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. 2021 Mar;64(3):170-177.
doi: 10.1002/ajim.23216. Epub 2020 Dec 29.

Determining the influence of the Workers Compensation Board of Manitoba's opioid policy on prescription opioid use amongst WCB recipients

Allen Kraut  1   2 , Leigh Anne Shafer  1
Affiliations

Determining the influence of the Workers Compensation Board of Manitoba's opioid policy on prescription opioid use amongst WCB recipients

Allen Kraut et al. Am J Ind Med. 2021 Mar.

Abstract

Background: Opioid medications are commonly used by Workers Compensation Board (WCB) claimants following workplace injuries. The purpose of this study is to describe the impact of an opioid management policy on opioid prescriptions amongst a WCB-covered population compared to changes in the use of these medications in the general population of a Canadian province.

Methods: We linked WCB claims data from 2006 to 2016 (13,155 claims, 11,905 individuals) to Manitoba provincial health records and compared opioid use amongst this group to 478,606 individuals aged 18-65. Linear regression was performed to examine the change over time in number of individuals being prescribed opioids for various durations and dosages of 50 or more, and 120 or more morphine equivalents (ME)/day for both the WCB and Manitoba population.

Results: WCB claimants totaled 2.5% of Manitoba residents aged 18-65 who were prescribed opioids for non-cancer pain. After the introduction of the opioid use policy for the WCB population in November 2011, the number of people prescribed opioids declined 49.4% in the WCB group, while increasing 10.8% in the province as a whole. The number of individuals using 50 ME/day or more declined 43.1% in the WCB group and increased 5.8% in the province.

Conclusions: Opioid management programs organized by a compensation board can lead to a substantial reduction in the prescription of opioid medications to a WCB client population, including individuals who were prescribed higher doses of these medications when compared with general trends in the community.

Keywords: canada; opioids; workers compensation.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Relationships of Workers Compensation Board (WCB) accepted time loss claims and new opioid starts in WCB claimants 2006–2016
Figure 2
Figure 2
Number of individuals age 18–65 prescribed opioids paid for by the Workers Compensation Board compared with other Manitobans 2006–2016
Figure 3
Figure 3
Number of individuals prescribed opioids for more than 1 year paid for by the Workers Compensation Board compared with all Manitobans age 18–65, 2006–2016
Figure 4
Figure 4
Number of individuals prescribed more than or equal to 50 ME/day paid for by the WCB compared with other Manitobans age 18–65, 2006–2016. ME, morphine equivalents; WCB, Workers Compensation Board
Figure 5
Figure 5
Number of individuals prescribed more than or equal to 120 ME/day paid for by the WCB compared with other Manitobans 2006–2016. ME, morphine equivalents; WCB, Workers Compensation Board
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