{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:09:09Z","timestamp":1780099749010,"version":"3.54.0"},"reference-count":29,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T00:00:00Z","timestamp":1733356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Few studies have assessed long\u2010term opioid prescribing after a work\u2010related injury. There is limited information about opioid prescriptions before an injury and how receipt of opioids before a work injury is associated with long\u2010term opioid prescribing. We present patterns of long\u2010term opioid prescription among workers after an injury, overall, and by pre\u2010injury opioid use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used linked workers' compensation and prescription drug monitoring program (PDMP) data to identify workers injured between July 2019 and June 2020 with an opioid prescription dispensed within 6 weeks after injury. Opioid prescribing was assessed for the 3 months before injury and for 1 year after injury or claim closure, whichever came first.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among injured workers with an opioid in the first 6 weeks, 23% had opioids 6\u221212 weeks after injury, 19% had opioids 3\u22126 months, 14% had opioids 6\u22129 months, and 12% had opioids 9\u221212 months after injury; 19% had opioids in the 3 months before injury. For workers with opioid prescription prior to injury, the percentage with opioids 9\u221212 months after injury was 34%, versus 7% among workers with no opioids in the 3 months before injury (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Receipt of chronic opioids (for at least 60 days) 9\u221212 months after injury was substantially higher among those with prior opioid prescription\u00a0(20%) than in those with no prior opioids (0.4%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found a strong relationship between opioid prescription in the 3 months before a work injury and opioid prescribing after an injury. Healthcare providers should be vigilant to the important relationship between prior opioid use and longer\u2010term opioid use after work\u2010related injuries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23683","type":"journal-article","created":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T02:59:49Z","timestamp":1733453989000},"page":"132-139","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Pre\u2010Injury Opioid Use and Opioid Use Patterns After a Work Injury"],"prefix":"10.1002","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6663-6904","authenticated-orcid":false,"given":"Deborah","family":"Fulton\u2010Kehoe","sequence":"first","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Haight","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Elmore","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7325-1279","authenticated-orcid":false,"given":"Jeanne M.","family":"Sears","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences University of Washington Seattle Washington USA"},{"name":"Department of Health Systems and Population Health University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Wickizer","sequence":"additional","affiliation":[{"name":"Division of Health Services Management and Policy Ohio State University Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1355-4091","authenticated-orcid":false,"given":"Gary M.","family":"Franklin","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences University of Washington Seattle Washington USA"},{"name":"Department of Health Systems and Population Health University of Washington Seattle Washington USA"},{"name":"Department of Neurology School of Medicine, University of Washington Seattle Washington USA"},{"name":"Washington State Department of Labor and Industries Olympia Washington 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