Trends in the Utilization and Dose of Gabapentinoids in Combination With Opioids in an Injured Worker Population Between 2008 and 2018.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 34354021.
- Also identified by DOI 10.1097/JOM.0000000000002344.
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Abstract
To determine long term (11 year) trends in gabapentin and pregabalin prescribing among workers' compensation claimants at various opioid dose combinations (low, medium, high, and very high) in Louisiana. A longitudinal study of 18,737 claimants who filled any prescriptions between 2008 and 2018. The proportion of claimants prescribed opioids alone at all dose levels decreased dramatically. The proportion claimants prescribed the combination of low dose opioids and low dose gabapentinoids increased (7.7% to 10.9%). Prescribing higher daily doses of gabapentinoids was associated with higher daily doses of opioids. Gabapentinoid prescribing was associated with continued prescribing of medium and high dose opioids as claims matured. Overall opioid prescribing decreased over time, while prescribing low dose opioids with gabapentinoids, increased.
Medical subject headings
- Analgesics, Opioid
- Practice Patterns, Physicians'