Evidence map›Paper›PMID 32637432›Full record

ArticleOrthopaedic journal of sports medicine2020

National Trends in Use of Regional Anesthesia and Postoperative Patterns of Opioid Prescription Filling in Shoulder Arthroscopy: A Procedure-Specific Analysis in Patients With or Without Recent Opioid Exposure.

Nicholas A Trasolini, Ioanna K Bolia, Hyunwoo P Kang, Anthony Essilfie, Erik N Mayer, Reza Omid, Seth C Gamradt, George F Hatch, Alexander E Weber

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Nicholas A TrasoliniUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Ioanna K BoliaUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Hyunwoo P KangUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Anthony EssilfieUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Erik N MayerDepartment of Orthopaedic Surgery, University of California-Los Angeles, Los Angeles, California, USA.
Reza OmidUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Seth C GamradtUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
George F HatchUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Alexander E WeberUSC Epstein Family Center for Sports Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are few large database studies on national trends in regional anesthesia for various arthroscopic shoulder procedures and the effect of nerve blocks on the postoperative rate of opioid prescription filling. HYPOTHESIS: The use of regional nerve block will decrease the rate of opioid prescription filling after various shoulder arthroscopic procedures. Also, the postoperative pattern of opioid prescription filling will be affected by the preoperative opioid prescription-filling history. STUDY

designCohort study; Level of evidence, 3.

methodsPatient data from Humana, a large national private insurer, were queried via PearlDiver software, and a retrospective review was conducted from 2007 through 2015. Patients undergoing arthroscopic shoulder procedures were identified through Current Procedural Terminology codes. Nerve blocks were identified by relevant codes for single-shot and indwelling catheter blocks. The blocked and unblocked cases were age and sex matched to compare the pain medication prescription-filling pattern. Postoperative opioid trends (up to 6 months) were compared by regression analysis.

resultsWe identified 82,561 cases, of which 54,578 (66.1%) included a peripheral nerve block. Of the patients who received a block, 508 underwent diagnostic shoulder arthroscopy; 2449 had labral repair; 4746 had subacromial decompression procedure; and 12,616 underwent rotator cuff repair. The percentage of patients undergoing a nerve block increased linearly over the 9-year study period (

conclusionAn increasing percentage of shoulder arthroscopies are being performed with regional nerve blocks. However, there was no difference in patterns of filled postoperative opioid prescriptions between blocked and unblocked cases, except for the subgroup of patients who had filled an opioid prescription within 1 to 3 months prior to shoulder arthroscopy. Future research should focus on recording the amount of prescribed opioids consumed in national databases to reinforce our strategy against the opioid epidemic.

Indexed as

filling prescriptionHumananerve blockopioidshoulder arthroscopy

Identifiers

PMID32637432
PMCPMC7313342
OpenAlexW3035797574

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.