ArticleInternational orthopaedics2019
Orthopaedic surgery patients who use recreational marijuana have less pre-operative pain.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.Journal of orthopaedic surgery and research · 2020Pooled it
- Impact of Preoperative Marijuana Use on Functional Recovery and Complications After Spinopelvic Fusion in Adult Spinal Deformity.Neurosurgery practice · 2026Article
- Patient reported cannabis use is associated with greater 24-hour postoperative opioid use but shorter length of stay in isolated tibial shaft fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Medical and recreational cannabis use in patients undergoing one- or two-level lumbar spine fusion correlated with postoperative outcomes.North American Spine Society journal · 2025Article
- Self-Reported Marijuana Use Is Associated With Increased Narcotic Prescribing Following Hip and Knee Arthroplasty.The Iowa orthopaedic journal · 2025Article
- Understanding the epidemiology and perceived efficacy of cannabis use in patients with chronic musculoskeletal pain.Journal of cannabis research · 2024Article
- Disparities in cannabis use and documentation in electronic health records among children and young adults.NPJ digital medicine · 2023Article
- Cannabis use is associated with decreased opioid prescription fulfillment following single level anterior cervical discectomy and fusion (ACDF).North American Spine Society journal · 2023Article
- Patterns of Opioid Demand after Operative Treatment of Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2023Article
- Hand Surgery Patient Perspectives on Medical Cannabis: A Survey of Over 600 Patients.Journal of hand surgery global online · 2023Article
- Impact of pre-operative recreational marijuana use on outcomes two years after orthopaedic surgery.International orthopaedics · 2021Article
- Clinical characteristics associated with depression or anxiety among patients presenting for knee surgery.Journal of clinical orthopaedics and trauma · 2020Article
- Response to letter to the editor concerning "Orthopaedic surgery patients who use recreational marijuana have less pre-operative pain".International orthopaedics · 2019Article
- Comment on Medina et al.: orthopaedic surgery patients who use recreational marijuana have less pre-operative pain.International orthopaedics · 2019Article
- General and specialized Orthopaedics.International orthopaedics · 2019Article
- The Impact of Perioperative Cannabis Use: A Narrative Scoping Review.Cannabis and cannabinoid research · 2019Article
- Cannabis use patterns among patients with upper extremity conditions at the time of legalization in Canada.Canadian journal of surgery. Journal canadien de chirurgieArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTo determine the baseline clinical characteristics of recreational marijuana users undergoing outpatient orthopaedic surgery. We hypothesized that patients who report marijuana use would have worse pain, function, and general health status. PATIENTS AND
methodsNine-hundred and thirty-seven patients undergoing outpatient orthopaedic surgery were asked to fill out patient-reported outcome (PRO) tools. These PROs included the Patient-Reported Outcomes Measurement Information Systems (PROMIS) computer adaptive tests and legacy PROs unique to each patients' surgical site.
resultsForty patients (4.2%) reported marijuana use. Marijuana use was associated with younger age (33 vs. 43 years, p < 0.001), having a history of fewer operations (1.8 vs. 3.2, p < 0.05), single marital status (68 vs. 38%, p < 0.01), and having a history of smoking cigarettes (63 vs. 31%, p < 0.0001). Marijuana use was found to be significantly associated with greater Marx lower extremity activity rating scale scores (8.5 points vs. 6.1 points, p < 0.05) and decreased pain intensity in the operative site (3.7 points vs. 5.0 points, p < 0.05). Multivariable analysis found that marijuana use was an independent factor associated with less pain intensity in the operative site (p < 0.05).
conclusionOur studies support other national studies that report increased marijuana use among younger patients and those who smoke cigarettes. The results do not support our hypothesis, as marijuana use was associated with less pain and better lower extremity activity rating scale scores when compared to non-users. Further research is warranted to analyze the effects of marijuana use on orthopaedic surgery patients. STUDY
designCross-sectional study.
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