Patterns of Opioid Demand after Operative Treatment of Distal Radius Fractures.


Journal

Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231

Informations de publication

Date de publication:
Apr 2023
Historique:
received: 14 11 2022
accepted: 07 02 2023
medline: 7 4 2023
entrez: 6 4 2023
pubmed: 7 4 2023
Statut: epublish

Résumé

The purpose of this study was to evaluate opioid demand after open reduction and internal fixation of distal radius fractures in patients with and without a diagnosis of cannabis use. The PearlDiver database was queried for all patients who underwent open reduction and internal fixation of distal radius fractures between 2010 and 2020. Patients were categorized into two groups: (1) those with an active diagnosis of cannabis use (case) and (2) those without (control). The primary outcome measure was morphine milligram equivalents per prescription filled within 30 days after surgery. A logistic regression was used to determine potential risk factors associated with increased opioid filling patterns. The rates of prescription refills before and after surgery were congruent in both the case and control populations and did not show significant differences ( This study found a significant reduction in opioid volume in patients with a diagnosis of cannabis use who filled an opioid prescription after open reduction and internal fixation of distal radius fractures. Mental health diagnoses, specifically depression, showed an increased risk of multiple opioid prescription refills in patients without a diagnosis of cannabis use.

Identifiants

pubmed: 37020989
doi: 10.1097/GOX.0000000000004901
pmc: PMC10069858
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e4901

Informations de copyright

Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

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Auteurs

Nayun Lee (N)

University of Colorado School of Medicine, Aurora, Colo.

Elliot L H Le (ELH)

Division of Plastic and Reconstructive Surgery, University of Colorado Anschutz Medical Center, Aurora, Colo.

Ryan Constantine (R)

Division of Plastic and Reconstructive Surgery, University of Colorado Anschutz Medical Center, Aurora, Colo.

Matthew L Iorio (ML)

Division of Plastic and Reconstructive Surgery, University of Colorado Anschutz Medical Center, Aurora, Colo.

Classifications MeSH