Identifying factors associated with persistent opioid use after total joint arthroplasty: a retrospective review - Summary - MDSpire

Identifying factors associated with persistent opioid use after total joint arthroplasty: a retrospective review

  • By

  • Aurora Quaye

  • John DiPalazzo

  • Kristin Kostka

  • Janelle M Richard

  • Blaire Beers-Mulroy

  • Meredith Peck

  • Robert Krulee

  • Yi Zhang

  • November 20, 2024

  • 0 min

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Objective:

To identify predictors of persistent opioid use in opioid-naïve individuals undergoing total joint arthroplasty, highlighting the importance of these predictors in improving postoperative care.

Key Findings:
  • 12.3% of patients had persistent opioid use defined as at least one opioid prescription between 90 days and 1 year after surgery, from a total of 6432 patients analyzed.
Interpretation:

The predictive model shows promise for identifying high-risk patients for persistent opioid use, enabling targeted interventions to reduce opioid reliance post-surgery, which is crucial for improving patient outcomes.

Limitations:
  • Retrospective design may limit causality inference and introduce biases.
  • Exclusion of patients with prior opioid use may affect generalizability.
Conclusion:

The study contributes to understanding risk factors for persistent opioid use in opioid-naïve patients post-total joint arthroplasty, aiding in the development of predictive tools for better pain management strategies and addressing the opioid crisis.

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