Evidence map›Paper›PMID 33821594›Full record

ArticleJournal of Korean medical science2021

Effect of Opioids on All-cause Mortality and Opioid Addiction in Total Hip Arthroplasty: a Korea Nationwide Cohort Study.

Yonghan Cha, Suk Yong Jang, Jun Il Yoo, Hyo Gil Choi, Jeong Won Hwang, Wonsik Choy

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
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

6 authors at 3 institutions in 1 country.

Yonghan Cha *Department of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0002-7616-6694
Suk Yong Jang *Department of Preventive Medicine, Eulji University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0003-0558-1505
Jun Il YooDepartment of Orthopaedic Surgery, Gyeongsang National University Hospital, Jinju, Korea. furim@hanmail.net.ORCID https://orcid.org/0000-0002-3575-4123
Hyo Gil ChoiDepartment of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0003-2434-8047
Jeong Won HwangDepartment of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0002-4765-5333
Wonsik ChoyDepartment of Orthopaedic Surgery, Eulji University Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0001-9020-5832
Daejeon Eulji Medical Center, Eulji University · KREulji University · KRGyeongsang National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate the use of opioids before and after total hip arthroplasty (THA), to find out the effect of opioid use on mortality in patients with THA, and to analyze whether preoperative opioid use is a risk factor for sustained opioid use after surgery using Korean nationwide cohort data.

methodsThis retrospective nationwide study identified subjects from the Korean National Health Insurance Service-Sample cohort (NHIS-Sample) compiled by the Korean NHIS. The index date (time zero) was defined as 90 days after an admission to a hospital to fulfill the eligibility criteria of the THA.

resultsIn the comparison of death risk according to current use and the defined daily dose of tramadol and strong opioids in each patient group according to past opioid use, there were no statistically significant differences in the adjusted hazard ratio for death compared to the current non-users in all groups (

conclusionIn THA patients, the use of opioids within 6 months before surgery and within 3 months after surgery does not affect postoperative mortality, but a past-use history of opioid is a risk factor for sustained opioid use. Even after THA, the use of strong opioids is observed to increase compared to before surgery.

Indexed as

Arthroplasty, Replacement, HipAdolescentAdultAgedAnalgesics, OpioidCohort StudiesDatabases, FactualFemaleHip FracturesHumansMaleMiddle AgedOpioid-Related DisordersPostoperative PainProportional Hazards ModelsRepublic of KoreaAnalgesics, OpioidTramadolAddictionMortalityNationwide Cohort StudyOpioidTotal Hip Arthroplasty

Identifiers

PMID33821594
PMCPMC8021974
OpenAlexW3138085248

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Registered trials

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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.