Preoperative duration of pain is associated with chronic opioid use after adult spinal deformity surgery.

Adult Humans Female Male Analgesics, Opioid / therapeutic use Retrospective Studies Quality of Life Scoliosis / surgery Pain
Adult spinal deformity Chronic opioid use Clinical presentation Duration of symptoms Pain Preoperative opioid use

Journal

Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979

Informations de publication

Date de publication:
11 2022
Historique:
received: 27 09 2021
accepted: 21 05 2022
pubmed: 25 6 2022
medline: 21 10 2022
entrez: 24 6 2022
Statut: ppublish

Résumé

Few studies have explored the association between preoperative patient-reported measures and chronic opioid use following adult spinal deformity (ASD) surgery. We sought to explore the association between preoperative duration of pain, as well as other patient-reported factors, and chronic opioid use after ASD surgery. We retrospectively reviewed our U.S. academic tertiary care hospital's database of ASD patients. We included patients 18 years or older who underwent arthrodesis of four or more spinal levels from January 2008 to February 2018, with 2-year follow-up. The primary outcome variable was chronic opioid use, defined as opioid use at both 1 and 2 years postoperatively. We analyzed patient characteristics; duration of preoperative pain (<4 years or ≥4 years); radiculopathy; preoperative Scoliosis Research Society-22r (SRS-22r) score; Oswestry Disability Index (ODI) value; and surgical characteristics. Of 119 patients who met the inclusion criteria, 93 (78%) were women, and mean ± standard deviation age was 59 ± 13. Sixty patients (50%) reported preoperative opioid use, and 35 (29%) reported chronic opioid use. Preoperative opioid use was associated with higher odds of chronic use (adjusted odds ratio, 5.9; 95% confidence interval 1.6-21), as was preoperative pain duration of ≥4 years (adjusted odds ratio, 3.3; 95% confidence interval 1.1-9.8). Patient characteristics, surgical variables, ODI value, and SRS-22r score were not significantly associated with chronic postoperative opioid use. Preoperative opioid use and duration of pain of ≥4 years were associated with higher odds of chronic opioid use after ASD surgery. III.

Identifiants

DOI: 10.1007/s43390-022-00531-7 PMID: 35750987
pubmed: 35750987
doi: 10.1007/s43390-022-00531-7
pii: 10.1007/s43390-022-00531-7
doi:

Substances chimiques

Analgesics, Opioid 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1393-1397

Informations de copyright

© 2022. The Author(s), under exclusive licence to Scoliosis Research Society.

Références

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Auteurs

Kevin C Mo (KC)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Rahul Sachdev (R)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Bo Zhang (B)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Amar Vadhera (A)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Mark Ren (M)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Nicholas S Andrade (NS)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Khaled M Kebaish (KM)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Richard L Skolasky (RL)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA.

Brian J Neuman (BJ)

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, 601 North Caroline Street, JHOC 5241, Baltimore, MD, 21287, USA. bneuman7@jhmi.edu.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Preoperative duration of pain is associated...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Preoperative duration of pain is associated...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Stupéfiants › Analgésiques morphiniques › Preoperative duration of pain is associated...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Preoperative duration of pain is associated...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Mesures épidémiologiques › Démographie › État de santé › Qualité de vie › Preoperative duration of pain is associated...
questionsmedicales.fr › Maladies ostéomusculaires › Maladies osseuses › Maladies du rachis › Déviations du rachis › Scoliose › Preoperative duration of pain is associated...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Preoperative duration of pain is associated...