The performance of marginal structural models for estimating risk differences and relative risks using weighted univariate generalized linear models
Austin PC. Stat Methods Med Res. 2024; Apr 24 [Epub ahead of print].
Objective — To explore the impact of the Ontario Workplace Safety & Insurance Board's (WSIB's) graduated approach to opioid management on opioid prescribing and disability claim duration.
Methods — We studied patterns of opioid use and disability claim duration among Ontarians who received benefits through the WSIB between 2002 and 2013. We used interventional time series analysis to assess the impact of the WSIB graduated formulary on these trends.
Results — After the introduction of the graduated formulary, initiation of short- and long-acting opioids fell significantly (p-value < 0.0001). We also observed a shift toward the use of short-acting opioids alone (p < 0.0001). Although disability claim duration declined, this could not be ascribed to the intervention (p = 0.18).
Conclusions — A graduated opioid formulary may be an effective tool for providers to promote more appropriate opioid prescribing.
Gomes T, Duesburry J, Theriault ME, Bain D, Singh S, Martins D, Juurlink D. J Occup Environ Med. 2017; 59(12):1197-201. Epub 2017 Oct 3.
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