Evidence map›Paper›PMID 36583832›Full record

ArticleSpine deformity2023

Prospective analysis of home narcotic consumption and management of excess narcotic prescription following adolescent idiopathic scoliosis surgery.

John Garcia-Muñoz, Courtney Elblein, Wyatt B David, Ali Elaydi, Dominick Tuason

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Article in Spine deformity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

John Garcia-MuñozQuinnipiac University Frank H. Netter MD School of Medicine, North Haven, CT, USA.
Courtney ElbleinYale New Haven Children's Hospital, New Haven, CT, USA.
Wyatt B DavidDepartment of Orthopedics and Rehabilitation, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
Ali ElaydiDepartment of Orthopedics and Rehabilitation, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA.
Dominick TuasonDepartment of Orthopedics and Rehabilitation, Yale University School of Medicine, 333 Cedar Street, New Haven, CT, 06510, USA. Dominick.tuason@yale.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to identify factors associated with the outpatient narcotic intake of patients following posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS) and to introduce a safe and effective method of disposing of unused narcotics.

methodsFollowing Institutional Review Board approval, retrospective review of prospectively collected data from patients undergoing PSF for AIS took place. Pain scores, narcotic use, patient demographic data, pre-, intra-, and postoperative parameters, and discharge data were gathered via chart review. Patients were divided into two groups according to home narcotic use, high use (top 25th percentiles) and low use (bottom 75th percentiles), and multivariate statistical analysis was conducted. Narcotic surplus was collected during postoperative clinic visits and disposed of using biodegradable bags.

resultsStatistical analysis of 27 patients included in the study showed that patients with a higher home narcotic use correlated with increased length of hospitalization with an average of 3.4 days compared to the lower-use group of 2.8 day (p = 0.03). Higher-use group also showed increased inpatient morphine milligram equivalent than the lower-use group. There was no significant difference of home narcotic use when looking at patient age, height, weight, BMI, levels fused, intraoperative blood loss, or length of surgery. A total of 502 narcotic doses were disposed of in the clinic.

conclusionOur study suggests that there are not a significant number of patient- or surgical-level factors predisposing patients to increased home narcotic usage following spinal fusion for adolescent idiopathic scoliosis. LEVEL OF EVIDENCE: Level I, prospective study.

Indexed as

KyphosisScoliosisAdolescentHumansNarcoticsPrescriptionsProspective StudiesNarcoticsAdolescent idiopathic scoliosisNarcotic disposalNarcotic prescriptionPosterior spinal fusion

Identifiers

PMID36583832

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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.