The Impact of Morphine Equivalent Daily Dose Threshold Guidelines on Prescribed Dose in a Workers' Compensation Population.

ABSTRACT:

Background

Prescription opioid overdose has increased markedly and is of great concern among injured workers receiving workers' compensation insurance. Given the association between high daily dose of prescription opioids and negative health outcomes, state workers' compensation boards have disseminated Morphine Equivalent Daily Dose (MEDD) guidelines to discourage high-dose opioid prescribing.

Objective

To evaluate the impact of MEDD guidelines among workers' compensation claimants on prescribed opioid dose.

Methods

Workers' compensation claims data, 2010-2013 from 2 guideline states and 3 control states were utilized. The study design was an interrupted time series with comparison states and average monthly MEDD was the primary outcome. Policy variables were specifi

SUBMITTER: Heins SE 

PROVIDER: S-EPMC8845062 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature