ArticlePerioperative medicine (London, England)2018
Predictors of chronic prescription opioid use after orthopedic surgery: derivation of a clinical prediction rule.
Article in Perioperative medicine (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Pooled it
- Effectiveness of Acceptance and Commitment Therapy (ACT) for the Management of Postsurgical Pain: A Randomized Controlled Trial (SPINE-ACT Study).European journal of pain (London, England) · 2026Trial
- Effects of biopsychosocial complexity and pain-related factors on opioid prescription in patients with chronic musculoskeletal pain.Pain reports · 2025Article
- Young age, female sex, smoking, and worse area deprivation index associated with prolonged postoperative opioid use after rotator cuff repair.Shoulder & elbow · 2025Article
- Postoperative Opioid Reduction Using a Multimodal Pain Protocol for Outpatient Orthopaedic Sports Medicine Surgery.Orthopaedic journal of sports medicine · 2024Article
- Diagnostic profiles associated with long-term opioid therapy in active duty servicemembers.PM & R : the journal of injury, function, and rehabilitation · 2024Article
- Prevalence and predictors of long-term opioid use following orthopaedic surgery in an Australian setting: A multicentre, prospective cohort study.Anaesthesia and intensive care · 2023Observational
- Patient-Reported Data Augment Prediction Models of Persistent Opioid Use after Elective Upper Extremity Surgery.Plastic and reconstructive surgery · 2023Article
- Factors Associated with Prolonged Opioid Use after CMC Arthroplasty.Journal of hand and microsurgery · 2023Article
- Sex differences in utilization and perioperative outcomes of arthroscopic rotator cuff repair.JSES international · 2022Article
- Fluctuation of visual analog scale pain scores and opioid consumption before and after total hip arthroplasty.World journal of orthopedics · 2022Article
- Public Perceptions of Opioid Use Following Orthopedic Surgery: A Survey.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022Article
- Patient-specific factors, but neither regional anesthesia nor hip-specific cryotherapy, predict postoperative opioid requirements after hip arthroscopy for femoroacetabular impingement (FAI) syndrome.Journal of clinical orthopaedics and trauma · 2022Article
- Mind-body approaches for reducing the need for post-operative opioids: Evidence and opportunities.Journal of clinical anesthesia and intensive care · 2022Article
- Patient understanding regarding opioid use in an orthopaedic trauma surgery population: a survey study.Journal of orthopaedic surgery and research · 2021Article
- Comparison of opioid prescribing upon hospital discharge in patients receiving tapentadol versus oxycodone following orthopaedic surgery.International journal of clinical pharmacy · 2021Article
- Older, Male Orthopaedic Surgeons From Southern Geographies Prescribe Higher Doses of Post-Operative Narcotics Than do their Counterparts: A Medicare Population Study.Arthroscopy, sports medicine, and rehabilitation · 2021Article
- Do Narcotic Use, Physical Therapy Location, or Payer Type Predict Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction?Orthopaedic journal of sports medicine · 2021Article
- Article
- What are the biopsychosocial risk factors associated with pain in postpartum runners? Development of a clinical decision tool.PloS one · 2021Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrescription opioid use at high doses or over extended periods of time is associated with adverse outcomes, including dependency and abuse. The aim of this study was to identify mediating variables that predict chronic opioid use, defined as three or more prescriptions after orthopedic surgery.
methodsIndividuals were ages between 18 and 50 years and undergoing arthroscopic hip surgery between 2004 and 2013. Two categories of chronic opioid use were calculated based on individuals (1) having three or more unique opioid prescriptions within 2 years and (2) still receiving opioid prescriptions > 1 year after surgery. Univariate elationships were identified for each predictor variable, then significant variables (
resultsThere were 1642 participants (mean age 32.5 years, SD 8.2, 54.1% male). Nine predictor variables met the criteria after bivariate analysis for potential inclusion in each multivariate model. Eight variables: socioeconomic status (from enlisted rank family), prior use of opioid medication, prior use of non-opioid pain medication, high health-seeking behavior before surgery, a preoperative diagnosis of insomnia, mental health disorder, or substance abuse were all predictive of chronic opioid use in the final model (seven variables for three or more opioid prescriptions; four variables for opioid use still at 1 year; all< 0.05). Post-test probability of having three or more opioid prescriptions was 93.7% if five of seven variables were present, and the probability of still using opioids after 1 year was 69.6% if three of four variables were present.
conclusionA combination of variables significantly predicted chronic opioid use in this cohort. Most of these variables were mediators, indicating that modifying them may be feasible, and the potential focus of interventions to decrease the risk of chronic opioid use, or at minimum better inform opioid prescribing decisions. This clinical prediction rule needs further validation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.