Factors influencing pain medication and opioid use in patients with musculoskeletal injuries: a retrospective insurance claims database study.

ABSTRACT: Opioid use is only recommended in selected cases of musculoskeletal (MSK) injuries. We assessed factors associated with increased opioid use in MSK injuries. In a retrospective analysis of over four million workers with MSK injuries using the Swiss National Accident Insurance Fund (Suva) database, we analyzed risk factors by multivariate logistic regression. Injury severity was associated with pain medication, opioid, and strong opioid use. Whereas fractures, contusions, and ruptures had higher odds for any pain medication use, increased odds for strong opioids were observed in fractures, superficial injuries, and other injuries. Injuries of the shoulders, elbow, chest, back/spine, thorax, and pelvis/hips showed high odds for opioid use (odds ratio (OR) > 2.0). Injuries of the shoulders ha

SUBMITTER: Scholz SM 

PROVIDER: S-EPMC10805862 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature