ArticleInternational journal of spine surgery2020
Predictive Risk Factors Associated With Increased Opioid Use Among Patients Undergoing Elective Spine Surgery.
Article in International journal of spine surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Characterizing discharge opioid prescription in postoperative neurosurgical patients: a systematic review.Neurosurgical review · 2024Pooled it
- Opioid Consumption After Laparoscopic Radical Nephrectomy in Early Postoperative Recovery Phase: A Retrospective Cohort Study.Acta anaesthesiologica Scandinavica · 2026Article
- A Self-Polymerizing Mesh of Nano-Tethers for the Mechanical Constraint of Degraded Intervertebral Discs-A Review of 25 Years of Pre-Clinical and Early Clinical Research.Bioengineering (Basel, Switzerland) · 2024Review
- Perioperative Factors Associated With Chronic Opioid Use After Spine Surgery.Global spine journal · 2023Article
- Association of inpatient opioid consumption on postoperative outcomes after open posterior spinal fusion for adult spine deformity.Spine deformity · 2023Article
- Predictive Factors for Postoperative Opioid Use in Elective Skull Base Craniotomies.Journal of neurological surgery. Part B, Skull base · 2022Review
- Risk factors for discontinuing intravenous patient-controlled analgesia after thoracic surgery.Annals of thoracic medicineArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOpioids are commonly used for postoperative pain management in spine surgery. However, few guidelines exist for appropriate prescribing in the acute postoperative phase of care. We identify risk factors for inpatient (IP) opioid use and examine relationships between IP requirements and discharge (DC) opioid prescriptions.
methodsRetrospective review of elective spine surgeries between January 2014 and May 2018 identified cases of lumbar decompression (LD), LD with fusion (LDF), and cervical decompression with fusion (CDF) at our high-volume spine center. Multiple regression examining potential risk factors for opioid use was performed. Opioid use was normalized into daily morphine milligram equivalents (MME).
resultsA total of 2281 patients who underwent 1251 LD, 384 LDF, and 648 CDF procedures were identified (54.1% male, mean age = 57.9 years, mean body mass index = 30.3 kg/m
conclusionsYounger patients and higher ASA scores correlated with increased IP opioid use and DC opioid prescriptions. DC prescriptions appropriately reflect IP use. LEVEL OF EVIDENCE: 3. CLINICAL RELEVANCE: Adequate pain management is an integral component to successful outcomes in spine surgery. Awareness of candidates likely to require higher levels of opioid analgesia will be beneficial in guiding surgeon prescribing practices.
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Registered trials
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