ArticleThe American journal of sports medicine2019
Elective Shoulder Surgery in the Opioid Naïve: Rates of and Risk Factors for Long-term Postoperative Opioid Use.
Article in The American journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.
- Patient-related risk factors for new persistent opioid use after surgery among opioid-naïve individuals in the United States: a systematic review and meta-analysis.Pain medicine (Malden, Mass.) · 2026Pooled it
- Integrating Nonpharmacological Options Into Perioperative Pain Care: A Cluster Randomized Clinical Trial.JAMA network open · 2026Trial
- Effectiveness of Music Therapy on Utilization Outcomes among Surgical Patients with Mental Health Conditions: A Propensity-Score Matched Cohort Study.Journal of integrative and complementary medicine · 2026Article
- The association of sarcopenia with surgical outcomes and complications following reverse total shoulder arthroplasty: a matched cohort study with comparative analysis against anatomic total shoulder arthroplasty.JSES international · 2026Article
- Patients' peri-operative experiences with non-pharmacologic pain care techniques: a secondary qualitative analysis of the NOHARM trial.BMC complementary medicine and therapies · 2025Observational
- Young age, female sex, smoking, and worse area deprivation index associated with prolonged postoperative opioid use after rotator cuff repair.Shoulder & elbow · 2025Article
- Durable Shoulder Pain Relief and Avoidance of Surgery Up To 5 Years Following 60-Day PNS Treatment.Pain and therapy · 2025Article
- United States opioid prescribing trends after shoulder surgery and their correlation with opioid misuse.JSES international · 2025Article
- Risk of prolonged postoperative opioid use after elective shoulder replacement: a nationwide cohort study of 5,660 patients from the Danish Shoulder Arthroplasty Registry.Acta orthopaedica · 2024Article
- Machine learning identifies risk factors associated with long-term opioid use in fibromyalgia patients newly initiated on an opioid.RMD open · 2024Article
- Patient factors influencing the choice of opioid versus non-opioid postoperative analgesia following common sports procedures: a prospective survey study.Journal of orthopaedics · 2023Article
- Opioid Prescription Patterns 90 Days After Arthroscopic Rotator Cuff Repair: A 10-Year National Database Analysis.Orthopaedic journal of sports medicine · 2023Article
- A national analysis of the effect alcohol use disorder has on short-term complications and readmissions following total shoulder arthroplasty.Journal of orthopaedics · 2023Article
- Opiate Use Patterns Among Collegiate Athletes.Cureus · 2022Article
- Application of risk assessment tools to predict opioid usage after shoulder surgery.JSES international · 2022Article
- Implant-related complications in patients with opioid use disorder undergoing primary shoulder arthroplasties: a matched-controlled analysis.Shoulder & elbow · 2022Article
- Novel digital approaches to the assessment of problematic opioid use.BioData mining · 2022Review
- Patient Demographic and Socioeconomic Factors Associated With Physical Therapy Utilization After Uncomplicated Meniscectomy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Prolonged Opioid Use Among Opioid-Naive Women Undergoing Breast Reconstructive Surgery.Archives of plastic surgery · 2022Article
- Four-Corner Arthrodesis versus Proximal Row Carpectomy: Risk Factors and Complications Associated with Prolonged Postoperative Opioid Use.Journal of hand and microsurgery · 2022Article
Corrections and comments
- Commented on byOpioid Epidemic.2019
Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known regarding the rates and risk factors for long-term postoperative opioid use among opioid-naïve patients undergoing elective shoulder surgery. PURPOSE: To identify (1) the proportion of opioid-naïve patients undergoing elective shoulder surgery, (2) the rates of postoperative opioid use among these patients, and (3) the risk factors associated with long-term postoperative opioid use. STUDY
designCohort study; Level of evidence, 3.
methodsA retrospective review of a private administrative claims database was performed to identify those individuals who underwent elective shoulder surgery between 2007 and 2015. "Opioid-naïve" patients were identified as those patients who had not filled an opioid prescription in the 180 days before the index surgery. Within this subgroup, we tracked postoperative opioid prescription refill rates and used a logistic regression to identify patient variables that were predictive for long-term opioid use, which we defined as continued opioid refills beyond 180 days after surgery. Results were reported as odds ratios (ORs).
resultsOver the study period, 79,287 patients were identified who underwent elective shoulder surgery, of whom 79.5% were opioid naïve. Among opioid-naïve patients, the rate of postoperative opioid use declined over time, and 14.6% of patients were still using opioids beyond 180 days. The greatest proportion of opioid-naïve patients still filling opioid prescriptions beyond 180 days postoperatively was seen after open rotator cuff repair (20.9%), whereas arthroscopic labral repair had the lowest proportion (9.8%). Overall, a history of alcohol abuse (OR 1.56), a history of depression (OR 1.46), a history of anxiety (OR, 1.31), female sex (OR, 1.11), and higher Charlson Comorbidity Index (OR 1.02) had the most significant influence on the risk for long-term opioid use among opioid naïve patients.
conclusionsMost patients were opioid naïve before elective shoulder surgery; however, among opioid-naïve patients, 1 in 7 patients were still using opioids beyond 180 days after surgery. Among all variables, a history of mental illness most significantly increased the risk of long-term opioid use after elective shoulder surgery.
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