ArticleWorld journal of orthopedics2019
Comparison of implant related complications amongst patients with opioid use disorder and non-users following total knee arthroplasty.
Article in World journal of orthopedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Evidence-based framework for identifying opioid use disorder in administrative data: A systematic review and methodological development study.Pain medicine (Malden, Mass.) · 2026Pooled it
- Meta-analysis of retrospective studies suggests that the pre-operative opioid use is associated with an increased risk of adverse outcomes in total hip and or knee arthroplasty.International orthopaedics · 2021Pooled it
- Pooled it
- Treatment gaps for opioid use disorder among commercially insured US surgical patients, 2016-2022.Regional anesthesia and pain medicine · 2026Article
- The long-term impacts of opioid use before and after joint arthroplasty: matched cohort analysis of New Zealand linked register data.Family practice · 2024Article
- The relationship between preoperative opioid use and adverse events following total shoulder arthroplasty.Shoulder & elbow · 2023Article
- Comparison of baseline demographics and risk factors for aseptic loosening following primary total elbow arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Regional anesthesia does not decrease opioid demand in pelvis and acetabulum fracture surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Observational
- Regional anesthesia does not decrease inpatient or outpatient opioid demand in distal femur fracture surgery.Archives of orthopaedic and trauma surgery · 2022Article
- Combating the Opioid Epidemic: Experience with a Single Prescription for Total Joint Arthroplasty.Arthroplasty today · 2020Article
- Opioid Use Disorder Is Associated with an Increased Risk of Infection after Total Joint Arthroplasty: A Large Database Study.Clinical orthopaedics and related research · 2020Article
- Review
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe influence of opioid use disorder on implant related complications, infection and readmission rates, and total global episode-of-care costs following primary total knee arthroplasty (TKA) is limited.
aimTo examine whether opioid abuse in patients undergoing primary TKA.
methodsA retrospective analysis of the Medicare dataset, using the PearlDiver database, from 2005-2014 comparing outcomes in patients with opioid abusers (OUD) to non-opioid abusers (NOU) undergoing primary TKA was performed. Patient outcomes were analyzed including implant complications, readmission rates, and day-of-surgery and 90-d cost. Statistical analysis was performed with R (University of Auckland, New Zealand) calculating odds-ratio (OR) along with their respective 95% confidence interval (95%CI) and
resultsThe OUD group was at greater odds of having implant related complications overall (20.84%
conclusionPatients with OUD show an increased risk of complications compared to the non-opioid users group. Appropriate recognition, pre-surgical optimization, and patient education are essential to mitigate these complications and improve patient outcome.
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