ArticleHand (New York, N.Y.)2022
Risk Factors for Prolonged Opioid Use After Open Treatment of Distal Radius Fractures.
Article in Hand (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The Impact of Opioid-Related Disorder on Healthcare Resource Utilization Following Distal Radius Fracture Repair Surgery.Journal of hand surgery global online · 2026Article
- Review of Risk Factors for Opioid Misuse and Addiction Following Traumatic Injury.Healthcare (Basel, Switzerland) · 2026Review
- Opioid Use Patterns After Nonsurgical Management of Distal Radius Fractures: A Call for Opioid Stewardship.Journal of hand surgery global online · 2025Article
- Risks of Chronic Preoperative Opioid Use on Distal Radius Surgery Outcomes.Hand (New York, N.Y.) · 2024Article
- Preoperative opioid use is associated with worse two-year patient-reported outcomes after hand surgery: A retrospective cohort study.Journal of hand and microsurgery · 2024Article
- Patterns of Opioid Demand after Operative Treatment of Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2023Article
- Evidenced-Based Opioid Prescribing Recommendations Following Hand and Upper-Extremity Surgery.Journal of hand surgery global online · 2022Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this study was to evaluate factors associated with postoperative opioid use after open treatment of distal radius fractures.
methodsThe Humana insurance claims database was queried for open treatment of distal radius fractures by Current Procedural Terminology codes. The search was further refined to identify patients who filled an opioid prescription within 6 weeks after their surgery. The study's outcomes were: (1) limited postoperative opioid use, defined as filling a prescription once in the 6-week to 6-month period after surgery; and (2) persistent postoperative opioid use, defined as filling a prescription more than once in the 6-week to 6-month period after surgery. Logistic regression models were performed to identify factors associated with limited and persistent postoperative opioid use. Subgroup analyses were performed among opioid-naïve patients and those with open fractures.
resultsThis study identified 9141 of 19 220 total patients with limited and persistent opioid use. Significant risk factors included nonhome discharge, inpatient surgical setting, long-term pain, tobacco abuse, and age less than 65 years. Of note, both preoperative opioid use within 1 month before surgery (odds ratio [OR], 2.6; 95% confidence interval [CI], 2.2-2.9) and preoperative opioid use between 1 and 6 months before surgery (OR, 4.0; 95% CI, 3.7-4.4) were significantly associated with persistent postoperative opioid use.
conclusionsThis study has identified numerous risk factors associated with postoperative opioid use after open treatment of distal radius fractures. Understanding these risk factors is the first step toward reducing postoperative opioid use.
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