Evidence map›Paper›PMID 35333656›Full record

ArticleCartilage

Mood Disorders Are Associated with Increased Perioperative Opioid Usage and Health Care Costs in Patients Undergoing Knee Cartilage Restoration Procedure.

Austin V Stone, Meredith L Murphy, Cale A Jacobs, Christian Lattermann, Gregory S Hawk, Katherine L Thompson, Caitlin E W Conley

Open access · hybridAbstract read
In one paragraph

Article in Cartilage. 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
1.0field-weighted citation impact, top 25% 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, 5 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Austin V StoneDepartment of Orthopedic Surgery & Sports Medicine, University of Kentucky, Lexington, KY, USA.ORCID 0000-0002-9406-7884
Meredith L MurphyDepartment of Orthopedic Surgery & Sports Medicine, University of Kentucky, Lexington, KY, USA.
Cale A JacobsDepartment of Orthopedic Surgery & Sports Medicine, University of Kentucky, Lexington, KY, USA.
Christian LattermannDepartment of Orthopedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Gregory S HawkDepartment of Statistics, University of Kentucky, Lexington, KY, USA.
Katherine L ThompsonDepartment of Statistics, University of Kentucky, Lexington, KY, USA.
Caitlin E W ConleyDepartment of Orthopedic Surgery & Sports Medicine, University of Kentucky, Lexington, KY, USA.ORCID 0000-0001-9874-5200
University of Kentucky · USBrigham and Women's Hospital · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1 TR001998
6 · The paper itself

Abstract

objectiveTo identify the prevalence of mood disorder diagnoses in patients undergoing cartilage transplantation procedures and determine the relationship between mood disorders, opioid usage, and postoperative health care costs.

designPatients with current procedural terminology (CPT) codes for osteochondral autograft transplantation (OAT), osteochondral allograft transplantation (OCA), and autologous chondrocyte implantation (ACI) were identified in the Truven Health Marketscan database (January 2009-September 2014). Patients were grouped based on having a preoperative mood disorder diagnosis (preMDD). Preoperative opioids, postoperative opioids ≥90 days, and health care costs within the year postoperative were compared for those with and without mood disorders. Costs were analyzed, adjusting for preoperative cost, sex, age, and opioid usage, for those with and without mood disorders.

resultsA total of 3,682 patients were analyzed (ACI: 690, OAT: 1,294, OCA: 1,698). A quarter of patients had preMDD (ACI: 25.4%, OAT: 20.6%, OCA: 22.7%). Postoperative opioid use was more prevalent in preMDD patients (OAT: 37.1% vs. 24.1%,

conclusionCartilage transplantation patients have a high prevalence of preoperative mood disorders. Opioid use and health care costs were significantly greater for patients with preoperative mood disorder diagnoses. LEVEL OF EVIDENCE: Level III, retrospective therapeutic study.

Indexed as

Cartilage, ArticularIntra-Articular FracturesAnalgesics, OpioidChondrocytesHealth Care CostsHumansKnee JointMood DisordersRetrospective StudiesAnalgesics, Opioidautologous chondrocyte implantationosteochondral allograftosteochondral autograft

Identifiers

PMID35333656
PMCPMC9137305
OpenAlexW4220775757

What OpenQuestion holds

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LicenceCC BY-NC
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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.