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Secular trends in gabapentinoid dispensing by compensated workers with low back pain: a retrospective cohort study.
Mathieson, Stephanie; Collie, Alex; Maher, Christopher G; Abdel Shaheed, Christina; Xia, Ting; Gilbert, Stephen; Ferreira, Giovanni E; Di Donato, Michael F.
Afiliación
  • Mathieson S; Sydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia stephanie.mathieson@sydney.edu.au.
  • Collie A; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
  • Maher CG; Sydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
  • Abdel Shaheed C; Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
  • Xia T; Sydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
  • Gilbert S; Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
  • Ferreira GE; Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia.
  • Di Donato MF; Sydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.
Occup Environ Med ; 81(5): 245-251, 2024 Jun 03.
Article en En | MEDLINE | ID: mdl-38782576
ABSTRACT

OBJECTIVES:

The increase in gabapentinoid prescribing is paralleling the increase in serious harms. To describe the low back pain workers compensation population whose management included a gabapentinoid between 2010 and 2017, and determine secular trends in, and factors associated with gabapentinoid use.

METHODS:

We analysed claim-level and service-level data from the Victorian workers' compensation programme between 1 January 2010 and 31 December 2017 for workers with an accepted claim for a low back pain injury and who had programme-funded gabapentinoid dispensing. Secular trends were calculated as a proportion of gabapentinoid dispensings per year. Poisson, negative binomial and Cox hazards models were used to examine changes over time in incidence and time to first dispensing.

RESULTS:

Of the 17 689 low back pain claimants, one in seven (14.7%) were dispensed at least one gabapentinoid during the first 2 years (n=2608). The proportion of workers who were dispensed a gabapentinoid significantly increased over time (7.9% in 2010 to 18.7% in 2017), despite a reduction in the number of claimants dispensed pain-related medicines. Gabapentinoid dispensing was significantly associated with an opioid analgesic or anti-depressant dispensing claim, but not claimant-level characteristics. The time to first gabapentinoid dispensing significantly decreased over time from 311.9 days (SD 200.7) in 2010 to 148.2 days (SD 183.1) in 2017.

CONCLUSIONS:

The proportion of claimants dispensed a gabapentinoid more than doubled in the period 2010-2017; and the time to first dispensing halved during this period.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Indemnización para Trabajadores / Gabapentina / Analgésicos Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Occup Environ Med Asunto de la revista: MEDICINA OCUPACIONAL / SAUDE AMBIENTAL Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor de la Región Lumbar / Indemnización para Trabajadores / Gabapentina / Analgésicos Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Oceania Idioma: En Revista: Occup Environ Med Asunto de la revista: MEDICINA OCUPACIONAL / SAUDE AMBIENTAL Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido