Evidence map›Paper›PMID 35603925›Full record

ArticleGlobal spine journal2024

The Drivers of Persistent Opioid Use and Its Impact on Healthcare Utilization After Elective Spine Surgery.

Erik B Gerlach, Mark A Plantz, Peter R Swiatek, Scott A Wu, Nicholas Arpey, David Fei-Zhang, Srikanth N Divi, Wellington K Hsu, Alpesh A Patel

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

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  5. Do Diabetes and Genetic Polymorphisms in theJournal of clinical medicine · 2025
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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.

Erik B GerlachDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-5992-9119
Mark A PlantzDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Peter R SwiatekDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Scott A WuDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Nicholas ArpeyDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
David Fei-ZhangDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-4485-8274
Srikanth N DiviDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-5776-2044
Wellington K HsuDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Alpesh A PatelDepartment of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Northwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectiveThe aim of this study was to determine the incidence of and risk factors for persistent opioid use after elective cervical and lumbar spine procedures and to quantify postoperative healthcare utilization in this patient population.

methodsPatients were retrospectively identified who underwent elective spine surgery for either cervical or lumbar degenerative pathology between November 1, 2013, and September 30, 2018, at a single academic center. Patients were split into 2 cohorts, including patients with and without opioid use at 180-days postoperatively. Baseline patient demographics, underlying comorbidities, surgical variables, and preoperative/postoperative opioid use were assessed. Health resource utilization metrics within 1 year postoperatively (ie, imaging studies, emergency and urgent care visits, hospital readmissions, opioid prescriptions, etc.) were compared between these 2 groups.

results583 patients met inclusion criteria, of which 16.6% had opioid persistence after surgery. Opioid persistence was associated with ASA score ≥3 (P = .004), diabetes (

conclusionsOpioid persistence is associated with higher rates of health care utilization within 1 year after elective spine surgery.

Indexed as

healthcare resourceshealthcare utilizationopioidspine surgery

Identifiers

PMID35603925
PMCPMC10802539
OpenAlexW4281297265

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.