers' Compensation Cost : A Cohort Study. / Hunt, Dan L.; Artuso, Ryan D.; Kalia, Nimisha; Leung, Nina; Bernacki, Edward J.; Tao, Xuguang Grant.

In: Journal of occupational and environmental medicine, Vol. 61, No. 5, 01.05.2019, p. E206-E211.

Research output: Contribution to journalArticle

Hunt, Dan L. ; Artuso, Ryan D. ; Kalia, Nimisha ; Leung, Nina ; Bernacki, Edward J. ; Tao, Xuguang Grant. / Association of Opioid, Anti-Depressant, and Benzodiazepines with Workers' Compensation Cost : A Cohort Study. In: Journal of occupational and environmental medicine. 2019 ; Vol. 61, No. 5. pp. E206-E211.
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